强迫症患者人格发展的忆溯研究  

Study on the memory-tracing personality development of patients with obsessive-compulsive disorder

作　　者：许晗 吕学玉[2] 东振明 冯帆[2] 丰云舒 张明 刘兰英[4] 汪卫东[2] Xu Han;Lyu Xueyu;Dong Zhenming;Feng Fan;Feng Yunshu;Zhang Ming;Liu Lanying;Wang Weidong(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Psychology Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Obsessive-Compulsive Disorder Study Center of Gaide,Shanghai 200333,China;Affective Disorder Ward,Tongde Hospital of Zhejiang Province,Hangzhou 311122,China)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院广安门医院心理科,北京100053 [3]上海盖德强迫症研究中心,上海200333 [4]浙江省立同德医院情感障碍病房,杭州311122

出　　处：《中华行为医学与脑科学杂志》2022年第6期520-527,共8页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(81603673);中国中医科学院科技创新工程(CI2021A03104)。

摘　　要：目的从忆溯角度分析研究强迫症的人格发生发展情况。方法2016年1月至2017年5月,选取103例强迫症患者(患者组)以及88例在汪卫东忆溯性人格发展量表(Wang Weidong memory-tracing personality developmental inventory,WMPI)全国城市人口常模数据库中年龄、性别、文化程度等条件相匹配的正常被试(对照组)。采用WMPI对所有被试进行评估与比较。统计软件使用SPSS 22.0,数据统计使用独立样本t检验和非参数检验。结果1.人格发展外部影响因素方面:生活事件方面,患者组童年期家庭内部事件得分高于对照组(P<0.05);教养方式方面,患者组童年期严厉[(5.637±3.463)分]与惩罚[(6.275±4.565)分]得分高于对照组[(4.341±3.092)分,(5.000±3.698)分,t=-2.703,-2.093,均P<0.05]。2.人格要素发展方面:(1)胆气分量表中,在童年时期,自然恐惧[(7.686±3.441)分]、适应能力[(15.000±5.321)分]两维度患者组比对照组[(6.023±3.991)分,(12.841±6.070)分]得分高(t=-3.085,-2.613,均P<0.05)。人际恐惧维度的3个年龄段,患者组[(20.284±8.255)分,(22.804±7.458)分,(22.725±7.145)分]均较对照组[(16.205±7.937)分,(19.841±6.319)分,(18.364±6.277)分]得分高(t=-3.458,-2.929,-4.437,均P<0.01)。(2)人际关系分量表的依恋性维度中,童年期患者组[(10.804±3.621)分]得分高于对照组[(8.830±4.850)分,t=-3.205,P<0.01]。(3)性发展分量表中,在少年期,异性交往[(11.941±4.878)分]、爱情观[(15.098±4.180)分]与性观念[(8.892±2.988)分]患者组得分均高于对照组[(9.125±5.040)分,(11.761±5.202)分,(6.943±3.288)分,均P<0.01]。(4)自我分量表中,在童年期患者组自理性维度得分[(6.465±2.890)分]比对照组[(4.239±2.861)分]得分高(P<0.01),在童年与少年时期患者组自主性维度得分[(10.772±2.694)分,(11.347±2.621)分]较对照组[(8.011±4.039)分,(9.818±2.693)分]得分高(均P<0.01)。(5)思维方式分量表中,在童年期,患者组绝对化思维维度得分高于对照组(P<0.Objective To study the personality development of obsessive-compulsive disorder(OCD)from the perspective of memory-tracing.Methods From January 2016 to May 2017,totally 103 patients with OCD(patient group)and 88 normal subjects(control group)matched with age,gender,and educational level in the national urban population norm database of Wang Weidong memory-tracing personality developmental inventory(WMPI)were included.WMPI was used to evaluate and compare all subjects.SPSS 22.0 software and nonparametric test were used for statistically analysis,and independent sample t-test and nonparametric test were used for data camparison.Results 1.In terms of external influencing factors of personality development:on the part of life events,the score of family affair in the patient group was higher than that in the control group(P<0.05)in childhood.In terms of upbringing,the scores of strictness(5.637±3.463)and punishment(6.275±4.565)in the patient group were higher than those((4.341±3.092),(5.000±3.698))in the control group in childhood(t=-2.703,-2.093,both P<0.05).2.In the aspect of personality elements:(1)Among courage subscales,the scores of natural fear(7.686±3.441)and adaptability(15.000±5.321)in the patient group were higher than those((6.023±3.991),(12.841±6.070))in the control group in childhood(t=-3.085,-2.613,both P<0.05).For all three stages,interpersonal fear scores in the patient group((20.284±8.255),(22.804±7.458),(22.725±7.145))were all higher than those((16.205±7.937),(19.841±6.319),(18.364±6.277))in the control group(t=-3.458,-2.929,-4.437,P<0.01).(2)Among interpersonal relationship,the dependence dimension scores were higher in the patient group(10.804±3.621)than those(8.830±4.850)in the control group during childhood(t=-3.205,P<0.01).(3)Among sex development,the scores of heterosexual communications(11.941±4.878),love concept(15.098±4.180)and sexual concept(8.892±2.988)were higher in the patient group than those((9.125±5.040),(11.761±5.202),(6.943±3.288))in the control group in adole

关 键 词：强迫症 忆溯性人格发展量表 人格发展 胆气 

分 类 号：R749.7[医药卫生—神经病学与精神病学]