住院神经症患者的噩梦内容与创伤经历及人格相关研究

The correlational study between nightmare content,trauma and personality in neurosis inpatients

目的探讨住院神经症患者的噩梦内容与其创伤经历及人格的关系。方法收集安徽医科大学临床心理学院心理科、符合CCMD-3神经症诊断标准住院患者的噩梦,并完成埃森创伤问卷(ETI)与艾森克人格问卷(EPQ)。结果共收集40例住院神经症患者的噩梦82个。噩梦内容的社会交往指标中"攻击/友好"(r=0.369,P<0.05)、"躯体攻击"(r=0.358,P<0.05)、"A/C"(r=0.395,P<0.01)与ETI症状得分均有显著正相关,"友好者"与EPQ的L量表呈显著负相关(r=-0.423,P<0.01);自我概念指标中"自我否定"与N量表有显著正相关(r=0.389,P<0.05),与L分量表有显著负相关(r=-0.403,P<0.01);"消极情绪"与ETI症状得分(r=0.374,P<0.05),与N量表得分(r=0.450,P<0.01)均有显著正相关,与E量表得分有显著负相关(r=-0.388,P<0.05);"缺陷/解剖"与P量表有显著正相关(r=0.362,P<0.05);梦中至少含有以下一项的噩梦内容指标中,"不幸"与ETI症状得分(r=0.357,P<0.05)、P量表(r=0.414,P<0.05)均有显著正相关;"成功"与ETI症状得分有显著负相关(r=-0.306,P<0.05),与"失败"有显著正相关(r=0.348,P<0.05)。结论住院神经症患者的噩梦内容中与人物间的攻击行为、消极情绪越多,不幸、失败越多,其创伤症状越明显;噩梦内容中缺陷比率越高,含不幸成分越多,住院神经症患者越倾向于孤独、不关心他人;噩梦内容中自我否定、消极情绪内容越多,住院神经症患者的人格越倾向于内向不稳定。

Objective To study the relationship between the nightmare content in neurosis inpatients and their trauma, personality. Methods The nightmare content was collected in neurosis inpatients in clinical psychology institute of AnHui Medical University. All inpatients were diagnosed according with CCMD-3 and were assessed with Essen Trauma Questionnaire （ETI） and Eysenck Personality Questionnaire （EPQ）. Results 82 nightmares was obtained in 40 neurosis inpatients. Some social communication indexes of nightmare content such as ＂aggression/friendship＂ （ r = 0. 369, P 〈0.05）, ＂physical aggression＂ （r =0. 358, P 〈0.05） and ＂A/C＂ （r =0. 395, P 〈0.01 ） were positively correlated with the symptom score of ETI, while the index of ＂be-friend＂ was negatively correlated with the L score of EPQ （ r = - 0. 423, P 〈 0.01 ）. In self concept indexes, ＂self-negativity＂ was positively correlated with N score （ r = O. 389, P 〈 0.05）, while was negatively correlated with L score （ r = - 0. 403, P 〈 O. O1 ）. ＂Negative emotion＂ was positively correlated with symptom score of ETI （ r = 0. 374, P 〈 0.05 ） and N score （ r = 0. 450, P 〈 0.01 ）, while was negatively correlated with E score （ r = - 0. 388, P 〈 0.05 ）. ＂Torso/anatomy＂ was positively correlated with P score （ r = 0. 362, P 〈 0.05 ）. ＂Misfortune＂ was positively correlated with symptom score of ETI （ r = 0. 357, P 〈 0.05 ） and P score （ r =0. 414, P 〈 0.05 ）. The symptom score of ETI was negatively correlated with ＂success＂ and was positively correlated with ＂failure＂. Conclusion The more aggressive behaviors, negative emotions, misfortune and failure appear in nightmares of neurosis inpatients, the higher the level of trauma experience is. Neurosis inpatients which frequently experience torso/anatomy and misfortune in their nightmare tend to be self-close and not caring others. The more self- negativity and negative emotions neurosis inpatients experience in their nightmares, the more introverted and instable their personality tends to be.