昆明地区中医体质与现代人格心理学相关性的初步研究

发布时间：2018-05-05 22:47

本文选题：中医体质 + 艾森克人格问卷简式量表中国版(EPQ-RSC)　；参考：《云南中医学院》2017年硕士论文

【摘要】：目的:近年来医学模式正在向着“生物—心理—社会”的医学模式转变,这与中医观念中的“整体观”不谋而合。中医体质学对于体质的认识很好的体现了中医“整体观”这一观点。中医体质学作为现代中医学重要的分支学科,因其在临床治疗以及在养生保健中起到的作用而更加受到医学界的重视。中医体质学认为体质不单受到到躯体素质的影响,心理素质对体质的构成也同样起到重要的作用。本次研究希望通过调查问卷的方式,讨论出昆明及周边地区中医九种体质类型及其现代人格心理特征的相关性,以及同种体质在不同基本情况下对于人格心理特征的影响。方法:于2016年3月至2016年7月,采取随机抽样的方式,对云南中医学院、昆明医科大学学生及昆明白塔区门诊、圣爱中医馆门诊、省中医院门诊处病人实施现场问卷调查。调查的内容主要包括:基本情况、中医体质调查表、艾森克人格问卷简式量表中国版(EPQ-RSC)。采用单因素方差分析和Logistic回归分析,研究平和质、阳虚质、阴虚质、气虚质、痰湿质、湿热质、瘀血质、气郁质、特禀质九种中医体质的现代人格心理特征。结果:1.正式调查2周后,进行了预调查,对两次调查的结果进行相关性分析,发现相关系数均大于0.75,表明本次量表的重测信度较好。2.学生人群、门诊病人、全国人群三者九种体质人群分布进行比较,发现三者的构成比不同,具有差异性(P0.001);学生人群以及门诊病人与全国常模的构成比差异均有差异性(P0.001),学生人群与门诊病比较构成比无差异(P0.05)。3.内向型人群中,气郁质人群比例最高,特禀质人群比例最低;中间型人群中,平和质人群比例最高,血瘀质人群比例最低;外向型人中,平和质人群比例最高,气郁质人群比例最高。E量表的内向型、中间型、外向型中九种体质构成比具有差异性(P0.001)。情绪稳定型人群中,平和质人群比例最高,气郁质人群比例最低;情绪中间型人群中,平和质人群比例最高,血瘀质人群比例最低;不稳定型人群中,阴虚质人群比例最高,血瘀质人群比例最低。n量表的稳定型、中间型、不稳型中九种体质构成比具有差异性(p0.001)。精神质正常人群中,平和质人群比例最高,血瘀质人群比例最低;倾向型人群中,平和质人群比例最高,血瘀质人群比例最低;神经质人群中,平和质人群比例最高,特禀质人群比例最低。p量表的正常型、倾向型、神经质中九种体质构成比具有差异性(p0.05)。4.内外向维度中,平和质人群得分最高((?)=52.79),气郁质人群得分最低((?)=40.74),与平和质人群得分相比,阳虚质、阴虚质、气郁质人群的得分有差异性(p0.01);在神经质维度中,气郁质人群得分最高((?)=59.91),平和质人群得分最低((?)=47.97),与平和质人群的得分比较,阳虚质、阴虚质、气虚质、痰湿质、湿热质、气郁质、特禀质人群的得分有差异性(p0.05);在精神质维度中,瘀血质人群得分最高((?)=56.00),湿热质人群得分最低((?)=47.36),与平和质人群的得分比较,湿热质人群的得分有差异性(p0.05)。5.分层研究时发现:男性人群与女性人相比较,湿热质人群的得分在p维度上有差异性(p0.05);汉族人群与少数民族人群相比较,气虚质人群的得分在n维度上有差异性(p0.05);学生人群与门诊病人相比较,特禀质、血瘀质人群的得分在e维度、痰湿质人群的得分在p维度上有差异性(p0.05);本科学生人群与研究生人群相比较,气虚质人群的得分在n维度上有差异性(p0.05);已婚人群与未婚人群相比较,痰湿质人群的得分在e、p2个维度上有差异性(p0.05);昆明市区人群与周边地区人群相比较,瘀血质人群的得分在n维度、阴虚质人群的得分在p维度上有差异性(p0.05);有运动习惯人群与无运动习惯人群相比,各体质上的得分均无差异性(p0.05)。6.Logistic回归分析结果表明:e(内外向)维度上与平和质人群的得分相比较,阳虚质、气虚质、气郁质人群的得分具有差异性(p0.05);n(神经质)维度上与平和质人群的得分相比较,阳虚质、气虚质、痰湿质、气郁质、特禀质人群的得分具有差异性(p0.05);p(精神质)维度上与平和质人群的得分相比较湿热质人群的得分具有差异性(p0.05)。结论:1.昆明地区九种中医体质构成比与全国常模相比,阴虚质与痰湿质偏多,这可能与昆明地区多湿多燥的气候特点以及长期饮食辛辣具有一定的关系。2.本次调查可以初步的证实在昆明地区,中医体质与心理人格具有一定的相关性,与全国体质常模中的心理构成特点不尽相同,这也为中医体质学说提供了一定的流调学依据。3.在分层研究中发现,各组分层中的九种体质各人格维度得分具有统计学差异的较少,说明在昆明地区九种体质在人格心理上可能都具有较为稳定的特点。4.八种偏颇体质与平和质相比,在心理状态上表现的更加的不稳定,患上心理疾病的可能性也更大,所以本次调查研究可以为临床上通过改变偏颇体质来调整心理状态提供了一定的调查基础。
[Abstract]:Objective: in recent years, the medical model is changing to the "biological psycho social" medical model, which coincides with the "overall view" in the concept of traditional Chinese medicine. The understanding of Physique in traditional Chinese medicine embodies the view of "the whole view" of the Chinese medicine. The role of clinical treatment and health care in health care has been paid more attention by the medical community. The physique of traditional Chinese medicine believes that physique is not only affected by the physical quality, but also plays an important role in the constitution of the constitution. This study hopes to discuss the nine kinds of Chinese medicine in Kunming and its surrounding areas through the formula of questionnaire. The relationship between physical type and its modern personality and psychological characteristics, and the influence of the same constitution on personality and psychological characteristics under different basic conditions. Methods: from March 2016 to July 2016, the method of random sampling was taken to Yunnan University of Traditional Chinese Medicine, Kunming Medical University students and Kunming Baita District outpatient clinic, Saint love hospital outpatient department, Provincial Traditional Chinese Medicine The survey was carried out in the outpatient department of the hospital. The main contents of the investigation included the basic situation, the constitution questionnaire of traditional Chinese medicine and the simplified Chinese version of Eysenck Personality Questionnaire (EPQ-RSC). By using single factor analysis of variance and Logistic regression analysis, we studied flat, Yang deficiency, Yin deficiency, Qi deficiency, phlegm dampness, damp heat, blood stasis and qi stagnation. The characteristics of modern personality psychology of nine kinds of traditional Chinese medicine. Results: 1. after 2 weeks of formal investigation, a pre investigation was carried out. The correlation analysis of the results of the two surveys showed that the correlation coefficient was greater than 0.75, indicating that the retest reliability of the scale was better than that of the.2. students, the outpatient and the three people of the whole country were compared to the distribution of nine physical populations. It was found that the composition of the three was different (P0.001); there was a difference in the composition ratio of the students and the outpatient and the national norm (P0.001), and there was no difference in the comparison of the students and the outpatient diseases (P0.05) in the.3. introvert population with the highest proportion of the qi stagnation population and the lowest proportion of the special population; among the middle type, the population was the lowest. The proportion of the people in the flat group was the highest, the proportion of the blood stasis population was the lowest. Among the extroverted people, the proportion of the flat and the qualitative people was the highest. The proportion of the highest.E scales in the qi stagnation group was different (P0.001). The proportion of the people in the stable group was the highest, and the proportion of the qi stagnation population was the lowest. Among the middle groups, the proportion of the flat and the mass population was the highest, the proportion of blood stasis population was the lowest; among the unstable people, the proportion of the yin deficiency group was the highest. The proportion of the lowest.N scale in the blood stasis population was different (p0.001). The proportion of the people in the normal people with normal mental quality was the highest, and the blood was the highest in the normal people. The proportion of people with blood stasis was the lowest; the proportion of the flat and the qualitative population was the highest in the propensity population, and the proportion of blood stasis population was the lowest; in the neurotic population, the proportion of the flat and the qualitative population was the highest, the proportion of the lowest.P scale was the lowest, and the proportion of the 9 kinds of Physique in the neuroticism was different (P0.05) in the internal and external dimension of.4.. The highest score ((?) =52.79), the lowest score ((?) =40.74) in the qi depression group ((?)), and the score of Yang deficiency, yin deficiency and qi depression was different (P0.01); in the neuroticism, the score of qi depression was the highest ((?) =59.91), and the lowest ((?) =47.97) in the flat and quality population ((?) =47.97), compared with the level of the mass population, Yang Deficiency Quality, yin deficiency, Qi deficiency, phlegm dampness, dampness heat, qi stagnation, qi stagnation, and special temperament population were different (P0.05); in the mental dimension, the blood stasis group scored the highest ((?) =56.00), and the people with damp heat were the lowest ((?) =47.36). Compared with the score of the flat mass population, the score of the humid and hot population was different (P0.05) when the.5. stratification study was found. Compared with the female people, the scores of the hot and humid people were different in the P dimension (P0.05); the Han population was compared with the minority group, and the score of the Qi deficiency group was different in the n-dimension (P0.05); the students and the outpatients were compared with the outpatients, and the score of the blood stasis population was in the e dimension and the score of the phlegm damp population. There was a difference (P0.05) in the P dimension. Compared with the graduate students, the scores of the Qi deficiency were different (P0.05). Compared with the unmarried people, the scores of the married people were e, and the P2 dimensions were different (P0.05); the urban population in Kunming was compared with those in the surrounding areas, and the blood stasis was more than that of the people in the surrounding areas. The score of the group was in the n-dimensional degree, the score of the yin deficiency group was different in the P dimension (P0.05), and the scores of the physical habits were not different (P0.05) compared with those without the exercise habit (P0.05). The result of the.6.Logistic regression analysis showed that the E (internal and external) dimension was compared with the score of the flat and qualitative people, the deficiency of Yang, Qi deficiency and qi depression. The score of the crowd was different (P0.05); the score of the n (neuroticism) was compared with the score of the flat and qualitative crowd, the score of the Yang deficiency, the Qi deficiency, the phlegm wet quality, the qi stagnation, the quality of the extremely qualitative population was different (P0.05); the P (psychoticism) dimension compared with the score of the flat and qualitative people was different (P0.05). Conclusion: 1. Kunming Compared with the national norm, the constitution ratio of the nine kinds of Chinese medicine in the Ming area is compared with the national norm, which may be related to the climate characteristics of the wet and dry climate in Kunming and the long-term diet and spicy. This investigation can preliminarily confirm that in the Kunming area, the constitution of Chinese medicine has a certain correlation with the psychological personality and the national body. The psychological composition of the qualitative norm is different. It also provides a certain flow study basis for the theory of physique of traditional Chinese medicine (.3.). It is found in the stratified study that the scores of the personality dimensions of the nine kinds of Physique in each stratification are less statistically different, indicating that the nine Physiques in the Kunming region may have more stable personality in the personality psychology. Characteristic.4. eight kinds of biased constitutions are more unstable in psychological state and more likely to suffer from psychological diseases. Therefore, this investigation can provide a basis for clinical study to adjust the psychological state by changing the biased constitution.

【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R229

【参考文献】