矿难后创伤后应激障碍患者明尼苏达多项个性量表的研究

目的 探讨明尼苏达多项个性测查量表对辅助诊断矿难后创伤后应激障碍(PTSD)的临床价值,并了解PTSD患者应激后在不同时间段的个性特征.方法 采用明尼苏达多项个性测查表对48例矿难生还者进行测查.结果 明尼苏达多项个性测查表测试结果显示PTSD患者与非PTSD者之间存在显著性差异,PTSD患者伪装、疑病、妄想、精神衰弱、精神分裂症量表评分[分别为(67.27±17.81)分,(61.13±13.35)分,(65.27±12.61)分,(62.47±11.78)分,(62.40±15.08)分],明显高于非PTSD患者[分别为(50.67±7.19)分,(50.89±12.77)分,(51.56±7.38)分,(51.33±10.09)分,(50.89±7.03)分],差异具有显著性(P<0.05),这一差异对矿难1年后PTSD的发生仍具有预测价值.结论 明尼苏达多项个性测查表是精神科临床较好的测评工具;明尼苏达多项个性测查表测试结果所显示的个性特征为矿难后PTSD发生提供了重要辅助诊断价值.

Assessing with MMPI for posttranmatic stress disorders in the survivors after mining accident CHEN

Objective To investigate the diagnostic value of the MMPI and understand the personality characteristics of posttraumatie stress disorders(PTSD) in the survivors after mining accident. Methods Mea-surements were conducted with the MMPI in 48 survivors of the 7.29 mining accident. Results Survivors with PTSD obtained a significantly higher F,Hs,Pa,Pt,Sc in MMPI (67.27±17.81,61.13±13.35,65.27±12.61, 62.47±11.78,62.40±15.08, respectively ) than whom without PTSD (50.67±7.19,50.89±12.77,51.56± 7.38,51.33±10.09,50.89±7.03, respectively) (P<0.05). There was still a significant difference between sur-vivors with and without PTSD after the 7.29 mining accident has past one year. Conclusion The survivors with and without PTSD after mining accident have series mental health problems,but their personality characteristics is different. MMPI can provided important auxiliary diagnosis value for PTSD.