康复期精神分裂症和双相障碍患者及正常人群明尼苏达多相人格特征对照研究.docVIP

康复期精神分裂症和双相障碍患者及正常人群明尼苏达多相人格特征对照研究 　　[摘要]目的研究探讨康复期精神分裂症与双相障碍患者以及正常人群的明尼苏达多相人格特征。方法使用明尼苏达多相人格网络心理CT系统对328例康复期精神分裂症患者（精神分裂症组）和34例双相障碍患者（双相障碍组）进行MMPI测试，并与58例正常人（正常对照组）进行对照分析。结果①效度量表与临床量表：除量表说谎、男女子气外,大部分量表均示两患者组高于正常对照组（P＜0.05）；康复期精神分裂症组与双相障碍组比较，后者在疑病、抑郁、癔症、精神衰弱、社会内向等量表高于前者（P＜0.05）；②心理防御机制量表两患者组在退缩、转移、投射等量表高于正常对照组（P＜0.05）；康复期精神分裂症组与双相障碍组比较，后者在量表转移一项高于前者（P＜0.05）。结论康复期精神分裂症和双相障碍患者均有明显的MMPI偏离模式；临床医生在治疗疾病时要注重对患者心理防御方式的干预。 　　关键词：康复期精神分裂症双相障碍正常人明尼苏达多相人格特征 　　Abstract： Objective：To compare MMPI profile between patients with recoveryofschizophrenia，patients with bipoiar disorder and normal controls.Methods：58 normal controls，328 patients withrecovery of schizophrenia and 34 patients with bipoiar disorder were given test of MMPI with Psychological CT and the T scores of each scale of MMPI were compared among the three groups. Results：①most scales of MMPI in patients with recovery of schizophrenia and bipoiar disorder，except scales of L and Mf，exhibited elevation in comparison to normal controls；the patients with bipoiar disorder showed higher scores on scales of Hs，D，Hy，Pt and Si than the patients with recovery of schizophrenia；②patients with recovery of schizophrenia and bipoiar disorder got higher T scores on the item of Regression，Displacement and Projection on the scale of psychological defense style than normal controls.Patients with bipoiar disorder showed higher scores on the item of Displacement than patients with recovery of schizophrenia.Conclusions：Patients with recovery of schizophrenia and bipoiar disorder showed deviant model of MMPI. physicians are expected to pay attention to intervention with psychological defense style of patients. 　　Key words：recovery of Schizophrenia；bipoiar disorder；Normal Controls；MMPI. 　　中图分类号：R749 文献标识码：B文章编号：1004-7484（2011）10-0040-04 　　 　　 　　精神分裂症和双相障碍的诊断和治疗在精神科的临床中占有很大的比重；明尼苏达多相人格测验(MMPI)是精神科常用的心理测查工具。已有较多研究显示，精神分裂症与情感障碍患者的明尼苏达多相人格测试结果与正常对照不同[1]。但两组患者之间的比较鲜见报道。本研究通过比较康复期精神分裂症和双相障碍患者以及正常人群在明尼苏达多相人格的各量表项目上的不同，试图在临床上有助于精神分裂症和双相障碍患者的