缓解期重性抑郁与心境恶劣患者人格特征及人格障碍研究

目的：研究重性抑郁症(MDD)和心境恶劣障碍(DD)患者在人格维度、人格特质水平及人格模型及人格障碍倾向性方面的特征。方法：采用NEO-PI-R个性调查表及人格诊断问卷(PDQ^ 4)对58例MDD和57例DD患者及115例正常人进行测试。结果：MDD和DD在NEO-PI-R的五因素人格模型的外向性、严谨性得分均低于正常组，DD患者的神经质分高于MDD患者，MDD患者的顺同性分高于正常组；在30个特质层面上，MDD和DD与正常组之间有显著性差异，DD患者的N1(焦虑)、N4(自我意识)分明显高于MDD患者，E4(热情性)、A1(信任感)分明显低于MDD患者；MDD和DD在PDQ^ 4的边缘型(BDL)、回避型(AVD)、抑郁型(DEP)、分裂性(SZD)、偏执型(PND)、强迫型(OBC)人格障碍得分明显高于正常组，DD患者在分裂型得分明显高于MDD患者，在表演型(HST)分明显高于正常组。结论：MDD和DD的人格特征既有共同的之处，也存在差异。两者均伴有人格障碍，但DD患者比MDD患者人格障碍更明显。

A Controlled Study of Personality Characteristics and Personality Disorders of Patients with Major Depression and Dysthymic Disorders in Remission

Objestive:To explore the personality traits of patients with major depression and dysthymic disorder in remission and to determine the difference of dimension ,trait level ,model of personality and personality disorder between depressive and normal subjects.Methods: major depression patients( MDD, n =58) and dysthymic disorder patients(DD, n =57) in remission and controls( n =115) were assessed with Revised NEO Personality Inventory(NEO-PI-R) and Personality Diagnostic Questionnaire( PDQ +4 ) .Results:The mean scores of Extroversion and Conscientiousness of five-factor personality model of NEO-PI-R in MDD and DD were significantly lower than those of normal group. The scores of Neuroticism of DD were significantly higher than those of MDD. The scores of Agreeableness of MDD were significantly higher than those of normal groups;The difference of thirty traits personality model had statistical significance between depressives and normal subjects. The scores of Anxiety(N1) and Self-Consciousness(N4)of DD were significantly higher than those of MDD. The scores of Activity(E4) and Trust(A1)of DD were significantly lower than those of MDD;The mean scores of 7 subscales of PDQ +4 in depression group were significantly higher than those of normal group . The scores of Schizotypal personality disorder of DD were significantly higher than those of MDD, The scores of Hysteria personality disorder of DD were significantly higher than those of normal group.Conclusion: The major depressive and dysthymic disorder patients in remission showed the differences of dimension ,trait level ,and model of personality.The personality disorder of DD was more than those of MDD.