躯体形式障碍患者躯体症状和明尼苏达多项人格特征的相关研究  

Relationship between somatic symptoms and Minnesota multiphasic personality characteristics in patients with somatoform disorders

作　　者：刘舒文 王媛媛 万礼霞[1] 张锦黎 张毓 LIU Shuwen;WANG Yuanyuan;WAN Lixia;ZHANG Jinli;ZHANG Yu(Department of Psychology,Xuzhou Central Hospital,Xuzhou,Jiangsu 221009,China)

机构地区：[1]徐州市中心医院心理科,江苏徐州221009

出　　处：《徐州医科大学学报》2025年第1期52-57,共6页Journal of Xuzhou Medical University

基　　金：江苏省卫生健康委科研项目(Z2020073)。

摘　　要：目的了解躯体形式障碍(SD)患者的心理健康状况及人格特征,并探索SD患者躯体症状相关的人格因素。方法采用90项症状自评量表(SCL-90)、明尼苏达多相人格调查表(MMPI)对89例SD患者(SD组)和93例健康志愿者(对照组)进行测评及组间比较,使用相关分析及多元线性回归探究SD患者躯体症状的相关影响因素。结果与对照组相比,SD组SCL-90总分及各因子分均增高(P<0.01),MMPI各临床量表T分除男子气-女子气(Mf)外,均增高(P<0.01)。相关性分析显示,SD组MMPI临床量表中疑病(Hs)、抑郁(D)、癔病(Hy)、精神病态(Pd)、妄想狂(Pa)、精神衰弱(Pt)、精神分裂(Sc)、轻躁狂(Ma)、社会内向(Si)与SCL-90躯体化因子得分呈正相关,年龄与SCL-90躯体化因子得分呈负相关。多元线性回归结果表明,在控制年龄、性别、婚姻、文化、职业因素后,躯体化因子分与Hs呈正相关,与年龄和D呈负相关。结论SD患者心理健康状况不良,具有人格不良倾向。躯体症状与疑病、抑郁和年龄有关。Objective To understand the mental health status and personality characteristics of patients with somatoform disorders(SD)and explore the personality factors related to somatic symptoms in these patients.Methods A total of 89 patients with somatoform disorders(a SD group)and 93 healthy volunteers(a HC group)were evaluated using the Symptom Checklist-90(SCL-90)and the Minnesota Multiphasic Personality Inventory(MMPI).Inter-group comparisons were conducted,while correlation analysis and multiple linear regression were used to investigate the factors influencing somatic symptoms in SD patients.Results Compared with the control group,the SD group showed significantly higher total SCL-90 scores and factor scores(P<0.01).Except for Mf,the T-scores of all MMPI clinical scales in the SD group were significantly higher than those in the control group(P<0.01).Correlation analysis indicated that Hs,D,Hy,Pd,Pa,Pt,Sc,Ma,and Si in the MMPI clinical scales were positively correlated with the somatization factor scores of the SCL-90.Age was negatively correlated with the SCL-90 somatization factor scores.Multiple linear regression analysis indicated that after controlling for age,gender,marital status,education,and occupation,the somatization factor score was positively associated with Hs and negatively associated with age and D.Conclusions Patients with somatoform disorders have poor mental health and show tendencies toward unhealthy personality traits.Their somatic symptoms are related to hypochondriasis,depression,and age.

关 键 词：躯体形式障碍 躯体症状 人格特征 心理健康状况 

分 类 号：R749.2[医药卫生—神经病学与精神病学]