伴或不伴焦虑症状的抑郁症患者MMPI结果分析  

Analysis of MMPI results in patients with anxious depression or non-anxious depression

作　　者：程丹丹 洪素 陈星月 胡冰 李夏颖 查冰阳 袁子怡 况利[2] CHENG Dandan;HONG Su;CHEN Xingyue;HU Bing;LI Xiaying;ZHA Bingyang;YUAN Ziyi;KUANG Li(Department of Psychiatry,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Psychologic Medicine Center,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Psychiatry,University-Town Hospital of Chongqing Medical University,Chongqing 401331,China)

机构地区：[1]重庆医科大学附属第一医院精神科,重庆400016 [2]重庆医科大学附属第一医院精神医学中心,重庆400016 [3]重庆医科大学附属大学城医院精神科,重庆401331

出　　处：《重庆医学》2025年第1期52-56,共5页Chongqing Medical Journal

基　　金：重庆市英才计划-名家名师项目(CQYC20210203105);重庆医科大学-重庆医科大学附属第一医院(精神病学与精神卫生学)研究生联合培养基地项目(lpjd202206)。

摘　　要：目的探讨伴焦虑症状的抑郁症(AND)或不伴焦虑症状的抑郁症(NAD)患者人格特质差别,为早期发现AND患者提供可能的依据。方法选取2022年1-12月在重庆医科大学附属第一医院精神科门诊就诊的572例成年抑郁症患者进行问卷调查,收集其一般人口学问卷、抑郁自评量表(SDS)、广泛性焦虑障碍量表(GAD-7)、明尼苏达多项人格测试(MMPI)结果。将GAD-7总分≥5分的患者作为AND组(n=499),GAD-7总分<5分的患者作为NAD组(n=73)。分析两组MMPI与一般人口学资料、SDS、GAD-7评分的相关性。结果两组居住地、家庭子女数量、受教育时间、MMPI总分及精神病态、精神衰弱、癔病、抑郁、疑病、妄想症、精神分裂、社会内向、轻躁狂维度高分比例比较,差异有统计学意义(P<0.05)。AND组SDS、GAD-7评分较NAD组高(P<0.05)。MMPI总分、精神病态、精神衰弱、癔病、抑郁、疑病、妄想症、精神分裂、社会内向、轻躁狂与SDS、GAD-7评分呈正相关(P<0.05)。结论可通过MMPI测查结果对AND患者进行早期识别。Objective To investigate the differences in personality traits between the patients with anxious depression(AND)and non-anxious depression(NAD)in order to provide the possible basis for early find of the patients with AND.Methods A total of 572 adult patients with depression visiting in the psychiatric outpatient department of the First Affiliated Hospital of Chongqing Medical University from January 2022 to December 2022 were selected to conduct the questionnaire survey.General demographic questionnaire,Self-rating Depression Scale(SDS),Generalized Anxiety Disorder Scale(GAD-7)and Minnesota Multiphasic Personality Inventory(MMPI)were collected and analyzed.The patients with GAD-7 total score≥5 points served as the AND group(n=499)and those with GAD total score<5 points served as the NAD group(n=73).The correlation between the general demographic questionnaire,SDS and GAD-7 with MMPI was analyzed.Results There were statistically significant differences in the place of residence,number of children in a family,education years,MMPI total score and high score proportions of psychopathy,athopia,hysteria,depression,hypochondriasis,paranoea,schizophrenia,social introversion and hypomania dimensions between the two groups(P<0.05).The SDS and GAD-7 scores in the AND group were higher than those in the NAD group(P<0.05).The MMPI total score,athopia,hysteria,depression,hypochondriasis,paranoea,schizophrenia,social introversion and hypomania were positively correlated with SDS and GAD-7(P<0.05).Conclusion The patients with depression accompanied by anxiety symptom could be early identified by the MMPI testing results.

关 键 词：精神科门诊 抑郁状态 伴焦虑症状的抑郁症 不伴焦虑症状的抑郁症 明尼苏达多项人格测试 

分 类 号：R749.4[医药卫生—神经病学与精神病学]