客体关系量表在精神疾病鉴别诊断中的应用

Application of object relations scale in differentiating different mental disorders

目的:探讨不同精神疾病的客体关系特点,为临床中精神疾病的鉴别诊断提供帮助。方法:应用客体关系自主同一性量表(MOA)测量符合入组标准的32例正常成人、32例分裂症(偏执型)患者、30例抑郁症(单相)患者及31例躁狂症患者客体关系水平。结果:采用三分法,各组在高客体关系水平及低客体关系水平差异有显著性,P<0.05,在中客体关系水平上差异无显著性。采用MOA七因子区分各种精神疾病,显示在分离自主的相互作用、分离自主的相似活动、依赖活动、毁灭性不平衡(DI)等变量上各组之间差异均存在显著性(P<0.05)。DI可能作为区分正常人与精神疾病患者的一个指标。结论:在不同客体关系水平上,不同精神疾病客体关系各有特点,部分客体关系变量在精神疾病鉴别上有一定的意义。

Objective To explore the features of object relations in different mental disorders to offer assistance in the differentiation of these diseases. Methods Rorschach Mutuality of Autonomy Scale （MOA） was used to evaluate the levels of object relations in 32 schizophrenic patients, 30 depressive patients, and 31 patients with mania who met the CCMD-3 diagnostic criteria and in 32 normal adults. Results According to trichotomy, there were significant differences in high- and low-level object relations among the four groups but no marked differences were found in intermediate level. The variables including SI, SA, DA, and DI of MOA differed significantly among the groups. DI could be used to distinguish those with mental disorders from normal people. Conclusion Different mental disorders have their own features under different levels of object relations and some variables of object relations may play a role in differentiating different mental disorders.