抑郁症患者的治疗难度预测性研究

目的 探讨抑郁症的治疗难度及治疗中的解决方案。方法 以抑郁症患明尼苏达多项人格调查表（MMPI）示为研究重点,从中找出治疗难度预测性指标,在临床实践中措索出有关治疗难度的解决方案。结果 抑郁症的发病与人格和应激因素有关,造成治疗难主工的MMPI指标有社会内向,内在适应,心理资源,依赖等。临床上要从患的人格入手解决治疗的问题。结论 抑郁症治疗难度较大,复发率高,因此,治疗上要注意心理分析,从人格上解决治疗的问题。     

抑郁症患者的心理防御方式

目的探讨抑郁症患者的心理防御机制,为心理治疗打下基础。方法利用明尼苏达多项人格调查表(MMPI)和防御方式问卷(DSQ),分别检测抑郁症组和正常对照组,并将两组进行比较。结果抑郁症组患者MMPI多项指标异常,与对照组比较主要是存在明显的性格缺陷和心理防御机制的不健全,DSQ结果表明抑郁症的心理防御机制以不成熟防御机制为主,大多防御机制与对照组比较有显著性差异。结论抑郁症患者心理防御机制不成熟,在心理治疗过程中要注意纠正。     

抑郁症的心理加药物疗法和单纯药物治疗的随访分析对照

目的探讨抑郁症心理加药物疗法和单纯药物治疗的效果。方法采用随机分组方法对两组进行开放式对照研究,评价指标采用明尼苏达多相人格调查表(MMPI)。并在治疗1年后进行随访,以观察其复发率。结果单纯药物治疗复发率高,没达到心理和躯体康复的目的,药物加心理治疗组复发率低,且患者的各项心理学指标明显提高,表明心理和社会功能康复。结论抑郁症的治疗心理治疗是关键,重在改善患者的认知功能和人格整合,以调整和恢复社会功能。     

抑郁症的强迫症状对病情和预后的影响

目的探讨抑郁症的强迫症状对抑郁症病情和预后的影响。方法以明尼苏达多相人格调查表(MMPI)为心理学检测量表,结合临床,有强迫症状者为研究组,无强迫症状者为对照组,分别对两组的病情和预后进行比较。结果抑郁症患者的强迫症状发生率为39.6%,男女发生率相近。伴有强迫症状者临床症状重,MMPI量表分高,治疗效果差。结论抑郁症是情感性障碍,伴有强迫症状者病情重,治疗效果差,治疗时应重视心理分析和心理治疗。     

老年抑郁症心理状况调查

目的 探讨老年抑郁症患者的心理问题及护理措施.方法 以艾森克个性问卷(EPQ)、明尼苏达多相人格调查表(MMPI)等心理学量表为工具测量老年抑郁症患者的人格及心理特征,入院后实施相应的心理护理,然后将入院时和入院后六周的各项因子进行统计学比较.结果 入院6周后患者临床及心理问题明显消失或缓解,心理学量表各因子分有不同程度下降,差异有统计学意义(P＜0.0l).结论 结合老年抑郁症患者人格及心理特征,有针对性的开展心理护理工作,可有效促进老年抑郁症患者的康复.     

抑郁症患者的心理防御方式

目的 探讨抑郁症患的心理防御机制，为心理治疗打下基础。方法 利用明尼苏达多项人格调查表（MMPI）和防御方式问卷（DSQ），分别检测抑郁症组和正常对照组，并将两组进行比较。结果 抑郁症组患MMPI多项指标异常，与对照组比较主要是存在的性格缺陷和心理防御机制的不健全，DSQ结果表明抑郁症的心理防御机制以不成熟防御机制为主，大多防御机制与对照组比较有显性差异。结论 抑郁症患心理防御机制不成熟，在心理治疗过程中要注意纠正。     

神经症患者MMPI-B测试结果分析

目的探讨神经症患者的人格特征及与明尼苏达多项人格调查表(MMPI)的关系,为神经症的心理分析和心理治疗提供依据.方法用MMPI作为人格和心理分析的测试工具,选用相关量表进行分析.结果神经症患者在MMPI的临床量表中T分≥60占前3位的是抑郁(D)、癔症(Hy)、神经衰弱(Pt),其他量表也有升高;两点编码前3位的是M27/72、M23/32、M24/42;神经症三量表图形的排列位次是A型、V型、/型、\型.结论神经症的发病与个性明显有关,利用MMPI对患者进行人格分析和诊断有助于对神经症的心理治疗.     

抑郁症的强迫症状对病情和预后的影响

目的：探讨抑郁症的强迫症状地抑郁症病情和预后的影响。方法：以明尼苏达多相人格调查表（MMPI）为心理学检测量表，结合临床，有强迫症状为研究线，无强迫症状为对照组，轩两组的病情和预后进行比较。结果：抑郁症患的强迫症状发生率为39．6％，男女发生率相宾，伴有强迫症状临床症状重。MMPI量表分高，治疗效果差，结论：抑郁症是情感性障碍，伴有强迫症状病情重，治疗效果着，治疗时应重视心理分析和心理治疗。     

抑郁症的心理加药物疗法和单纯药物治疗的随访分析对照

目的 探讨抑郁症心理加药物疗法和单纯药物治疗的效果。方法 采用随机分组方法对两组进行开放式对照研究，评价指标采用明尼苏达多相人格调查表（MMPI）。并在治疗1年后进行随访，以观察其复发率。结果 单纯药物治疗复发率高，没达到心理和躯体康复的目的，药物加心理治疗组复发率低，且患的各项心理学指标明显提高，表明心理和社会功能康复。结论 抑郁症的治疗心理治疗是关键，重在改善患的认知功能和人格整合，以调整和恢复社会功能。     

认知与行为疗法在疑病性神经症治疗中的效果

目的探讨疑病性神经症的心理治疗对心理和躯体康复的效果。方法采用认知和行为疗法观察治疗效果,观察指标采用明尼苏达多项人格调查表(MMPI)的相关量表和临床指标。结果心理治疗后MMPI各项指标有了明显的改善,临床治愈和显效率分别为38.30%、34.04%,总有效率为97.87%。患者的心理应激明显提高,社会功能很快恢复。结论心理治疗对疑病性神经症的躯体和心理康复有良好的效果,对恢复患者的社会功能有着不可代替的作用。     

心理因素与非溃疡性消化不良的关系探讨

目的研究精神、心理因素对非溃疡性消化不良患者的影响．探讨治疗措施。方法采用明尼苏达多相人格测查问卷中国版本对40例非溃疡性消化不良患者和21例健康对照组进行调查分析。结果非溃疡性消化不良患者明尼苏达多相人格测查问卷异常率（72．5％）显著高于健康对照组（4．8％）,差异有极显著性（P〈0.001）;各临床分量表均分均显著高于对照组（P〈0.001）,以疑病、癔病分量表分高为显著。结论非溃疡性消化不良的发病与心理因素有关．对其应采取个体化治疗原则,在给予患者合理的药物治疗的基础上应积极开展心理治疗。     

职业及经济收入对乳腺癌妇女人格和心理障碍的影响

背景乳腺癌的诊断和治疗,会使人产生严重的负性应激反应和精神障碍。特别是自费和没有医疗保险的农村和低经济收入乳腺癌妇女的精神心理状况令人堪忧。国内外对这一弱势群体的研究少见报道。目的找出农民与不同经济收入水平对乳腺癌妇女精神心理障碍的影响程度,为有效的临床干预治疗提供科研依据。设计病例对照研究。地点、对象和方法对大连医科大学附属一、二医院肿瘤科术后接受抗癌治疗的妇女216例采用临床晤谈、明尼苏达多项人格问卷(Minnesotamultiphasicpersonalityinventory,MMPI)和生活事件量表及基本情况问卷的方法进行精神心理状态和人格评定。主要观察指标乳腺癌妇女MMPI评定结果。结果①208例年龄为24～83岁乳腺癌妇女,平均47岁,89%为已婚妇女;受教育程度各水平均衡,其中农民40例,占19.2%,工人占35.6%,职员和干部比例为45.2%。接受乳房保留术22例,根除术186例;182例接受化疗,176例接受放疗;15.4%患者不知道自己患病真相;患病时间为术后1～204个月。②多元Logistic分析显示,农民是疑病和抑郁量表值增高的危险因素。农民与工人疑病、抑郁相对比,OR=3.64,4.42(P<0.05);脑力劳动者与工人疑病、抑郁相对比,OR=1.05,1.11(P<0.05)。而年龄是抑郁的保护因素,随着年龄的增加抑郁反而减低,确诊时年龄与     

Personality traits,depression and migraine in women: a longitudinal study

Our purpose was to examine the association between personality traits, depression and migraine in the long term. In 56 women with migraine a psychological assessment was carried out to assess the presence of major depression, and the Minnesota Multiphasic Personality Inventory (MMPI) and the State and Trait Anxiety Inventory (STAI) were administered at baseline (T0) and after 6-7 years (T2). Frequency, severity and duration of migraine were recorded at T0, after treatment (T1) and at T2, and their relation to the prevalence of depression and to the MMPI and STAI data was examined (ANOVA, Student's t-test, chi2 analysis, and multiple regression analysis). Pain parameters improved in all patients in T0-T1, but at T2 were higher in patients with depression at T0. The patients whose migraine improved at T2 had, at T0 and T2, significantly lower MMPI and STAI scores. Multiple regression analysis showed a correlation of the MMPI depression score and STAI 1,2 scores at T0 with headache frequency at T2. We conclude that the co-occurrence of migraine, personality changes and depression in women does not appear to influence the results of treatment at short-term, but it seems to be influential on headache history in the long term.     

影响抑郁性神经症患者心理康复的因素

目的:探讨影响抑郁性神经症心理康复的心理和相关因素,提高抑郁性神经症的治疗效果。方法:对64例明确诊断为抑郁性神经症的患者,采用明尼苏达多项人格调查表(MMPI)的相关量表和自制影响心理康复因素表,进行心理分析和影响因素分析。根据分析结果,采取认知疗法、行为疗法、心理疏导、家庭治疗、社会支持治疗等综合治疗措施,进行效果分析。结果:影响抑郁性神经症治疗效果的心理因素有性格特征、心理应对方式、合并病等,其他因素有家庭、工作环境、人际关系、治疗方法和时间等。有针对性心理治疗后,治疗效果明显提高,患者的复发次数和发病程度明显减轻。经治疗后MMPI相关量表的分值明显降低。结论:抑郁性神经症的治疗效果不佳,与诸多影响因素有关。     

MMPI personality profiles in patients with primary headache syndromes

The role of psychological factors in the course of primary headache syndromes is still controversial. Using the Minnesota Multiphasic Personality Inventory (MMPI) we investigated the personality profiles of 434 headache patients (160 migraineurs, 95 with tension type headache, 30 with cluster headache and 149 with combination headache) in accordance with the IHS criteria. In the first three MMPI scales (hypochondria, depression, hysteria) there was a slight increase in T mean values to over 60, but still in the range of two standard deviations of the normal population. There were no statistically significant differences between the four headache groups and between patients with and without analgesic abuse. It was impossible to distinguish headache groups on the basis of their personality profiles by means of reclassification with discriminant analysis. In a cluster analysis, patients with cluster headache showed the highest number (20%) of abnormalities, but also the highest percentage (13%) of completely normal results. Our findings--a cross section analysis of personality profiles--contradict many other MMPI-based studies.     

老年抑郁症病人述情障碍和人格特征的研究

目的探讨老年抑郁症病人的述情障碍和人格特征及两者间的关系。方法采用多伦多述情障碍量表（TAS）及明尼苏达多相个性调查问卷（MMPI）,分别对60例老年抑郁症病人（研究组）及60例健康者（对照组）测评,分析老年抑郁症病人的述情障碍和人格特征及两者间的关系。结果研究组TAS总分及因子Ⅰ、Ⅱ、Ⅳ评分均高于对照组,因子Ⅲ评分低于对照组,差异均具有显著性（t=-2.392~8.809,P〈0.05）;其MMPI各临床量表中疑病、抑郁、癔症、精神病态、偏执、精神衰弱T分值均高于对照组,男性-女性化平均T分值低于对照组,差异均具有显著性（t=2.952~10.854,P〈0.05）;研究组TAS因子Ⅰ评分与抑郁、精神病态、偏执、精神衰弱T分值均呈正相关,因子Ⅳ评分与抑郁T分值呈负相关（r=-0.340~0.487,P〈0.05）。结论老年抑郁症病人有一定的人格基础,存在明显的述情障碍,并且两者密切相关。     

MMPI profiles in migraine before and after biofeedback treatment

Migraine has been associated with specific personality traits. Typically, migraine patients show elevation on the "neurotic scales" on the MMPI, and the profiles usually reported can be classified as "psychosomatic". A crucial matter is whether certain personality traits predispose to headache problems or whether they are an effect of such problems. To elucidate this problem, common and classic migraine patients (n = 13) were evaluated with the MMPI before and 2 years after biofeedback treatment. Two subgroups were identified on the basis of degree of clinical improvement. The least improved patients were significantly older and had a significantly longer headache history than the patients showing most improvement. No relationships between age, headache history, and improvement were found within subgroups. Clinical improvement was correlated with significant "normalization" of the MMPI profiles. Thus, personality traits as measured by the MMPI seem to be secondary to headache problems and not a predisposing cause.     

Tension Headaches: Relation Between MMPI Paranoïa Score and Pain and Between MMPI Hypochondriasis Score and Frontalis EMG

SYNOPSIS
The relation between MMPI, frontal EMG and pain is examined in 25 subjects with tension headaches. Our results point to an association between high levels of weekly pain and high paranoïa scores (p < .01) but fail to confirm previous reports on the correlation of pain with hypochondriasis, depression and hysteria. This finding is discussed in terms of a reciprocal pain/personality relation. The results also show that the only correlation to be found for frontal EMG is that with hypochondriasis MMPI scores (p < .01).     

An MMPI Control Study: Chinese Migraineurs During Frequent Headache Attack Intervals

The investigation of personality traits of migraineurs with the Minnesota Multiphasic Personality Inventory (MMPI) is an important line of research, but so far has led to diverse conclusions. In this study, the MMPI (Chinese edition) responses of 50 Chinese subjects (10 men, 40 women) with migraine (4 migraine with aura, 46 without aura), during frequent headache attacks were compared with 30 nonheadache healthy control subjects (6 men, 24 women). Statistical analysis was made between the two groups. The results revealed that subjects in the migraine group had significantly higher scores on subtests of neurotic, (hypochondriasis, depression, hysteria, and psychasthenia), schizophrenia, and social introversion ( P <0.05 to 0.001). Utilizing the American T-score, we found the migraine group's MMPI profile was a typical 1.2.3.7 model. These results suggest migraineurs with frequent headache attacks have multiphasic personality abnormalities and partial cerebral function disturbances.