躯体形式障碍患者社会支持与功能失调性认知、人格障碍倾向的相关性研究  

Relationships between social support and dysfunctional cognition,personality disorder in patients with somatoform disorder

作　　者：万礼霞[1] 朱相华 胡存昆[1] 张锦黎 刘舒文 刘冰[3] 梁光利 Wan Lixia;Zhu Xianghua;Hu Cunkun;Zhang Jinli;Liu Shuwen;Liu Bing;Liang Guangli(Psychology Department,Xuzhou Central Hospital,Xuzhou 221009,China;Institute of Forensic Science,People's Dongfang Hospital of Xuzhou,Xuzhou 221004,China;Otolaryngology Department,Xuzhou Central Hospital,Xuzhou 221009,China)

机构地区：[1]徐州市中心医院心理科,221009 [2]徐州市东方人民医院司法鉴定所,221004 [3]徐州市中心医院耳鼻喉科,221009

出　　处：《中华行为医学与脑科学杂志》2020年第5期448-452,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：徐州市科技局重点研发计划(KC17180)。

摘　　要：目的:研究躯体形式障碍患者社会支持与功能失调性认知、人格障碍倾向之间的关系。方法:采用社会支持评定量表、功能失调性态度问卷和人格诊断问卷对104例躯体形式障碍患者(患者组)和97例健康被试(健康对照组)进行评定和比较,并分析社会支持与功能失调性认知和人格障碍倾向的相关关系。结果:躯体形式障碍患者社会支持在各维度[社会支持总分(37.18±8.12)分,客观社会支持(8.49±2.83)分,主观社会支持(21.90±5.44)分,社会支持利用(6.79±1.85)分]均显著低于健康对照组[社会支持总分(41.82±6.87)分,客观社会支持(9.92±3.38)分,主观社会支持(24.32±4.25)分,社会支持利用(7.59±1.31)分],差异有统计学意义(均 P<0.05)。在躯体形式障碍患者中,社会支持总分与功能失调性认知态度( r=-0.245, P<0.05)和人格障碍倾向( r=-0.292, P<0.01)得分之间呈显著负相关。社会支持利用度对功能失调性认知有显著的预测作用( B=-5.384, P=0.007)。 结论:躯体形式障碍患者社会支持情况与功能失调性认知态度和人格障碍倾向具有相关性,为团体和家庭心理治疗等心理干预手段提供依据。Objective To investigate relationships between social support and dysfunctional cognition,personality disorder in patients with somatoform disorder.Methods One hundred and four patients with somatoform disorders and 97 healthy subjects were evaluated with the Social Support Rating Scale(SSRS),Dysfunctional Attitudes Scale(DAS)and Personality Diagnostic Questionnaire(PDQ-4).Social support ratings were compared between patients and healthy controls.The relationship between social support and dysfunctional cognition,personality disorder were analyzed.Results The scores of social support in all dimensions of patients with somatoform disorder(total score of social support(37.18±8.12),objective social support(8.49±2.83),subjective social support(21.90±5.44),social support utilization(6.79±1.85))were significantly lower than those in the healthy control group(total score of social support(41.82±6.87),objective social support(9.92±3.38),subjective social support(24.32±4.25),social support utilization(7.59±1.31))(P<0.05).In patients with somatoform disorder,there was a significant negative correlation between the total score of SSRS and the scores of DAS(r=-0.245,P<0.05)and personality disorder tendency(r=-0.292,P<0.01).Social support utilization had a significant predictive effect on dysfunctional cognition(B=-5.384,P=0.007).Conclusion Social support of patients with somatoform disorder is correlated with dysfunctional cognition and personality disorder tendency,which provides the basis for psychological intervention such as group and family psychotherapy.

关 键 词：躯体形式障碍 社会支持 功能失调性认知 人格障碍 

分 类 号：R74[医药卫生—神经病学与精神病学]