抑郁症患者明尼苏达多项个性测查因子分析

Minnesota Multiphasic Personality Inventory(MMPI)Factor Analysis of Chinese Depression Patients

目的采用明尼苏达多项个性测查表（MMPI）因子分析方法对抑郁症患者进行心理评定，简化MMPI的分析方法，为抑郁症患者的诊断提供依据。方法随机抽取抑郁症患者200例进行MMPI因子分析，300例正常人做对照组。抑郁症诊断依据中国精神障碍分类及诊断标准第三版执行。结果抑郁症患者6个因子的结构状况与对照组比较显示：抑郁症患者在精神质P、神经质N、装好-装坏F因子低分（T〈40）的人数显著多于对照组（U=2．47，P〈0．05；U=11．65，3．28；P〈0．01）；在精神质P、内外项I、男子气、女子气M、反社会A、装好-装坏F因子高分（T〉60）的人数显著多于对照组（U=8．59，4．40；P〈0．01；U=2．55，P〈0．05；U=4．07，4．55；P〈0．01）；在P、N、I、M、A、F各个因子得分正常（T=40-60）的人数显著少于对照组（U=9．09，10．42，3．30，2．67，5．2，6．58；P〈0．01）。结论MMPI因子分析在抑郁症患者中有较好的结构效度，因子分析能很好的表达精神质、神经质、个性特征和社会适应等模型，并用标准化的形式表达出来，方便了MMPI的分析解释工作。抑郁症患者MMPI因子分析显示神经质因子N异常人数较多，表现为抑郁、焦虑和失眠等神经症特征，性格多为内向型，社会适应不良。

Objective Use the Minnesota Multiphasic Personality Inventory（MMPI）factor analysis method to conduct the psy- chological assessment of Chinese depression patients, simplify the MMPI analysis method,and provide a basis for the diagnosis of depression patients. Methods Randomly selected 200 depression patients as participates for this study, and 300 mentally normal participants as control group. The depression diagnosis was based on The Chinese Classification of Mental Disorders （CCMD--3）. Results Compared the six factors between the depression patients and control group,it demonstrated that：Within people having low score（T〈40） in P,N,F factors,depression patient group had a higher percentage of participates than the control group （U： 2.47,11.65,3.28 ; P〈 0.0l ） l with people having a high score （T〉 60） in P, I, M, A, F factor, depression patient group were higher than control group, （U = 8.59,4.40;P〈0.01;U = 2.55,P〈 0.05;U = 4.07,4.55 ;P〈0.01 ） ;And for people having normal score （T= 40~ 60） in P,N ,I,M ,A factors,depression patient group had a smaller amount of participates than the control group （U= 9.09,10.42,3.30,2.67,5.2,6.58 ;P〈0.01）. Conclusion The MMPI factor analysis method has good construction validity for Chinese depression patients,and can be used to show the psychoticism,neuroticism, social traits,and social adaptation models in a standardized form,which facilitates the interpretation of the MMPI analysis results. According to the results of among the partici- pated Chinese depression patients,a large number of participants show an abnormal high score in the N （Neuroticism） factor,mani- fest as depression,anxiety,and insomnia ; those participates usually have introverted personalities,and face difficulty with social ad- justment.