新兵表演型人格倾向流行状况调查

Prevalence of histrionic personality propensity among recruits

目的了解新兵表演型人格倾向的流行状况,掌握其流行特征。方法使用人格诊断问卷(PDQ-4+),于2013年10月对广西2 000名新兵、2014年11月对广西、广东、湖南、海南4省8 000名新兵进行调查,对比分析2年的调查结果。结果 2013和2014年新兵表演型人格倾向单纯型检出率均为2.7%,合并其他人格倾向检出率2013年为19.3%,2014年为16.2%;不同年龄、民族、是否为独生子女的新兵表演型人格倾向单纯型检出率差异无统计学意义;2013和2014年单纯型检出率在受教育程度上分布差异无统计学意义,但2014年趋势检验显示,随着学历的增高表演型人格倾向单纯型检出率也随之增高(χ2=5.564,P<0.05);不同来源地新兵2013年检出率差异无统计学意义(χ2=0.000,P>0.05),2014年城市新兵检出率为3.1%,高于农村新兵的2.2%(χ2=4.688,P<0.05);2013和2014年的调查中,与表演型人格倾向合并人数最多的依次为强迫型人格倾向(236、816人次),自恋型人格倾向(161、481人次)、反社会型人格倾向(154、470人次)。结论表演型人格倾向在新兵中的流行特征不同于普通人群,需要建立有效的甄别工具,以帮助识别其他心理障碍或人格障碍。

Objective To study the prevalence and characteristics of histrionic personality propensity（ HPP） among recruits. Methods Using random cluster sampling and Personality Diagnostic Questionnaire（ PDQ-4 ＋）,we surveyed2 000 male recruits form Guangxi Zhuang Autonomous Region（ Guangxi） in October 2013 and 8 000 male recruits from Guangxi,Guangdong,Hunan,and Hainan province in November 2014. Chi-square test and Chi-square test for trend were adopted in data analyses with SPSS 16. 0. Results Among the recruits（ 1 726 and 6 566 for the two waves of the survey） with eligible response,the overall detection rate of simplex HPP was 2. 7% and the detection rate of complex HPP with other personality propensity was 19. 3% for the survey in 2013 and 16. 2% in 2014. The detection rate of simplex HPP did not significantly differ by age,nationality,and whether being an only child. No significant difference in the detection rate of simplex HPP was observed among the recruits of various education level and with hometowns in urban and rural areas in the survey of 2013,but the recruits with higher education and hometowns in urban area showed higher simplex HPP detection rate compared to those with lower education（ χ2trend = 5. 564,P〈 0. 05） and hometowns in urral area（ 3. 1% vs. 2. 2%,χ2= 4. 688; P〈 0. 05） for the survey in 2014. The complex HPP with the top three detection rates were the HPP combined with obsessive-compulsive（ 236 recruits in 2013 survey and 816 in 2014）,narcissistic（ 161 and481）,and antisocial personality propensity（ 154 and 470）. Conclusion The prevalent characteristics of HPP among recruits is different from that among general populations and specific and effective instrument for HPP screening needs to be explored for the identification and control of the personality disorder.