双相障碍患者父母心理健康状况及性格特征研究

1、双相障碍患者父母心理健康状况及性格特征研究 作者：阳琼 苗国栋 陈榕枝 孙星海 徐贵云 【摘要】【关键词】 双相障碍；患者父母；心理健康状况；人格特征；MMPIMental health status and character traits in the parents of patients with bipolar disorder【Abstract】 Objective To explore mental health status and character traits in the parents of patients with bipolar disorder. Method

2、s Measurements were made with the Symptom Checklist 90(SCL-90) and the Minnesota Multiple Personality Inventory(MMPI) in 46 parents of the patients with bipolar disorder and compared with Chinese norm. Results Compared with norm，the parents showed significantly higher total and average total，positiv

3、e symptoms and average positive，interpersonal relationship，anxiety，paranoia and psychotic score of the SCL90(P0.05 or 0.01) and very signfificantly higher obsessivecompulsive score(P0.01). Of the MMPI，parents validity scores were higher than the norms，but there was very significant difference in sco

4、re of malingering scale of father group(P0.01) and significant difference of revising scale of mother group(P0.05)；of clinical scale scores of parents hysteria and hypomania were significantly higher and those of schizophrenia and social introvert lower compared with norm，differences were significan

5、t or very significant(P0.05 or 0.01)，and fathers psychastheria score very significantly lower(P0.01). Conclusion The mental health status of the parents of patients with bipolar disorder is better，higher obsession score possibly reflects the parents innade diathesis feature；the parents have extrover

6、sion and unsteady character triats which have a similarity to some clinical feature.【Keywords】 Bipolar disorder；patients parents；mental health status；character traits；MMPI 双相障碍具有明显的遗传倾向已成为精神病学界的广泛共识1。有研究提示，双相障碍患者一级亲属尤其是父母常表现出不同于一般人群的人格特征和情绪状态2，这些有异于常人的人格特征和情绪状态是否具有病理意义，一直是情感障碍研究的关注点之一。本研究采用心理测评的方法，以

7、探讨有精神病性症状的躁狂发作患者父母的心理健康状况和人格特征及其与患者发病有关的遗传或教养因素的关系，报告如下。1 对象与方法1.1 对象 选取2004年6月2005年3月在广州市精神病医院住院的双相障碍患者的父母为研究对象。入组标准：（1）患者本人符合中国精神障碍分类与诊断标准第3版（CCMD3）双相障碍诊断标准。（2）患者父母双方均无明确的精神病史和明显的精神障碍。（3）患者父母具有小学以上文化程度。双相障碍患者的父母共入组46例。其中父亲组27例，年龄40 a70 a，平均（52.008.40） a；文化程度：初中7例，高中10例，大专及以上10例。母亲组19例，年龄36 a65 a，平

8、均（48.167.97） a；文化程度：初中11例，高中6例，大专及以上2例。1.2 方法 2 结果2.1 被试者只有39例完成了SCL90测试，总分及各因子分测试结果与常模比较，见表1。 表1 SCL90测试与常模比较（略）2.2 父亲组及母亲组的MMPI各原始分与男、女性常模组比较结果，见表2、表3。 表2 父亲组与中国常模各量表原始分比较（略）表3 母亲组与中国常模各量表原始分比较（略）3 讨论【参考文献】 1 Ebert MH，Loosen PT，Nurcombe B.现代精神疾病诊断与治疗（英文版）M.第1版.北京：人民卫生出版社，2000：3113222 蔡则环，李坚，张宁，等.双相情感障碍患者及其一级亲属EPQ测试的初步分析J.中华临床心理学杂志，1994，2：263 杨冬梅.精神分裂症患儿父母心理健康状况调查J.护