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获得性心脏瓣膜病患者的人格与心身综合征

The personality and psychosomatic syndrome in patients with acquired valvular heart diseases.

作者信息

Nasiłowska-Barud A, Markiewicz M

机构信息

Department of Cardiology, Medical Academy, Lublin, Poland.

出版信息

Mater Med Pol. 1991 Oct-Dec;23(4):251-3.

PMID:1842228
Abstract

Fifty patients (36 women and 14 men) aged 16-51 with valvular heart diseases qualified from surgical treatment were studied. For determination of personality traits the Self Knowledge Card by R. B. Cattell, The Minnesota Multiphasic Personality Inventory MMPI-WISKAD by Hathaway and McKinley and The Adjectives Test ACL by Gough and Heilbrun. Using these methods it was shown that patients with acquired valvular heart diseases had a much lower tolerance threshold for frustration and stressful situations and had a tendency for autoaggressive behaviour. Somatic symptoms in these patients cause a constant feeling of danger and anxiety and difficulties in adaptation to everyday life conditions with a tendency for self-effacement. Predominating needs were demonstrated in three sets: a) defense attitudes and strong self-control, b) needs connected with goal achievement and strivings, c) needs connected with normal relations with other people. A statistical comparison of the results obtained in patients with valvular heart diseases and in healthy controls showed very significant differences between them.

摘要

对50例年龄在16至51岁之间、患有心脏瓣膜病且符合手术治疗条件的患者(36名女性和14名男性)进行了研究。为了确定人格特质,使用了R.B.卡特尔的自我认知卡片、哈撒韦和麦金利编制的明尼苏达多相人格问卷MMPI-WISKAD以及高夫和海尔布伦编制的形容词测试ACL。通过这些方法发现,后天性心脏瓣膜病患者对挫折和压力情境的耐受阈值要低得多,并且有自我攻击行为的倾向。这些患者的躯体症状会导致持续的危险和焦虑感,以及适应日常生活条件的困难,并伴有自我贬低的倾向。主要需求体现在三个方面:a)防御态度和强大的自我控制能力,b)与目标达成和奋斗相关的需求,c)与与他人正常关系相关的需求。对心脏瓣膜病患者和健康对照组所得结果的统计比较显示,两者之间存在非常显著的差异。

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