摘要
目的：探讨躯体形式障碍患者功能失调性认知态度的特点，并考察其与人格障碍倾向的关系。方法对64例躯体形式障碍患者和52例健康对照被试采用功能失调性态度问卷和人格诊断问卷评估功能失调性认知态度和人格障碍倾向。比较患者组和健康对照组的功能失调性认知态度差异，以及伴有和不伴有人格障碍倾向患者功能失调性认知态度的差异。分析功能失调性认知态度与人格障碍倾向得分的相关关系。结果躯体形式障碍患者的功能失调性认知态度总分[（150．13±31．75）分]显著高于健康对照组[（121．62±20．30）分]，差异有统计学意义（P＜0．01）。伴人格障碍倾向的患者在功能失调性认知态度总分和脆弱性、吸引与排斥、强制性、依赖性和认知哲学等5个因子分均显著高于无人格障碍组（P＜0．05）。另外，功能失调性认知态度总分与人格障碍倾向得分之间呈显著正相关（ r＝0．535， P＜0．01），且与奇异古怪类（ r＝0．545）和焦虑类（ r＝0．625）人格障碍倾向得分之间的相关显著高于表演类人格障碍（ r＝0．317）。结论躯体形式障碍患者具有明显的功能失调性认知，且功能失调性认知程度与人格障碍倾向之间有一定相关关系。
Objective To examine the characteristics of dysfunctional attitudes in patients with so？matoform disorders and to delineate the relationship between dysfunctional attitudes and personality disorder tendency. Methods Sixty？four outpatients with somatoform disorder and 52 healthy individuals were recrui？ted and asked to complete the Personality Diagnostic Questionnaire（ PDQ-4） and the Dysfunctional Attitudes Scale（ DAS ） for the evaluation of their personality disorder tendency and cognitive characteristics. DAS scores were compared between patient and control groups. The relationship between DAS and PDQ-4 was e？valuated by comparing DAS scores of patients with and without personality disorder tendency and by correla？ting patients’ total scores of DAS and PDQ-4. Results Patients with somatoform disorder（150.13±31.75） showed significantly higher scores of DAS than healthy controls（121.62±20.30）. Moreover,patients with per？sonality disorder tendency exhibited significantly higher scores in the total score of DAS and scores of five factors including vulnerability, absorption/exclusive, compulsion, dependence and cognitive philosophy （ P〈0.05） . Finally,a positive correlation was found between total scores of DAS and PDQ-4（ r=0.535, P〈0.01） and the correlation coefficients between the total score of DAS and Cluster A（ r=0.545） and C scores（ r=0.625） were significantly higher than that of Cluster B score（ r=0.317）.Conclusion Patients with somato？form disorders have cognitive distortion,which is correlated with personality disorder tendency.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2016年第8期728-731,共4页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
躯体形式障碍
人格障碍
功能失调性认知
Somatoform disorders
Personality disorders
Dysfunctional attitudes
