| 高谧秋,范学胜.双相障碍共病强迫障碍患者的SCL-90和MMPI研究[J].四川精神卫生杂志,2015,28(1):7-10.GAO Mi-qiu,FAN Zue-sheng,Study on SCL-90 and MMPI of patients with bipolar disorder comorbid OCD[J].SICHUAN MENTAL HEALTH,2015,28(1):7-10 |
| 双相障碍共病强迫障碍患者的SCL-90和MMPI研究 |
| Study on SCL-90 and MMPI of patients with bipolar disorder comorbid OCD |
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| DOI：10.11886/j.issn.1007-3256.2015.01.003 |
| 中文关键词: 双相障碍 强迫障碍 MMPI SCL-90 |
| 英文关键词:Bipolar disorder OCD MMPI SCL-90 |
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| 中文摘要: |
| 目的：探讨强迫障碍与双相障碍共病的心理测量学特征，为其早期诊断提供辅助依据。方法以2012年3月-2013年1月在中国医科大学附属第一医院就诊的符合《中国精神障碍分类与诊断标准（第3版）》的138例强迫障碍患者为研究对象，采用症状自评量表（ SCL-90）和明尼苏达多相人格测验（ MMPI）进行测量。结果转相前SCL-90评分：强迫状态（2.51±0.83）分、抑郁（2.69±0.88）分、敌对（2.56±1.07）分等项目出现明显的高峰点；转相后评分：强迫状态（2.65±1.03）分、敌对（2.60±1.30）分、偏执（2.36±0.92）分等项目出现明显的高峰点。MMPI临床量表3点编码型：转相前以2-4-7为最多，其次为2-3-4编码型；转相后以4-7-9为最多，其次为4-6-9、3-4-9编码型。结论转相前后“强迫状态”和“敌对”都呈现明显高峰点。心理变态（ Pd）、精神衰弱（ Pt）（4-7编码型）很有可能是与共病强迫障碍有关的参考项。 |
| 英文摘要: |
| Objective To find psychological traits of comorbod of Bipolar disorder and OCD for providing evidence of early diag-nosis of bipolar disorder. Methods The 138 patients were diagnosed OCD by CCMD-3( Chinese Classification and Diagnostic Criteria of Mental Disease,third edition),and were assessed after and before switching with SCL-90 and MMPI and analyzed by SPSS18. 0. Results OCD symptoms(2. 51 ± 0. 83),depression(2. 69 ± 0. 88)and hostile(2. 56 ± 1. 07)were significant higher before switc-hing. OCD symptoms(2. 65 ± 1. 03),hostile(2. 60 ± 1. 30)and paranoid(2. 36 ± 0. 92)were significant higher after switching. The code type of patients were 2-4-7 and 2-3-4 before switching and 4-7-9 ,4-6-9 and 3-4-9 after switching. Conclusion The patients with bipolar disorder comorbid OCD show higher OCD symptoms and hostile both before and after switching by SCL-90. The Pd,Pt(4-7)was common trait of patients with bipolar disorder comorbid OCD by MMPI. |
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