中国临床心理学杂志

强迫症的临床特征及人格类型研究

作者：高成阁¹ 纪术茂² 苏掌权³ 高惠荣⁴

单位：1. 西安医科大学第一附属医院精神科陕西西安 710061
2. 西安市精神卫生中心
3. 宝鸡市精神病院
4. 咸阳市精神病院

关键词：强迫症 MMPI 因子分析聚类分析

分类号：R395.4

出版年,卷(期):页码：2001,9(1):24-27

摘要：

目的：探讨强迫症及亚型的人格和临床特征，为诊断、治疗及预后估计提供参考。方法：对82例强迫症患者进行MMPI测试，采用纪术茂等编制的MMPI-B自动分析系统进行统计分析。结果：强迫症患者的F、Hs、D、Hy、Pd、Pt、Sc以及男性病人的Si、Mf和女性病人的K量表的原始分均明显高于常模(P＜0.001)，T分(年龄回归T)编码型为72/27型伴4、6量表高分；基本量表因子分析结果显示强迫症主要负荷四个人格因子(可解释变异的78%)：神经质因子N、精神质因子P、多疑因子S及社会内向因子I；采用Q型聚类分析将82例强迫症分为三个亚组，三组间73种量表T均分间均有著性差异(P＜0.000)。结论：强迫症各亚型的心理特征及伴随的临床现象各有不同。

Objective:To explore the personality types a nd the features of clinical subtypes of obsessive-compulsive disorder (OCD). Methods:82 cases of OCD were tested using Chinese MMPI that was revised by MMPI normative cooperative group. We used MMPI-B auto-analysis sys tem made by Ji Shumao et al to calculate the basis scores and T scores of 73 scales.Results:Basis scores (+K)of scales F, Hs, D, Hy, P d, Pa, Pt, Sc, (males and females)and Si, Mf(males) and K (females) on OCD group were higher that the scores of the normal group. The two-point code of T scores in OCD was 72/27.The factor analysis in 13 scales showed that there were four personality factors in OCD: neuroticism factor (Hs, Hy, D, Pt), psychotic factor (F, Pd, Sc), suspicious factor( F, Ma, Pa), Social introversion factor (L, Si, Mf).82 cases of OCD were divided into three groups by K-means of quick cluster analysis, T scores of 73 MMPI scales were different among three groups (P<0.000).Conclusion:The psychological features and comorbidity and responses to psychotherapy of three groups OCD are different.

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作者简介：

参考文献：

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