癫痫性精神障碍患者的人格特征和行为方式

    The personality and behavior traits in psychiatric disorders associated with epilepsy

    • 摘要: 目的:了解癫痫性精神障碍者的人格特征和行为方式。方法:采用非理性信念量表、卡特尔16种个性特征量表、Barret冲动量表、Buss-Perry攻击量表分别测试38例癫痫性精神障碍患者(观察组)和39名健康成年人(对照组)。结果:观察组非理性信念量表中低挫折耐受、概括化评论、绝对化要求及总分均高于对照组(P0.01)。观察组卡特尔16种个性特征量表的乐群性、聪慧性、稳定性、兴奋性得分均低于对照组(P0.05~P0.01),而紧张性、敏感性、幻想性、世故性、怀疑性得分高于对照组(P0.05~P0.01),其他差异均无统计学意义(P0.05)。观察组冲动量表的计划分、行动分、认知分及总分均高于对照组(P0.01),攻击量表的愤怒、敌意、身体攻击性、语言攻击性、指向自我攻击性评分亦均高于对照组(P0.05~P0.01)。结论:癫痫性精神障碍者多采取不合理的信念和行为方式,具有低聪慧性、不稳定性、怀疑性、敏感性、幻想性、非自律性的人格特点,全面干预治疗对癫痫性精神障碍者十分必要。

       

      Abstract: Objective:To understand the personality and behavior traits in patients with epileptic psychiatric disorders.Methods:Thirty-eight patients with epileptic psychiatric disorders(observation group)and 39 healthy adults(control group) were investigated by Irrational Beliefs Scale,the Cattells Sixteen Personality Factor Questionnaire(16PF),the Barret Impulsiveness Scale and Buss-Perry Attack Scale.Results:The Irrational Beliefs Scale showed that the observation group had higher scores than the control in low frustration tolerance,generalization comments,absolute requirements and the total score(P0.01).In 16PF,the observation group had lower scores than the control in gregarious nature,intelligence,stability and excitability(P0.05 to P0.01),and higher scores in tension,sensitivity,fantasy,sophisticated and suspicion(P0.05 to P0.01),the other scores were not significantly different(P0.05).The Barret Impulsiveness Scale displayed that the observation group had higher scores than the control in plan,action,cognitive and the total score(P0.01);the Buss-Perry Attack Scale demonstrated that the observation group had higher scores than the control in anger,hostility,physical aggression,language offensive,self-attack and the total score(P0.01).Conclusions:The patients with epileptic psychiatric disorders often had irrational beliefs and behavior traits,possessing the personality trait of low intelligence,instability,suspicion,sensitivity,fantasy and non-self-discipline,comprehensive intervention therapy is necessary for psychiatric patients with epilepsy.

       

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