儿童期虐待与精神分裂症患者人格特征的相关性

山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (8): 103-106.

儿童期虐待与精神分裂症患者人格特征的相关性

王妍1，杨丽敏1，2，孙萌萌2，崔开艳2，杨晓东2，乔冬冬1，2，王汝展2，张敬悬2，刘兰芬1,2

1.山东大学医学院，济南 250012； 2.山东省精神卫生中心，济南 250014

收稿日期:2012-10-17 出版日期:2013-08-10 发布日期:2013-08-10
通讯作者: 刘兰芬， E-mail:liulf521@163.com
基金资助:
山东省自然科学基金(ZR2009CL012)

Relationship between personality traits and childhood trauma in patients with schizophrenia

WANG Yan1, YANG Li-min1,2, SUN Meng-meng2, CUI Kai-yan2, YANG Xiao-dong2, QIAO Dong-dong1,2, WANG Ru-zhan2, ZHANG Jing-xuan2, LIU Lan-fen1,

1. School of Medicine, Shandong University, Jinan 250012, China;
2. Shandong Mental Health Center, Jinan 250014, China

Received:2012-10-17 Online:2013-08-10 Published:2013-08-10

摘要/Abstract

摘要：

目的探讨精神分裂症患者人格特征及其与儿童期虐待的相关性。方法应用三维人格问卷(tridimensional personality questionnaire，TPQ)及儿童期虐待问卷(childhood trauma questionnaireshort form，CTQ-SF)对210例精神分裂症患者(病例组)及190例正常人(对照组)进行测评。结果病例组TPQ评分在伤害回避维度高于对照组，在奖赏依赖维度低于对照组(P<0.01)；单因素分析发现，病例组寻求刺激维度与情感虐待、性虐待及CTQ-SF总分显著相关，伤害回避维度与躯体忽视显著相关，奖赏依赖维度与性虐待及CTQ-SF总分显著相关。多元逐步回归分析发现，情感虐待是寻求刺激维度的最佳预测因素，CTQ-SF总分是奖赏依赖维度的最佳预测因素。结论精神分裂症患者在TPQ伤害回避维度及奖赏依赖维度具有独特的特征，儿童期虐待对其人格特征可能具有一定影响。

关键词: 精神分裂症；人格特征；儿童期虐待

Abstract:

Objective To explore personality traits in patients with schizophrenia, and to explore its relationship with childhood trauma. Methods Two hundred and ten patients with schizophrenia (the case group) and 190 healthy individuals (the control group) were investigated with tridimensional personality questionnaire (TPQ) and childhood trauma questionnaire-short form (CTQ-SF). Results The harm-avoidance dimension scores in the case group were higher compared with the control group(P<0.01); the reward-dependence dimension scores were lower in the case group than those in the control group(P<0.01). The noveltyseeking dimension scores were significantly related to emotional abuse, sexual abuse and the CTQ-SF total scores (P<0.01). The harm-avoidance dimension scores were significantly related to physical neglect scores(P<0.05). The reward-dependence dimension scores were significantly related to sexual abuse and the CTQ-SF total score (P<0.05). Multivariate stepwise regression analysis found that emotional abuse was the optimum predictor for novelty-seeking dimension and CTQ -SF total score was the optimum predictor for reward-dependence dimension. Conclusion Patients with schizophrenia have unique characteristics in TPQ′s harm-avoidance dimension and reward-dependence dimension, and childhood trauma may influence their personality characteristics.

Key words: Schizophrenia; Personality trait; Childhood trauma

中图分类号:

R749.3

王妍1，杨丽敏1，2，孙萌萌2，崔开艳2，杨晓东2，乔冬冬1，2，王汝展2，张敬悬2，刘兰芬1,2. 儿童期虐待与精神分裂症患者人格特征的相关性[J]. 山东大学学报(医学版), 2013, 51(8): 103-106.

WANG Yan1, YANG Li-min1,2, SUN Meng-meng2, CUI Kai-yan2, YANG Xiao-dong2, QIAO Dong-dong1,2, WANG Ru-zhan2, ZHANG Jing-xuan2, LIU Lan-fen1,. Relationship between personality traits and childhood trauma in patients with schizophrenia[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(8): 103-106.

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