慢性疼痛患者的个性特征及心理健康状况分析

目的 探讨慢性疼痛患者的个性特征及心理健康状况,从而为临床心理干预提供参考依据。方法 采用卡特尔16项人格特质测验问卷(16-PF)、症状自评量表(SCL-90)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对43例慢性疼痛患者进行调查,并与40例正常者进行对照。结果 慢性疼痛患者16-PF测试结果;在I-敏感性、O-忧虑性、Q4-紧张性及次级人格因子X1(适应与焦虑)得分高于对照组,在A-乐群性、C-稳定性、F-兴奋性及次级人格因子Y2(心理健康)低于对照组,两组相比差异显著(P<0.05-0.01)。在SCL-90总分阳性项目分、躯体化、焦虑、抑郁、人际关系及SAS、SDS得分与对照组相比,差异有显著性(P<0.05-0.01)。结论 慢性疼痛患者在人格特征上与正常人相比有显著的偏差,并有明显的心理障碍,因此,对慢性疼痛的治疗,在排除器质性疾病的前提下,纠正不良的个性及心理治疗十分重要。

Personality Characteristics and Mental Health Status of Patients with Chronic Pain

Objective To explore personality characteristics and mental health status of patients with chronic pain. Methods 43 patients with chronic pain and 40 normal controls were tested with Cattell's 16-PF Questionaire, SCL-90 SAS and SDS. Results The patients with chronic pain were lower than the normal controls in A (optimistic) ,C(stability) ,F(excitation)and Y, (mental health) of 16-PF (P<0. 05 - 0. 01),the patients with chronic pain were higher in I (sensitive) ,O(worry) ,Q4(ten sion),Xi(fit and anxiety)of 16-PF,and in the total score and somatological, anxiety , depression, fear of SCL-90, Scores of SAS,SDS(P<0. 05-0. 01). Conclusion The patients with chronic pain have more menetal health problem and personality deviance,the prevention is very important.