肠易激综合症的人格特征及心理健康影响因素

The Personality and Influencing Factor of Mental Health for Irritable Bowel Syndrome.

目的从心理学的角度出发,探讨肠易激综合症(IBS)患者心理健康的程度及其独特的人格特点。方法选取64例IBS患者和64例正常人作为研究对象,使用症状自评量表(SCL-90)和艾森克人格问卷,研究IBS患者心理健康的影响因素,及其与正常人人格之间的差异。结果 IBS患者的躯体化、敌对、精神病性、人际敏感、抑郁、焦虑和恐怖因子分显著高于正常人(t=2.76～7.26,P<0.05)。除恐怖因子外(F=3.18,P<0.05),不同年龄的IBS的SCL-90得分无明显差异。而女性的躯体化因子分明显高于男性(F=3.04,P<0.05)。而人格测验结果显示IBS患者精神质P、神经质N和掩饰性L得分均明显高于正常人(t=4.45～7.12,P<0.01),内外向E得分显著低于正常人(t=3.51,P<0.01)。结论 IBS患者的人格出现明显的异常,其精神质、神经质和掩饰性得分显著比正常人高,而且其心理健康水平总体偏低。

Objective To investigate the level of mental health and specific personality of patients with irritable bowel syndrone.Methods A total of 64 IBS patients and 64 normal people were selected randomly to investigate the difference of mental health and personality by the use of SCL-90 and Eysenck Personality Questionare.Results Somatization,hostility,psychoticism,interpersonal sensitivity,depression,anxiety and phobia were significantly higher in patients with IBS than in normal people（t=2.76~7.26,P0.05）,and different ages（F=0.58~2.09,P0.05） had no significant difference except for the phobia（F=3.18,P0.05）.Somatization in women was significant higher than that in men（F=3.04,P0.05）.The EPQ test revealed that the psychoticism,nervousness and lie were significantly higher than the normal people（t=4.45~7.12,P0.01）,and the extraversion was significantly lower than the normal people（t=3.51,P0.01）.Conclusion The IBS patients show abnormal personnality with high score of psychosis,nervousness,and lies,and these patients have poor mental health level.