体象障碍患者人格特征研究

Personality in patients with body-dysmorphic disorder

目的探讨体象障碍（BDD）患者与正常人以及强迫症患者的人格特征差异，为临床诊断和治疗提供帮助。方法采用体象障碍自评量表（SRSBI）、明尼苏达多相人格调查表（MMPI），对29例BDD患者、30例强迫症患者与30名正常人进行对照研究。结果在MMPI临床量表中，体象障碍组1—10量表分均极显著高于正常对照组；偏执（Pa）、精神衰弱（Pt）、精神分裂（Sc）、社会内向（Si）等量表分[（68．18±8．70）分，（65．44±8．73）分，（61．39±9．37）分，（60．70±12．88）分]显著高于强迫症组[（61．09±13．29）分，（58．82±10．26）分，（56．23±9．58）分，（50．03±12．63）分]（t=3．26，3．03，2．20，3．31，P〈0．05），而癔病（Hy）量表分[（57．30±8．96）分]显著低于强迫症组[（64．80±11．34）分，（t=3．35，P〈0．01）]。结论体象障碍患者存在明显的病态人格特征，比强迫症患者为甚；显著的病态人格是BDD症状产生的病理心理基础之一，对体象障碍的心理治疗有一定的指导意义。

Objective To study the similarities and differences of personality in patients with body-dysmorphic disorder（BDD） ,obsessive-compulsive disorder（OCD） and ordinary person. As well as to provide information for clinical therapy. Methods All BDD patients （n = 29 ）, OCD controls （n = 30 ） and normal controls （n = 30 ） completed Self Rating Scale of Body Image （SRSBI） and Minnesota Multiphasic Personality Inventory （MMPI）. Results Ten clinical scales score of MMPI in BDD were found significant higher than normal controls which in- eluding hypoehondriasis, depression, hysteria, psychopathic deviate, masculinity-femininity, paranoia, psyehasthenia, schizophrenia, and social introversion. Four clinical scales [ （ 68. 18 ± 8.70 ）, （ 65.44 ± 8.73 ）, （ 61.39 ± 9. 37）, （60.70 ± 12.88 ） 7 were significant higher than OCD controls [ （ 61.09 ± 13.29 ）, （ 58.82 ± 10.26 ）, （56.23 ± 9.58 ）, （50.03 ± 12.63 ）] which including psychopathic deviate, psychasthenia, sehiaophrenia and social introversion （P 〈 0. 05 ）. But hysteria scale was significant lower than OCD controls （P 〈 0. 01 ）. Conclusion BDD patients have abnormal personality which is more significant than OCD patients. Significant ab- normal personality are likely the psychopathology of BDD from which the clinic symptom produced.