不同情志在神志病发病中的致病特征

发布时间：2018-06-22 05:11

  本文选题：情志 + 神志病　； 参考：《中医杂志》2017年23期

【摘要】：目的探讨不同情志在神志病发病中的致病特征。方法用提纲式作业对434名神志病患者和50名普通人进行情志经历的问卷调查,采用Nvivo 10.0对提纲式作业中的五志即喜、怒、思、悲、恐相关词语进行查询,计算文本资料中情志相关字数比例与相关词语词频。结果共343份问卷纳入研究,其中普通组41例,失眠组36例,抑郁组99例,躯体组21例,焦虑组60例,精分组21例,强迫组33例,他病组32例。普通组较失眠组、抑郁组、焦虑组和他病组"悲"字数比例低(P0.01),较其他各组"喜"字数比例高(P0.05);精分组较失眠组、抑郁组、焦虑组和他病组"悲"字数比例低(P0.05);失眠组较躯体组和强迫组"悲"字数比例高(P0.05);焦虑组和强迫组较失眠组和抑郁组"恐"字数比例高(P0.05)。精分组较焦虑组、强迫组和他病组"恐"相关词语词频低(P0.05);精分组和躯体组较焦虑组"怒"相关词语词频高(P0.05)。结论普通人的情志经历中"喜"占优势,神志病患者中"怒"和"悲"占优势,精神分裂症患者中"喜"和"怒"占优势,失眠症和抑郁症患者中"悲"占优势,而焦虑障碍和强迫症患者中"恐"占优势。
[Abstract]:Objective to explore the pathogenetic characteristics of different emotions in the pathogenesis of psychosis. Methods A questionnaire survey was conducted on 434 patients with mental illness and 50 ordinary people with outline work, and the five words of joy, anger, thought, sadness and fear were investigated by NVivo 10.0. Calculate the proportion of affective correlation words and the frequency of related words in the text data. Results 343 questionnaires were included in the study, including 41 cases in general group, 36 cases in insomnia group, 99 cases in depression group, 21 cases in somatic group, 60 cases in anxiety group, 21 cases in fine group, 33 cases in obsessive-compulsive group and 32 cases in other disease group. Compared with insomnia group, depression group, anxiety group and other disease group, the proportion of "sad" words in common group was lower (P0.01), higher than that in other groups (P0.05). The proportion of "sad" words in anxiety group and other disease group was lower (P0.05); the proportion of "sad" words in insomnia group was higher than that in body group and compulsive group (P0.05); the proportion of "fear" words in anxiety group and compulsive group was higher than that in insomnia group and depression group (P0.05). The frequency of "fear" related words in obsessive group and other disease group was lower than that in anxiety group (P0.05), and the frequency of "anger" related words in fine group and body group was higher than that in anxiety group (P0.05). Conclusion the "joy" is dominant in the emotional experience of the common people, the "anger" and "sadness" are dominant in the mentally ill patients, the "joy" and "anger" in the schizophrenic patients, and the "sad" in the patients with insomnia and depression. Anxiety disorder and obsessive-compulsive disorder patients, "fear" is the dominant.
【作者单位】： 中国中医科学院广安门医院;
【基金】：“十二五”国家科技支撑计划(2014BAI10B07)
【分类号】：R277.7
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本文编号：2051723