[慢性疼痛患者的心理结构]
[The psychic structure of chronic pain patients].
作者信息
Fischer-Kern Melitta, Mikutta Christian, Kapusta Nestor D, Hörz Susanne, Naderer Andrea, Thierry Nikolaus, Leithner-Dziubas Katharina, Löffler-Stastka Henriette, Aigner Martin
机构信息
Universitätsklinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, A-1090 Wien.
出版信息
Z Psychosom Med Psychother. 2010;56(1):34-46. doi: 10.13109/zptm.2010.56.1.34.
OBJECTIVES
The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization.
METHODS
We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed using the SCID (DSM-IV). Psychic structure was assessed using the Structured Interview of Personality Organization (STIPO).
RESULTS
At least one psychiatric diagnosis was found in 94 % of the patients, and 63 % of the patients met the criteria of at least one diagnosis of a personality disorder. In 58 % of the patients, we diagnosed a borderline personality organization, with high deficits in the dimensions of coping, defence mechanisms and identity.
CONCLUSIONS
The high prevalence of borderline personality organization confirms the importance of a diagnostic investigation of the psychic structure and the necessity for psychotherapeutic treatment in chronic pain patients.
目的
本研究根据克恩伯格的人格组织概念，调查慢性疼痛患者的心理结构和精神共病情况。
方法
我们评估了48名在精神科行为医学疼痛诊所就诊的慢性疼痛患者。使用SCID（DSM-IV）对患者进行诊断。使用人格组织结构化访谈（STIPO）评估心理结构。
结果
94%的患者至少有一项精神科诊断，63%的患者符合至少一项人格障碍诊断标准。58%的患者被诊断为边缘型人格组织，在应对、防御机制和身份认同维度存在高度缺陷。
结论
边缘型人格组织的高患病率证实了对慢性疼痛患者心理结构进行诊断性调查的重要性以及心理治疗的必要性。
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