躯体形式障碍患者心理社会危险因素的研究

目的 探讨躯体形式障碍患者的心理社会危险因素.方法 采用生活事件量表(LES)、防御方式问卷(DSQ)及社会支持评定量表(SSRS)对42例躯体形式障碍患者(研究组)以及45例正常志愿者(对照组)进行测查,分析躯体形式障碍患者的心理社会危险因素.结果 研究组生活事件和负性生活事件的频度及严重度、不成熟防御机制评分[分别为(2.21±0.717)分,(2.12±0.633)分,(29.62±4.254)分,(27.24±1.154)分,(4.57±0.668)分]高于对照组[分别为(1.78±0.599)分,(1.67±0.546)分,(27.24±4.453)分,(22.38±3.962)分,(3.91±0.773)分],而社会支持利用度[(6.74±3.269)分]低于对照组[(8.76±3.001)分],差异有显著性(P＜0.05).负性生活事件总值高、不成熟防御机制多和社会支持利用度低会增加躯体形式障碍发病的危险性(OR值分别为7.51,4.21,1.94,P＜0.01).结论 负性生活事件、不成熟防御机制和社会支持利用度与躯体形式障碍的发病密切相关.

Study on the psychosocial risk factors of the patients with somatoform disorders

Objective To explore the psychosocial risk factors of the patients with somatoform disorders.Methods 42 patients with somatoform disorders and 45 healthy volunteers were assessed with homemade questionnaire,life event scale(LES),defense style questionnaire(DSQ)and social support rating scale(SSRS)to analyze the psychosocial risk factors of the patients with somatoform disorders.Results The negative life event score.the total life event SCOre of LES and the score of immature defense styles[(2.21±0.717),(2.12±0.633),(29.62±4.254),(27.24±1.154),(4.57±0.668)]were higher than those in the control group [(1.78±0.599),(1.67±0.546),(27.24±4.453),(22.38±3.962),(3.91±0.773)],but availability score of SSRS(6.74±3.269)were lower than that in the control group(8.76±3.001).Higher negative life event score,more immature defense styles,lower availability of social support may increase the risk of somatoform disorders(OR=7.51,4.21,1.94,P＜0.01).Conclusion Negative life event,immature defense styles and availability of social support were associated with somatoform disorders closely.