强迫障碍与人格障碍共病患者人格五因素特征.docVIP

强迫障碍与人格障碍共病患者人格五因素特征 　　【摘 要】 目的：了解强迫障碍（OCD）与人格障碍共病患者的人格五因素（FFM）特征。方法：符合DSM-IV临床诊断标准的OCD患者，用DSM-IV-TR轴I障碍定式临床检查病人版（SCID-I/P）做定式检查，最终确诊44例患者为被试。用PDQ＋4在44例被试中筛查，再用PDI-IV做半定式查询确定其中的人格障碍患者，用NEO-PI-R对所有被试做人格测查并与全国12个城市正常成人NEO-PI-R分比较。结果：44例OCD患者中有32例同时符合人格障碍的诊断，共病率为72.7%。OCD与人格障碍共病组的FFM特征为高神经质（67.9±7.7），低外向性（39.0±10.3）、低顺同性（42.6±7.7）和低严谨性（39.3±12.4），开放性正常（45.6±8.8）。OCD不伴有人格障碍组除开放性维度（38.3±13.4）较低外，其余四个维度均正常。结论：OCD与人格障碍共病的患者除了高神经质、内向以及严谨性较差外，人际关系方面信任感、坦诚性和利他性也较低??体现了人格障碍患者核心的人格特征。OCD不伴有人格障碍的患者主要表现兴趣狭窄，缺乏好奇心，不适应变化，保守等人格特质，却有较好的人际关系。 　　【关键词】 强迫障碍；人格五因素；横断面调查；人格障碍；NEO-PI-R 　　中文分类号：R749.79、R749.91 文献标识码：A 文章编号：1000-6729(2007)07-00484-04 　　 　　Five-Factor Model Personality Traits of Patients with both Obsessive-Compulsive 　　Disorder and Personality Disorder 　　CAO Wen-Sheng，YU Hong-Hua，JIAO Zhi-An，et al. 　　1Beijing Huilongguan Hospital，Beijing 100096 　　【Abstract】 Objective: To explore Five-Factor Model personality traits of OCD patients who also diagnosed with personality disorders. Methods：SCID-I/P was administrated to diagnose OCD patients. PDQ+4 and PDI-IV were then administrated to 44 OCD subjects to determine whether they also suffered from personality disorders. FFM (five factor model of personality) of the subjects were measured with NEO-PI-R.Results: 32 of 44 (72%) OCD patients also met DSM-IV-TR criteria for personality disorder. Subjects with PDs demonstrated high Neuroticism (67.9±7.7), low Extraversion (39.0±10.2), low Agreeableness (42.6±7.7), low Conscientiousness (39.3±12.4), and normal Openness to Experience (45.9±8.8). Subjects without PDs, however, scored normally except for low Openness to Experiences (38.3±13.4).Conclusion: Deviant FFM characters of OCD patients with PDs suggesting that they often experience neglect emotion, introversion, and interpersonal confliction. Low openness to experiences of subjects without PDs indicates that they lack of curiosity, have relatively narrow interest and conservative ideas. 　　【Key Words】 obsessive-compulsive di