焦虑和抑郁障碍共病患者人格和沙盘特征研究  

Personality and sandplay characteristics of patients with comorbid anxiety and depression

作　　者：宋晓红 李建明[4] 武克文 张玉涛 裴树景 许庆荣 Song Xiaohong, Li Jianming, Wu Kewen, Zhang Yutao, Pei Shujing, Xu Qingrong(1.Psychology Clinics, the Disabled Soldier Spirit Kangning Hospital, Jinzhong 030800, China ;2. Department of Science and Education, the Disabled Soldier Spirit Kangning Hospital,Jinzhong 030800, China ; 3.Department of Andrology, the Disabled Soldier Spirit Kangning Hospital, Jinzhong 030800, China ; 4.Department of Ophthalmology, the Second People＇ s Hospital of Jinzhong, Jinzhong 030800, China)

机构地区：[1]山西省荣军精神康宁医院心理科门诊,晋中030800 [2]山西省荣军精神康宁医院科教科,晋中030800 [3]山西省荣军精神康宁医院男二区,晋中030800 [4]山西省晋中市第二人民医院眼科,030800

出　　处：《中国实用医刊》2018年第1期9-12,共4页Chinese Journal of Practical Medicine

基　　金：山西省晋中市科技攻关项目（S1604）

摘　　要：目的选择探讨焦虑和抑郁障碍共病（CAD）患者人格和初始沙盘特征。方法选择CAD患者30例，正常人群30例，采用艾森克人格问卷（EPQ）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）和沙盘工具，对CAD患者和正常人群的人格和初始沙盘特征进行比较分析。结果①CAD患者与正常人群EPQ各维度得分比较，情绪稳定性得分高于正常人群[（67.58±9.26）分比（44.86±10.18）分]，内外向得分低于正常人群[（35.81±9.14）分比（52.12±12.09）分]，差异均有统计学意义（P均〈0.05）。②CAD患者与正常人群在使用各类沙具的种类上比较，CAD患者使用栅栏、武器及家具明显多于正常人群，现实人物及自我像明显少于正常人群，差异有统计学意义（P〈0.05）。③CAD患者与正常人群沙盘主题特征比较，CAD患者较多出现忽视与威胁2个创伤主题，而较少出现流动与能量2个治愈主题，差异有统计学意义（P〈0.05）。结论CAD患者比正常人群有更多内向、情绪不稳定的人格特征。CAD患者初始沙盘上多呈现防御性类沙具和创伤主题。Objective To investigate the personality and initial sandplay characteristics of patients with eomorbid anxiety and depression （CAD）. Methods Sandplay characteristics and personality of 30 patients with CAD and 30 normal people were compared by Eysenck personality questionnaire （EPQ）, Hamilton depression scale （HAMD）, Hamilton anxiety scale （HAMA） and initial sandplay. Results EPQ indicated that patients with CAD had higher scores of emotional stability dimension （67.58±9.26 vs. 44. 86 ±10. 18） and lower scores of introversion and extroversion （35.81 ±9.14 vs. 52.12 ± 12.09） than normal people （P 〈 0.05）. In the categories of tools in sandplay, CAD patients used the fence, weapons and furniture more frequently, and used real characters and self-image more infrequently compared with the normal people, and the difference was significant （P 〈 0. 05 ）. The theme of sandplay used by the CAD patients were often neglect and threat and seldom in flow and energy compared with the normal people （P 〈 0.05 ）. Conclusions The results show that the patients with CAD have more introverted, emotionally unstable personality traits than normal people. Patients with CAD use defensive and wounded themes more frequently in the initial sandplay.

关 键 词：焦虑和抑郁障碍共病 人格 沙盘 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]