神经性厌食女学生三维人格特征与防御方式的关系研究

发布时间：2018-05-16 22:14

本文选题：神经性厌食 + 学生　；参考：《中国全科医学》2016年19期

【摘要】：目的探讨神经性厌食(AN)女学生三维人格特征与防御方式的关系。方法选取2013年3月—2014年12月在温州医科大学附属第一医院精神卫生科门诊或住院治疗的AN患者36例为AN组,及同期温州市第八中学和温州医科大学的健康女学生36例为对照组,年龄和受教育年限与AN组匹配。采用自编一般情况调查表了解受试者的基本情况,采用三维人格问卷(TPQ)、防御方式问卷(DSQ)对受试者进行测评,比较两组TPQ、DSQ得分并进行Pearson相关分析。结果 AN组TPQ躲避伤害性(HA)维度中预期忧虑和悲观主义-不受拘束的乐观主义(HA1)〔(5.0±1.3)分比(4.2±1.1)分〕、害怕不确定-喜欢不确定(HA2)〔(4.9±1.2)分比(3.6±0.9)分〕、易疲劳/虚弱无力-有精神力(HA4)〔(5.5±1.4)分比(3.7±1.0)分〕因子得分及总分〔(19.6±3.0)分比(15.4±2.2)分〕均高于对照组,差异有统计学意义(P0.05)。AN组DSQ不成熟防御机制总均分高于对照组,差异有统计学意义〔(4.4±1.0)分比(3.6±0.8)分,P0.05〕。HA维度得分与不成熟防御机制维度得分及病程均呈线性正相关(r值分别为0.477、0.525,P0.05),与BMI呈线性负相关(r=-0.367,P0.05)。结论 AN女学生有特异性三维人格特征,这可能与其防御方式和病情有一定关联。
[Abstract]:Objective to explore the relationship between three-dimensional personality characteristics and defense style of anorexia nervosa female students. Methods from March 2013 to December 2014, 36 patients with an were enrolled in the Department of Mental Health, Department of Mental Health, first affiliated Hospital of Wenzhou Medical University. 36 healthy female students from Wenzhou No. 8 Middle School and Wenzhou Medical University were matched with an group. The basic situation of the subjects was investigated by using the self-designed general situation questionnaire. The subjects were assessed by the three dimensional personality questionnaire and the defense style questionnaire. The scores of the two groups were compared and the correlation analysis of Pearson was carried out. Results the expected anxiety and pessimism in the TPQ dimension of an group were 5.0 卤1.3% vs 4.2 卤1.1), and the scores of fear of uncertainty and love of uncertainty were 4.9 卤1.2 vs 3.6 卤0.9, respectively. The scores of factor and total score (19.6 卤3.0) were higher than that of control group (P 0.05N 路an group was significantly higher than that of control group, P 0.05N 路an group was higher than the control group, P < 0.01), and the score of DSQ immature defense mechanism in group A was higher than that in control group (P < 0.05), but it was significantly higher in group A (P 0.05) than in control group (P < 0.05). The difference was statistically significant (4.4 卤1.0) vs 3.6 卤0.8). The linear positive correlation between the dimension score of P0.05, HA, the dimension score of immature defense mechanism and the course of disease was 0.477-0.525, P0.05, respectively, and there was a linear negative correlation with BMI. Conclusion an female students have specific three-dimensional personality characteristics, which may be related to their defense style and illness.
【作者单位】：温州医科大学附属第一医院精神卫生科;
【基金】：浙江省自然科学基金资助项目(LY14H090012)——基于多模态磁共振成像的孤独谱系障碍脑网络微结构特征及危险基因相关性初探
【分类号】：R749.7

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