功能性消化不良共病抑郁症患者的人格特点

发布时间：2019-05-18 08:21

【摘要】：目的:探讨伴抑郁症的功能性消化不良(FD)患者的人格特点及可能的相关因素。方法:本研究为横断面研究。在北京协和医院消化内科和心理医学科门诊经双向转诊完成临床诊断,共纳入126人,分为三组:FD组为符合罗马III FD标准,不符合美国精神障碍诊断与统计手册第4版(DSM-IV)抑郁症标准的患者(n=43);抑郁症组为符合DSM-IV抑郁症标准,不符合罗马III FD标准的患者(n=35);FD伴抑郁症组为同时符合以上FD和抑郁症诊断标准的患者(n=48)。采用艾森克人格问卷(EPQ)、汉密顿抑郁量表-17项(HAMD-17)、汉密顿焦虑量表(HAMA)和蒙哥马利抑郁量表(MADRS)分别评估患者的人格特征和抑郁焦虑水平。结果:FD伴抑郁症组的EPQ精神质[(48.7±7.9)vs.(43.6±8.1)]和神经质[(64.3±9.6)vs.(56.9±13.4)]得分高于FD组(P0.01),外向性得分低于FD者[(47.1±11.3)vs.(54.0±14.2),P0.05]。FD患者的HAMD-17、HAMA和MADRS总分与EPQ精神质和神经质得分呈正相关(r=0.25~0.62,均P0.05),与外向性程度呈负相关(r=-0.407~-0.431,均P0.05)。结论:功能性消化不良共病抑郁症的患者可能存在较明显的精神质、内向性和神经质人格特点。
[Abstract]:Objective: to investigate the personality characteristics and possible related factors of functional dyspepsia (FD) patients with depression. Methods: this study was a cross-section study. A total of 126 patients were included in the clinic of Department of Gastroenterology and Psychiatry of Peking Union Medical College Hospital after two-way referrals. They were divided into three groups: FD group was in accordance with Roman III FD standard, Patients who did not meet the criteria for depression in the fourth edition of the American Diagnostic and Statistical Manual of Mental Disorder (DSM-IV) (n 鈮，

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