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性关系障碍患者的心理健康状况分析

Research and analysis on the mental health status of sexual disorder patients

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【作者】 李小平张海音宋立升

【Author】 LI Xiaoping;ZHANG Haiyin;SONG Lisheng;Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine;Shanghai Clinical Center for Mental Disorders;

【机构】 上海交通大学医学院附属精神卫生中心上海市精神疾病临床医学中心

【摘要】 目的:了解性关系障碍人群的心理健康状况。方法:收集2014年10月至2015年10月心理咨询门诊就诊的性关系障碍患者,根据症状自评量表(SCL-90)、明尼苏达多项人格问卷(MMPI-399)来分析其心理健康状况,以MMPI中Si得分来划分为内外向(Si<50,划分为外向;Si>50,内向),比较性取向问题的性关系障碍患者与常模的得分差异,比较内外向、不同性别、不同求诊方式的性关系障碍患者的心理健康状况得分差异。结果:共有54例性关系障碍人群,其中48例是因性取向问题而来的(占88.9%)。因性取向而来的性关系障碍人群在SCL-90中7个因子(人际关系、焦虑、恐怖、精神病性、强迫、抑郁、敌对)得分高于常模标准。女性MMPI中的Mf和Pt量表上得分低于男性。内向人群在SCL-90中的9个因子(躯体、人际关系、焦虑、恐怖、精神病性、强迫、抑郁、偏执和其他因子)得分高于外向人群,在MMPI中的4个因子(Hs、D、Pt和Sc)上得分高于外向性人群。自身而来的人群仅在MMPI中的D量表得分上高于陪同而来的患者。结论:因性取向问题而来的性关系障碍人群心理健康状况低于常模普通人群,内向人群的心理健康状况差于外向性,自来就诊的人群心理健康状况较差。

【Abstract】 Objectives: To learn the mental health of patients with sexual disorder. Methods: Patients visited the psychological consultation clinics between October 2014 and October 2015 were included. The Symptom Self- reporting Inventory( SCL- 90),the Minnesota Multiple Personality Inventory( MMPI- 399) were used to analyze the mental health status. The mental health status were compared between the introverted and the extroverted( according the Si scores in the MMPI,Si < 50,extroverted; Si > 50,introverted),between female and male and between different clinic ways. Results: In the 54 patients with sexual disorders,48 cases were due to sexual orientation( 88. 9%),who had higher scores in seven factors of SCL- 90( interpersonal relationship,anxiety,fear,psychotic,compulsive symptom,depression,hostility) than the rest. Female scored higher than male in Mf and Pt scores in MMPI. The introverted group got higher scores than the extroverted in 9 factors( body,interpersonal relationship,anxiety,fear,psychotic,compulsive symptom,depression,hostility and unclassified factor) in SCL- 90 and 4 factors( Hs,D,Pt and Sc) in MMPI. Those came voluntarily had higher scores in D in MMPI than the patients accompanied by others. Conclusion: Sexual disorder patients due to sexual orientation have lower mental health than the normal people; the introverted have lower mental health than the extroverted,and patients visited hospital voluntarily have poorer mental health.

【基金】 国家临床重点专科项目:上海市精神卫生中心(卫生部医政司2011-873);上海市精神卫生中心特色专科建设(2013-YJTSZK-02);上海市精神卫生中心人才启航计划项目(2014-QH-04)
  • 【文献出处】 中国性科学 ,Chinese Journal of Human Sexuality , 编辑部邮箱 ,2016年10期
  • 【分类号】C913.14;B848
  • 【被引频次】1
  • 【下载频次】145
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