强迫症患者人格特征临床调查分析

目的 探讨强迫症患者的人格特征以及不同临床特点对强迫症患者人格的影响.方法 将56例强迫症患者设为研究组,抽取同期52名健康者设为对照组,采用明尼苏达多相人格测验评定两组人格特征,同时采用Yale-Brown强迫量表、汉密顿焦虑量表、汉密顿抑郁量表评定研究组临床特征.结果 研究组明尼苏达多相人格测验评分,除说谎或掩饰、校正因子分与对照组差异无显著性(P＞0.05)外,其他因子分均显著高于对照组(P＜0.01).研究组各亚组间明尼苏达多相人格测验因子分差异均无显著性(P＞0.05),汉密顿焦虑量表总分与明尼苏达多相人格测验的诈分、疑病、抑郁、男性化/女性化和精神衰弱因子分呈显著正相关(P＜0.05或0.01),汉密顿抑郁量表总分与诈分、疑病、抑郁、男性化/女性化、偏执、精神衰弱和精神分裂因子分呈显著正相关(P＜0.05或0.01),Yale-Brown强迫量表总分与明尼苏达多相人格测验各因子分均无显著相关(P＞0.05).结论 强迫症患者具有明显的精神病理性人格特征,明尼苏达多相人格测验可以帮助临床医生更好地了解强迫症患者的临床特征与人格特点,为进一步开展深层心理治疗提供依据.

A study of personality characteristics in patients with obsessive-compulsive disorder

Objective To explore the personality characteristics and influences of various clinical features on personality in patients with obsessive-compulsive disorder （OCD）. Methods Fifty-six OCD patients were assigned to research group and 52 selected contemporaneously healthy adults to control group, personality characteristics of both groups assessed with the Minnesota Multiphasic Personality Inventory （MMPI）, and clinical features of research group with the Yale-Brown Obsessive Compulsive Scale （Y- BOCS）, Hamihon Anxiety Scale （HAMA）, Hamilton Depression （HAMD）. Results Except I. and K （P〈0.05）, other factors＇ scores of the MMPI were significantly higher in research than control group （P〈0.01）. There were no significant differences in factor＇s score of the MMPI among subgroup of research group （P〈0.05）, the total score of the HAMA was significantly positively related to F, Hs, D, Mf-m and Pt score （P〈0.05 or 0.01）, the HAMD to F, Hs, D, Mr-m, Pa,, Pt and Sc score （P〈0.05 or 0.01） and the Y-BOCS not to each factor score of the MMPI （P〈0.05）. Conclusion OCD patients have evident psychopathological personality characteristics, the MMPI can help clinicians understand preferably clinical features and personality characteristics of OCD patients to provide basis for developing further psychotherapy.