摘要
目的分析探讨分离(转换)性障碍患者疑病、偏执心理特质及与自动思维的关系。方法将我院2017年12月至2019年12月收治的80例分离(转换)性障碍患者纳入至本次研究,选择同段时间内的80例健康成人作为对照组,两组均接受明尼苏达多项人格测试(MMPI-2)附加量表中的疑病量表与偏执量表、自动思维问卷量表以及自信心量表测评,观察并分析疑病、偏执与自动思维之间的相关性。结果观察组患者疑病、偏执得分显著高于对照组,对比差异有统计学意义(P<0.05)。自动思维测评结果中,消极观念突出患者有60例,消极观念不突出患者有20例,偏执与疑病、自动思维之间为负相关关系,疑病与自动思维之间为正相关关系。结论以躯体转换症状为主的分离(转换)性障碍患者存在偏执、固有心理特质,而以情绪紊乱症状为主的患者存在疑病、消极心理特质。
Objective To explore the relationship between hypochondriasis,paranoia and automatic thinking in patients with dissociative(conversion)disorder.Methods Eighty patients with dissociative(conversion)disorder admitted to our hospital from December 2017 to December 2019 were included in this study.Eighty healthy adults in the same period of time were selected as the control group.Both groups were assessed by the questionaire and Paranoia Scale,the automatic thinking scale and the self-confidence scale in the MMPI-2 additional scale.To observe and analyze the correlation between hypochondriasis,paranoia and automatic thinking.Results The score of hypochondriasis and paranoia in the observation group was significantly higher than that in the control group(P<0.05).In the results of automatic thinking evaluation,there were 60 patients with prominent negative ideas,20 patients without prominent negative ideas.There was a negative correlation between paranoia and hypochondriasis,and there was a positive correlation between hypochondriasis and automatic thinking.Conclusion Paranoia and inherent psychological characteristics exist in the patients with dissociative(conversion)disorder whose main symptom is somatic conversion,while hypochondriasis and negative psychological characteristics exist in the patients whose main symptom is emotional disorder.
作者
甘心灵
黄坤秀
GAN Xin-ling;HUANG Kun-xiu(Deyang People’s Hospital,Deyang,Sichuan 618000)
出处
《智慧健康》
2020年第19期188-189,共2页
Smart Healthcare
关键词
分离(转换)性障碍
偏执
自动思维
Dissociative(conversion)disorder
Paranoia
Automatic thinking
