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目的了解失眠症患者心理健康状况,为失眠症的防治提供临床依据。方法方便抽样法选取2012年1月1日至12月31日来某疗养院门诊就诊的失眠症患者51例为研究对象,由专业心理医师采用第四军医大学研制的DXC-6型群体多项心理侧评仪,对研究对象进行症状自评量表(SCL-90)及艾森克人格(EPQ)评定。结果①失眠症患者SCL-90各因子评分及阳性项目数与中国常模比较,均显著高于中国常模(t=8.1187,13.1955,10.4721,13.6512,15.6589,11.7150,13.4690,10.6173,16.2677,13.1186;P<0.01);各因子正常检出率为25.5%~68.6%,阳性检出率31.4%~74.5%,其中良好检出率15.7%~33.3%,一般检出率5.9%~35.3%,异常检出率2.0%~11.8%;②失眠症患者P、E、N、L分位于38.5~61.5之间占总人数的33.3%~94.1%,情绪稳定及中间者占35.3%,情绪不稳定占64.7%,性格内向占31.3%,精神质分数高者13.7%。结论失眠症患者整体心理健康状况不佳,人格不够成熟稳定。
Objective To understand the mental health of patients with insomnia and provide a clinical basis for the prevention and treatment of insomnia. Methods Convenient Sampling Method 51 cases of insomnia patients from a hospital outpatient service from January 1, 2012 to December 31, 2012 were selected as the research objects. The psychosocial staff used the DXC-6 type psychological group developed by the Fourth Military Medical University The evaluation instrument was used to evaluate the SCL-90 and EPQ. Results ① The score of SCL-90 and the number of positive items in insomnia patients were significantly higher than those in Chinese norm (t = 8.1187,13.1955,10.4721,13.6512,15.6589,11.7150,13.4690,10.6173,16.2677,13.1186 ; P <0.01). The positive detection rate of each factor was 25.5% -68.6%, the positive detection rate was 31.4% -74.5%, among which the positive detection rate was 15.7% -33.3% and the general detection rate was 5.9% -35.3% The detection rate of anomaly was 2.0% ~ 11.8%. ② The P, E, N and L scores of insomnia patients ranged from 33.3% to 94.1% of the total number of people in the range of 38.5 to 61.5, with emotional stability and middle rate accounting for 35.3% Accounting for 64.7%, personality introverted accounted for 31.3%, psychic scores 13.7%. Conclusion Insomniacs overall mental health is poor, personality is not mature enough and stable.