综合医院躯体形式障碍患者三维人格特征及防御方式研究

Analysis of the Tridimensional Personality Traits and Defense Styles of the Patients with Somatoform Disorders

目的分析躯体形式障碍患者的三维人格特征、防御方式及其相互关系。方法采用三维人格问卷(tridimensionalpersonality questionnaire,TPQ)、防御方式问卷(defense styles questionnaire,DSQ)对60例门诊及住院躯体形式障碍患者及60名正常人进行人格评定及防御方式评定,并用独立样本的t检验对两组的(得分)结果进行比较,采用Pearson相关系数分析两者之间的相关性。结果躯体形式障碍组在猎奇性得分高于正常对照组(P<0.05);躯体形式障碍组在躲避伤害性维度上得分高于正常对照组(P<0.01),躯体形式障碍组在奖赏依赖性维度上的得分低于正常对照组(P<0.01);躯体形式障碍组在不成熟防御方式的得分高于正常对照组(P<0.01),在成熟防御方式上的得分低于正常对照组(P<0.01);三维人格特征中的躲避伤害性与成熟防御机制呈负相关(r=-0.612),奖赏依赖性与成熟防御机制呈正相关(r=0.350)。结论躯体形式障碍患者具有猎奇性、躲避伤害性以及依赖性等人格特征;躯体形式障碍患者较多使用不成熟防御方式,包括投射、抱怨、退缩、躯体化;人格特征与心理防御机制具有一定相关性。

Objective To investigate the tridimensional personality traits and defense styles of the somatoform disorder patients. Methods Sixty somatoform disorder patients and 60 normal persons were measured with the TPQ and DSQ. Results The somatoform disorder patients scored higher in the NS, HA dimension, scored lower in the RD scales. The somatoform disorder patients were more inclined to adopt the unmature defense styles, while the normal people were more inclined to adopt mature defense styles. Conclusion The trait of the somatoform disorders indudes pursuing stimulation,harm aviodence, absence of attachment. The somatoform disorder patients were more inclined to adopt the immature defense styles. The literature shows a consistent relationship between the personality traits and defense styles.