摘要
目的 探讨躯体形式障碍患者的生理心理社会危险因素.方法 采用生化分析仪、心电图机、脑电图机、计算机断层扫描仪（CT）、一般情况调查表、明尼苏达多相个性调查问卷（MMPI）、多伦多述情障碍量表（TAS）、生活事件量表（LES）、防御方式问卷（DSQ）以及社会支持评定量表（SSRS）对60例躯体形式障碍患者（研究组）以及60例健康志愿者（对照组）进行测查,分析躯体形式障碍患者的生理心理社会危险因素.结果 研究组不成熟防御方式评分[（4.04±0.89）分]高于对照组[（3.43±0.65）分],差异有统计学意义（P＜0.05）;研究组述情障碍量表中TAS总分、因子Ⅰ、Ⅱ、Ⅲ、Ⅳ[分别为（86.20±11.15）分、（21.12±3.28）分、（26.08±3.86）分、（18.21±4.69）分、（23.44±5.60）分]均高于对照组[分别为（65.00±10.12）分、（12.43±5.18）分、（15.64±5.57）分、（15.56±3.16）分、（18.71±4.30）分],均差异有统计学意义（P＜0.05）;研究组MMPI量表中疑病、抑郁、癔症、男性-女性化、偏执、心理变态得分[分别为（72.79±10.50）分、（68.46±13.63）分、（79.03±12.12）分、（51.72±7.74）分、（57.98±10.60）分、（54.98±8.83）分]均高于对照组[分别为（51.66±10.11）分、（47.96±9.42）分、（51.47±11.90）分、（43.66±8.77）分、（47.67±6.69）分、（47.48±8.67）分],均差异有统计学意义（P＜0.05）;研究组生活事件总分与负性事件总分[（89.66±68.60）分、（82.65±65.16）分]均高于对照组[（56.00±56.79）分、（39.14±46.05）分],均差异有统计学意义（P＜0.05）;多因素Logistic回归分析结果表明不成熟防御方式、述情障碍总分、负性事件总分、MMPI中的疑病、抑郁、癔症人格是躯体形式障碍发病的危险因素（优势比OR分别为6.84,9.12,5.83,2.69,1.81,11.20,P＜0.01）.结论 躯体形式障碍患者的生理状况基本正常,有一定的人格基础,存在明显的述情障碍,患者的社会支持情况尚可,但多有一定的负性生活事件,防御方式主要以不成熟的防御方式为主。
Objective To explore the physiological and psychosocial risk factors of the patients with somatoform disorders and to provide references for clinical psychological intervention.Methods Totally 60 patients with somatoform disorder and 60 normal controls were tested with biochemical analyzer,electrocardiogram machine,electroencephalogram machine,computed tomographic scanner,general situation questionnaire,minnesota multiphasic personality inventory（MMPI）,toronto alexithymia scale（TAS）,life event scale（LES）,defense style questionnaire（DSQ） and social support rating scale（SSRS） to explore the physiological and psychosocial risk factors of the patients with somatoform disorders.Results The score of immature defense styles of the study group（4.04±0.89） were higher than those in the control group（3.43 ± 0.65）with significant difference （P〈0.05）.The total and factor scores of TAS of study group（（86.20±11.15）,（21.12±3.28）,（26.08±3.86）,（18.21±4.69）,（23.44±5.60）） were higher than control group（（65.00±10.12）,（12.43±5.18）,（15.64±5.57）,（15.56±3.16）,（18.71 ±4.30）） with significant difference （P〈0.05）.The MMPI scale scores of Hs （hypochondriasis）,D （depression）,Hy （hysteria）,Men-Nancy （Mf）,Paranoid （Pa）,Psychotic （Pt） were higher in patients with somatoform disorder （（72.79± 10.50）,（68.46±13.63）,（79.03±12.12）,（51.72±7.74）,（57.98±10.60）,（54.98±8.83）） than those in normal controls（（51.66±10.11）,（47.96±9.42）,（51.47±11.90）,（43.66±8.77）,（47.67±6.69）,（47.48±8.67）） with significant difference（P〈0.05）.The total life event score and the negative life event score of LES of the study group （（89.66±68.60）,（82.65±65.16）） were higher than those in the control group（（56.00±56.79）,（39.14± 46.05）） with significant difference （P〈 0.05）.Multiple factors logistic regression analysis showed immature defense styles,higher alexithymia score,higher negative life event score,higher HS,D,Hy of MMPI may increase the risk of somatoform disorders（OR=6.84,9.12,5.83,2.69,1.81,11.20,P〈0.01）.Conclusion Patients with somatoform disorder are almost in normal physiological condition.They have the personality characteristics and significant alexithymia.Their social support are almost normal,but they have more negative life events and their defense styles are almost immature.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2015年第6期532-535,共4页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
躯体形式障碍
生理因素
心理因素
社会因素
Somatoform disorders
Physiological factors
Psychological factors
Social factors
