精神分裂症与重性抑郁障碍患者明尼苏达多相个性测验对照研究

目的 探讨精神分裂症和重性抑郁障碍患者明尼苏达多相个性测验(MMPI)之间的差异.方法 以美国精神疾病诊断和统计手册分类为标准,对门诊和住院精神分裂症患者116例、重性抑郁障碍患者61例进行MMPI.结果 (1)两组患者说谎得分间差异有显著性意义(P＜0.01),诈病、校正得分间差异均无显著性意义(P＞0.05);(2)两组患者抑郁、精神病态、精神衰弱、社会内向得分间差异均有显著性意义(P＜0.05);(3)两组患者精神病质、神经症质、社会内向、夸大掩饰、非社会化因子得分间差异均有显著性意义(P＜0.05)(4)两组患者的危险行为中自杀自残得分间差异有显著性意义(P＜0.05),冲动伤人和酗酒滥用得分间差异均无显著性意义(P＞0.05).结论 精神分裂症和重性抑郁障碍患者的MMPI有明显差异,MMPI可用于两者的鉴别诊断.

A Study on the Differences of MMPI between Major Depression Disorder and Schizophrenia

Objective To explore the differences of minnnesota multiphasic personality inventory (MMPI) between major depression disorder and schizophrenia.Methods According to the standard of DSM-IV,116 cases of schizophrenia and 61 cases of major depression disorder were tested with MMPI.Results Psychoticism factor of MMPI in schizophrenia was significantly higher than major depression disorder(P<0.05).Clinical scales D,Pd,Pt,Si and neuroticism,introversion-extroversion factor of MMPI in major depression disorder were significantly higher than in schizophrenia(P<0.05).Suicide attempt in major depression disorder were significantly higher than in schizophrenia.Fake good-fake bad factor in major depression disorder were significantly lower than in schizophrenia(P<0.01).Conclusion MMPI is useful in clinical diagnosis and differentiating between schizophrenia and major depression disorder.