偏执型人格障碍患者儿童期心理虐待、成人依恋与人际信任的关系  

Relationship between Childhood Psychological Abuse, Adult Attachment and Interpersonal Trust in Patients with Paranoid Personality Disorder

作　　者：孙仕田[1] SUN Shi-tian(Department of Clinical Psychology,Linyi Mental Health Center,Linyi,Shandong Province,276005 China)

机构地区：[1]山东省临沂市精神卫生中心临床心理科

出　　处：《世界复合医学》2019年第9期13-16,共4页World Journal of Complex Medicine

摘　　要：目的探讨偏执型人格障碍患者儿童期心理虐待、成人依恋与人际信任的关系,为偏执型人格障碍的干预提供科学依据。方法以方便抽样法于2017年1月—2018年10月抽取80例该院就诊的偏执型人格障碍患者,施测儿童期心理虐待量表、亲密关系经历量表与人际信任量表,数据统计以t检验、相关分析、多元回归分析进行。结果男性的干涉因子(16.14±4.29)分,女性为(16.55±4.28)分,男性的纵容因子(10.97±2.53)分,女性为(11.41±2.65)分,男性的人际信任因子(69.08±3.83)分,女性为(69.85±4.06)分(t=3.019、-0.953、-1.078,P>0.05)。偏执型人格障碍患者儿童期的被恐吓、忽视、贬损及依恋回避、依恋焦虑与人际信任显著负相关,差异有统计学意义(P<0.01);恐吓、忽视、贬损因子分与依恋回避、依恋焦虑因子分显著正相关,差异有统计学意义(P<0.01)。男性的恐吓因子(11.53±4.84)分,女性为(9.98±5.05)分,男性的忽视因子为(11.78±4.61)分,女性为(10.26±5.08)分,男性的贬损因子为(9.61±3.59)分,女性为(7.74±3.33)分,男性的各种因子高于女性,恐吓、忽视对人际信任有显著的预测作用,差异有统计学意义(t=-2.785、-2.152,P<0.05),可解释方差变异的40.5%。结论男性偏执型人格障碍患者儿童期被贬损、依恋焦虑、依恋回避多于女性,偏执型人格障碍患者儿童期的恐吓、忽视、贬损及依恋回避、依恋焦虑是人际信任的预测因子。Objective To investigate the relationship between childhood psychological abuse,adult attachment and interpersonal trust in patients with paranoid personality disorder,and to provide scientific evidence for the intervention of paranoid personality disorder.Methods From January 2017 to October 2018,80 patients with paranoid personality disorder who were treated in our hospital were selected by convenient sampling method.The children's psychological abuse scale,intimate relationship experience scale and interpersonal trust scale were collected.Conducted by t test,correlation analysis,and multiple regression analysis.Results The male intervention factor(16.14±4.29)points,female(16.55±4.28)points,male prolongation factor(10.97±2.53)points female(11.41±2.65)points,male interpersonal trust factor(69.08±3.83)points,female(69.85±4.06)points.(t=3.019,-0.953,-1.078,P>0.05).Intimidation,neglect,derogatory and attachment avoidance,attachment anxiety and interpersonal trust were significantly negatively correlated in children with paranoid personality disorder,the difference was statistically significant(P<0.01);intimidation,neglect,derogatory factor and attachment avoidance,attachment anxiety factor was significantly positively correlated,the difference was statistically significant(P<0.01).The male intimidation factor(11.53±4.84)points;(9.98±5.05)points in female,the male neglect factor was(11.78±4.61)points,the female was(10.26±5.08)points,the male impairment factor was(9.61±3.59)points,and female was(7.74±3.33)points,males have higher factors than females,and intimidation and neglect have significant predictive effects on interpersonal trust(t=-2.785,-2.152,P<0.05),which can explain 40.5%of variance variance.Conclusion Male patients with paranoid personality disorder are degenerated,attachment anxiety,and attachment avoidance more than women.The intimidation,neglect,derogatory and attachment avoidance and attachment anxiety of patients with paranoid personality disorder are predictors of interpersonal trust.

关 键 词：儿童期 心理虐待 成人依恋 人际信任 偏执型人格障碍 

分 类 号：R395[哲学宗教—心理学]