摘要
目的探讨双相障碍间歇期患者的人格特征。方法收集既往符合中国精神疾病分类方案与诊断标准(CCMD-3)中双相障碍的诊断标准且符合美国精神科协会制定的《精神障碍诊断与统计手册》(第4版)(DSM-IV)双相Ⅰ型或双相Ⅱ型的诊断标准,目前处于间歇期(即:汉密尔顿抑郁量表分数≤8分、贝克—拉范森躁狂量表分数≤5分)的双相障碍患者80例。正常对照组80例。两组进行明尼苏达多项个性调查表(MMPI)测评,并比较研究组与对照组的测试结果。结果在MMPI临床量表升高(T≥60)双相障碍患者中,最多见的是Ma、Sc、Hy,其次是Pt、Pd、Hs。双相障碍临床量表两点编码型多为98/89、93/39。双相障碍MMPI剖析图呈现以Mf为中线的右高左低的曲线。双相障碍患者与正常对照组比较:MMPI临床量表Pd、Pa、Pt、Sc、Ma得分明显高于对照组(P<0.01),而量表Si得分则低于对照组。结论双相障碍患者间歇期具有特殊的性格特征。
Objective To explore the personality feature of the patients with bipolar disorder in interval phase. Methods To gather patients who meet the diagnosis criterion of bipolar disorder in Chinese Classification and Diagnostic Criteria of Mental Disorders 3 ( CCMD-3), and meet the diagnosis criterion of bipolar disorder Ⅰ or Ⅱ subtype in Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-Ⅳ) . At the present time, they all in interval phase, as scores of Hamilton Depression Scale (HAMD) ≤8; scores of Bech-Rafaelsen Mania Scale (BRMS) ≤5. And have chosen 80 normal controls. Two groups will complete the Minnesota Multiphasic Personality Inventory ( MMPI), and then to compare the outcome of the test between patients and those of normal controls. Results Among the bipolar disorder patients, those who the Minnesota Multiphasic Personality Inventory (MMPI) clinical meters score advanced (T≥60), most of the meters were Ma, Sc and Hy; next of them were Pt, Pd, Hs. Most of bipolar disorder patients' clinical meters two points' code was 98/89, 93/39. bipolar disorder MMPI analysis chart present a right higher and left lower curve with median line at Mf. Compare bipolar disorder patients and normal controls' MMPI clinical meters, we found the score of Pd, Pa, Pt, Sc, Ma significantly higher than normal controls ( P 〈0.01 ), but the Si meters' score lower than normal controls. Conclusion Bipolar disorder patients showed special personality feature in interval phase.
出处
《广州医药》
2008年第1期9-12,共4页
Guangzhou Medical Journal