躯体化障碍患者D型人格与焦虑抑郁情绪的关系分析

摘要:目的　了解D型人格在躯体化障碍患者群体中的分布及对焦虑和抑郁情绪的影响。方法　采用方便取样法，对311名躯体化障碍患者进行焦虑自评量表（SAS）、抑郁自评量表（SDS）、D型人格问卷（DS14）的测评与分析。结果　D型人格在躯体化障碍患者中所占比例为43.73%（136/311）；D型人格与非D型人格躯体化障碍患者相比，焦虑［（59.42±8.638）分；（54.17±8.396）分］和抑郁［（60.02±8.586）分；（55.99±9.544）分］水平明显增高（P＜0.001），焦虑（86.02%，68.57%）和抑郁（80.15%，54.86%）症状发生率明显增加（P＜0.001）；个体社交压抑、消极情感因子得分与焦虑和抑郁水平呈显著正相关。结论　D型人格在躯体化障碍患者群体中所占比例较大，并表现出更明显焦虑抑郁症状，D型人格可能是躯体化障碍患者患病和沉重心理负担的易感因素之一。

Anxiety and depression status of somatization disorder patient with type D personality

Abstract: Objective To investigate the distribution of type D personality in patients with somatization disorder, and its influence on anxiety and depression status. Methods 311 patients with somatization disorder were selected and surveyed with questionnaires including the Self-Rating Depression Scale (SDS), the Self-Rating Anxiety Scale (SAS), and the type D personality Scale (DS14). Results The proportion of Type D personality in patients with somatization disorder (43.73%) was 24.37% (136/311), compared with the SD patients without type D personality. The SD patients with type D personality showed higher anxiety scores (59.42±8.638, 54.17±8.396) and depression scores (60.02±8.586, 55.99±9.544). More SD patients with type D personality experienced anxiety (80.15%, 54.86%) and anxiety (86.02%, 68.57%). Social inhibition, negative affectivity, DS14 scores positively were associated with anxiety and depression levels. Conclusion The proportion of type D personality in patients with somatization disorder group was relatively large, and they showed more anxiety and depression. Type D personality might be a risk factor of somatization disorder and heavy psychological burden.