首发未用药躯体症状障碍患者的人格特征及其与临床症状的相关性研究
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国家自然科学基金 (U22A20305,82271548);上海市宝山区卫生健康委优青(育才)计划(BSWSYC-2023-19)


Personality traits of patients with first-episode drug-naive somatic symptom disorder and their correlation with clinical symptoms
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    摘要:

    目的 探讨首发未用药躯体症状障碍(SSD)患者的人格特征及其与临床症状的相关性。 方法 选取 2020 年 11 月— 2021 年 9 月在上海交通大学医学院附属仁济医院就诊的首发未用药 SSD 患 者 33 例为研究组,同时招募年龄、性别、受教育程度匹配的健康志愿者 33 名为健康对照组。采用汉密 尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、症状自评量表(SCL-90)、艾森克人格问卷简式量表 中国版(EPQ-RSC)评估受试者的抑郁、焦虑、心理健康状况及人格特征。采用 Pearson 相关、多重线性回 归分析研究组中各人格特征与抑郁、焦虑、心理健康状况的关系。结果 研究组HAMD、HAMA和SCL-90 总分分别为 8.0(6.0,11.0)、9.0(6.0,10.0)、54.0(32.0,80.5)分,与健康对照组的抑郁、焦虑、心理健康状 况比较,差异均有统计学意义(均P< 0.05)。研究组患者与健康对照组的内外向、神经质得分比较,差 异均有统计学意义(均P< 0.05)。SSD 患者内外向与 HAMD 总分、SCL-90 总分均呈负相关(r=-0.444, -0.362;均P< 0.05),神经质与 HAMD 总分、SCL-90 总分均呈正相关(r=0.346,0.628;均P< 0.05)。在人 格特征对 SSD 患者临床症状影响的多重线性回归分析中,以 HAMD 总分为因变量时,最终纳入模型的 自变量是内外向(P<0.05);以HAMA总分为因变量时,最终纳入模型的自变量是性别、内外向(P<0.05); 以 SCL-90 总分为因变量时,最终纳入模型的自变量是性别、神经质(P< 0.05)。结论 SSD 患者可能存 在内向、神经质的人格特征,内向与其情绪问题相关,而神经质与其总体心理健康状况关系密切。

    Abstract:

    Objective To explore personality traits and their correlation with clinical symptoms in patients with first-episode drug-naive somatic symptom disorder (SSD). Methods From November 2020 to September 2021, 33 cases of first-episode drug-naive SSD patients attending Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine were enrolled in study group, while 33 healthy volunteers matched for age, gender, and education level were recruited as healthy controls. Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Symptom Checklist (SCL-90), and Eysenck Personality Questionnaire-Revised Short Scale for Chinese (EPQ-RSC) were used to assess the subjects' depressive disorder, anxiety, mental health, and personality traits. Pearson correlation and multiple linear regression were used to analyze the relationship between personality trait and depressive, anxiety, and mental health in study group. Results HAMD, HAMA, and SCL-90 total scores of SSD patients were 8.0(6.0,11.0),9.0(6.0,10.0), and 54.0(32.0,80.5), respectively, which were statistically significant differences when compared with healthy controls (all P < 0.05). The difference in introversion and extraversion and neuroticism between SSD patients and healthy controls was statistically significant (P < 0.05). In SSD patients, introversion and extraversion were negatively correlated with total HAMD score and total SCL-90 score (r=-0.444, -0.362,all P < 0.05), and neuroticism was positively correlated with total HAMD score and total SCL-90 score (r=0.346, 0.628,all P < 0.05). In multiple regression analyses of the impact of personality tratis on the clinical symptoms of SSD patients, the final independent variables included in the model were introversion and extraversion when the total HAMD score was used as the dependent variable (P< 0.05), gender and introversion and extraversion when the total HAMA score was used as the dependent variable (P< 0.05), and gender and neuroticism when the total SCL-90 score was used as the dependent variable (P< 0.05). Conclusions SSD patients may have personality traits of introversion and neuroticism, with introversion being associated with their emotional problems and neuroticism being closely related to their overall mental health

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赵博慧,吴志国,董玲玲,骆艳丽.首发未用药躯体症状障碍患者的人格特征及其与临床症状的相关性研究[J].神经疾病与精神卫生,2025,25(5):313-317
DOI :10.3969/j. issn.1009-6574.2025.05.002.

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  • 在线发布日期: 2025-05-22