伴与不伴敏感性关系妄想的社交恐怖症及强迫症患者人格及症状特征的比较

Comparison of personality and symptom characteristics in social phobia patients with or without sensitive delusion of reference and in obsessive compulsive disorder patients

目的:通过与强迫症患者比较,探讨伴与不伴敏感性关系妄想的社交恐怖症患者的人格特征及症状特点方法:对83例伴与不伴敏感性关系妄想的社交恐怖症、强迫症患者进行艾森克人格问卷(EPQ)、症状自评量表(SCL-90)的检测评定。对3组患者间的人格以及症状进行比较。结果:SCL-90结果中,总分、躯体化因子、强迫因子、人际敏感因子、焦虑因子、精神病因子在3组之间的差异有统计学意义(P均<0.05),其余因子间的差异无统计学意义(P>0.05)。EPQ结果中,3组间内外向因子分差异有统计学意义(P<0.05),但精神病性、神经质及掩饰因子分差异无统计学意义(P>0.05)。结论:与不伴有敏感性关系妄想的社交恐怖症患者相比,伴有敏感性关系妄想的社交恐怖症患者与强迫症患者有更加相似的人格特征,并且在症状的严重程度方面,也更有相似性。

Objective： To investigate the personality and symptom characteristics in social phobia patients with or without sensitive delusion of reference by comparing to the patients with obsessive compulsive disorder. Method： Eighty-three cases were investigated with Eysenck personality questionnaire（ EPQ） and symptom checklist（ SCL-90）,including 28 cases of social phobia with sensitive delusion of reference,25 cases of social phobia without sensitive delusion of reference and 30 cases of obsessive-compulsive disorder. The results of the 3 groups were analyzed and compared with each other. Results： The differences of somatization factor,coercive factor,interpersonal sensitivity factor,anxiety factor,psychic syndrome factor and total score in SCL-90 in3 groups were significant（ P〈0. 05） but no significant difference was found in other factors of SCL-90（ P〉0. 05）. The difference of E factor in EPQ in 3 groups was significant（ P〉0. 05） but no significant difference was found in P,N and L factors（ P〉0. 05）. Conclusion： Social phobia patients with sensitive delusion of reference have more similar personality and syptom characteristics with obsessive compulsive disorder patients.