广泛性焦虑障碍与中医五态人格的相关性研究
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摘要
目的:探讨广泛性焦虑障碍患者的中医五态人格特点,分析广泛性焦虑障碍与五态人格特征之间的相关性,为广泛性焦虑障碍的诊断与治疗提供新的思路。方法:本研究入组70例符合国际疾病分类与诊断标准第10版(ICD-10)广泛性焦虑障碍诊断标准的患者。同时对照组招募90例健康志愿者。测试时采用一般情况问卷、中医五态人格测验表及汉密尔顿焦虑量表,对性别、年龄、文化程度等维度上的差异进行统计分析,对患者组五态人格特点进行相关性分析。结果:广泛性焦虑障碍组焦虑量表分数显著高于对照组,差异有统计学意义(t=0.87,P=0.000)。广泛性焦虑障碍组五态人格在太阳(t=-1.96,P=0.000)、少阳(t=-1.51,P=0.000)、阴阳平和(t=-1.01,P=0.000)3个维度得分均低于对照组,差异有统计学意义,太阴(t=2.40,P=0.000)及少阴(t=1.96,P=0.000)维度得分高于对照组,差异有统计学意义。广泛性焦虑障碍组女性较男性在太阴维度得分差异有统计学意义(t=1.65,P=0.000)。其余不同组患者在5个维度得分差异均无统计学意义(P>0.05)。结论:广泛性焦虑障碍患者在五态人格方面倾向于太阴及少阴两个维度,因而这类特质的人患焦虑障碍的风险相对来讲比正常人要高;同为太阴及少阴性格之人女性较男性发生焦虑的风险更高。而具有阴阳平和、太阳和少阳特质之人则不容易出现焦虑状态,其患焦虑障碍的风险较低。
Objectives: To explore the five-state personality attribution characteristics of Chinese patients with generalized anxiety disorder, analyze the correlation between generalized anxiety disorder and five-state personality, and to provide a new way for the diagnosis and treatment of generalized anxiety disorder. Methods: The study included 70 patients who met the international standard of disease classification and diagnostic criteria,version tenth(ICD-10), for the diagnosis of generalized anxiety disorder. At the same time, 90 healthy volunteers were recruited from the control group. The general situation questionnaire and the Chinese five-state personality test scale and Hamilton anxiety scale by testing, statistical analysis of the differences in gender, age,culture degree and other dimensions, to analyze the correlation between the group of patients with five personality characteristics. Results: The scores of generalized anxiety disorder group were significantly higher than those in the control group, the difference was statistically significant(t =0.87, P =0.000). Generalized anxiety disorder group five personality were lower than the control group in the Taiyang(t=-1.96, P=0.000), Shaoyang(t=-1.51,P=0.000), Yin-Yang(t=-1.01, P=0.000). While Lunar(t=2.40, P=0.000) and Shaoyin(t=1.96, P=0.000) scores were higher than the control group. More women than men in generalized anxiety disorder group was statistically significant in the lunar scores(t=1.65, P=0.000). There were no differences between the other groups in five dimensions(P>0.05). Conclusion: People with generalized anxiety disorder tend to have two dimensions of the five personality trait, the Lunar and the Shaoyin, and thus the risk of anxiety disorders is higher than that of the normal person. Women with the same characteristics of the Lunar and the Shaoyin have higher risk of anxiety than men. With the Taiyang, Shaoyang and Yin-Yang nature of people are not prone to anxiety, has the lower the risk of suffering from anxiety disorders.
Objectives: To explore the five-state personality attribution characteristics of Chinese patients with generalized anxiety disorder, analyze the correlation between generalized anxiety disorder and five-state personality, and to provide a new way for the diagnosis and treatment of generalized anxiety disorder. Methods: The study included 70 patients who met the international standard of disease classification and diagnostic criteria,version tenth(ICD-10), for the diagnosis of generalized anxiety disorder. At the same time, 90 healthy volunteers were recruited from the control group. The general situation questionnaire and the Chinese five-state personality test scale and Hamilton anxiety scale by testing, statistical analysis of the differences in gender, age,culture degree and other dimensions, to analyze the correlation between the group of patients with five personality characteristics. Results: The scores of generalized anxiety disorder group were significantly higher than those in the control group, the difference was statistically significant(t =0.87, P =0.000). Generalized anxiety disorder group five personality were lower than the control group in the Taiyang(t=-1.96, P=0.000), Shaoyang(t=-1.51,P=0.000), Yin-Yang(t=-1.01, P=0.000). While Lunar(t=2.40, P=0.000) and Shaoyin(t=1.96, P=0.000) scores were higher than the control group. More women than men in generalized anxiety disorder group was statistically significant in the lunar scores(t=1.65, P=0.000). There were no differences between the other groups in five dimensions(P>0.05). Conclusion: People with generalized anxiety disorder tend to have two dimensions of the five personality trait, the Lunar and the Shaoyin, and thus the risk of anxiety disorders is higher than that of the normal person. Women with the same characteristics of the Lunar and the Shaoyin have higher risk of anxiety than men. With the Taiyang, Shaoyang and Yin-Yang nature of people are not prone to anxiety, has the lower the risk of suffering from anxiety disorders.
引文
[1]李黎,杜渐,王昊等.中医五态人格的五行配属关系探讨[J].世界中医药,2014,9(7):872.
[2]张伯华,胡霜,盛洁.中医院校大学生网络成瘾与五态人格的关系[J].山东大学学报(医学版),2013,51(9):107.
[3]韩静.阴阳五态人格概述[J].河南中医,2013,33(1):44.
[4]薛崇成,杨秋莉.五态性格测验表手册[M].北京:中国中医研究院针灸研究所,1998:18-19.
[5]王昊,杜渐,杨秋莉.五态人格测验简版的编制及信度、效度分析[J].中医杂志,2016,57(17):1479.
[6]王昊,杜渐,邵祺腾,等.中医“五态人”体质特征分析[J].中医杂志,2013,54(23):2003.
[7]张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,2003:121-126,133-136.
[8]王焕秋,杨巧玲.首发广泛性焦虑患者社会心理因素分析[J].宁夏医科大学学报,2011,33(5):489.
[9]张国龙,陈佩仪,李月珠.本科护理女性新生心理适应性与五态性格相关性分析[J].护理学报,2009,16(6):74-76.
[10]李雯.118例神经症患者中医五态性格分析[J].中医杂志,2001,42(2):107.
[11]杨秋莉,徐蕊,于迎,等.五态人格、体质类型与抑郁症的中医证型的关系探讨[J].中医杂志,2010,51(7):655-657.
[12]杨秋莉,薛崇成.中医学心理学个性学说与五态人格测验[J].中国中医基础医学杂志,2006,12(10):777-779.
[13]王宗华,何厚夫,陈颖.中医专业研究生明尼苏达多相人格与五态人格关系[J].中国健康心理学杂志,2012,20(12):1891-1893.
[2]张伯华,胡霜,盛洁.中医院校大学生网络成瘾与五态人格的关系[J].山东大学学报(医学版),2013,51(9):107.
[3]韩静.阴阳五态人格概述[J].河南中医,2013,33(1):44.
[4]薛崇成,杨秋莉.五态性格测验表手册[M].北京:中国中医研究院针灸研究所,1998:18-19.
[5]王昊,杜渐,杨秋莉.五态人格测验简版的编制及信度、效度分析[J].中医杂志,2016,57(17):1479.
[6]王昊,杜渐,邵祺腾,等.中医“五态人”体质特征分析[J].中医杂志,2013,54(23):2003.
[7]张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,2003:121-126,133-136.
[8]王焕秋,杨巧玲.首发广泛性焦虑患者社会心理因素分析[J].宁夏医科大学学报,2011,33(5):489.
[9]张国龙,陈佩仪,李月珠.本科护理女性新生心理适应性与五态性格相关性分析[J].护理学报,2009,16(6):74-76.
[10]李雯.118例神经症患者中医五态性格分析[J].中医杂志,2001,42(2):107.
[11]杨秋莉,徐蕊,于迎,等.五态人格、体质类型与抑郁症的中医证型的关系探讨[J].中医杂志,2010,51(7):655-657.
[12]杨秋莉,薛崇成.中医学心理学个性学说与五态人格测验[J].中国中医基础医学杂志,2006,12(10):777-779.
[13]王宗华,何厚夫,陈颖.中医专业研究生明尼苏达多相人格与五态人格关系[J].中国健康心理学杂志,2012,20(12):1891-1893.