原发性失眠症患者人格发展异常过程分析——基于广安门忆溯性人格量表(GMPI)数据的分析

Analysis of the Abnormal Personality Development of Primary Insomnia-Analysis based on Data of Guang'an Men Memory-tracing Personality Inventory(GMPI)

目的分析原发性失眠症患者人格发展异常过程。方法运用GMPI对原发性失眠症患者与健康人进行调查,分析2组人群差异及发现某些规律。结果失眠患者与健康人在三个年龄段存在的差异不同,其中童年期的差异尚小,仅仅表现于自主性发展水平弱于健康人群;随着年龄的增长,失眠症患者表现出越来越多的人格发展不足,重点表现在思维方式、社会恐惧感、自主性三个方面（P〈0.05或0.01）;不同年龄的患者在三个阶段表现出不同的发展特点。上小学之前,小于36岁的患者与大于50岁的患者表现出较明显的差异（P〈0.05或0.01）,但36~50岁之间的患者未发现与这2组患者的明显差异;在上小学至18岁这个年龄段的人格发展方面,继续保持这一趋势,但在这个阶段,在某些方面,小于36岁的患者组与36~50岁之间的患者组的差异也渐趋明显,尤其体现在不良教养方式以及社会自我、心理自我、独立性及自主性等方面。普遍的,小于36岁的患者组失眠症患者在自我分量表以及情绪情感分量表表现出的发展水平较低,而特殊的,在事业观维度,小于36岁的患者组表现出较高的发展水平。结论原发性失眠症患者与健康人的人格发展过程存在差异,而且具有时代烙印。

Objective To analyze the abnormal personality development of primary insomnia. Methods to investigate the patients and healthy controls by GM PI,and to find the differences and regularity. Results Differences in three periods of patients are various： during childhood,the differences are relatively minor,w hich manifested in low er autonomylevel in primary insomnia; as growing up,more deficits in personality development of primary insomnia appear,which mainly resides in abnormal thinking mode,excessive social phobia,and alow er autonomy level（ P 0.05 or 0.01）. Those who live in different times manifest their ow n developmental characteristics. In childhood,those younger than 36 years old developed obvious differently from those who older than 50 years old（ P 0.05 or 0.01）,while those age between them did notmanifest such obvious regularity among them; as in the second developmental period,the trend continued. How ever,in certain dimensions,patients w hose age between 36 and 50 years turned out to be develop differently than those older than 50 years old（ P 0.05 or 0.01）,especially inparent-child relationship dimensions and autonomy dimensions. Generally,patients younger than 36 years old had low er developmental level in autonomy and emotions dimensions. Particularly,they had superior developmental level in career value. Conclusion Differences in personality developmental level betw een primary insomnia and healthy controls are found; what is more,the differences have brand of times.