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神经症性人格特质和神经症症状强度与神经症日间医院患者报告的自杀念头有关吗?

Are neurotic personality traits and neurotic symptoms intensity associated with suicidal thoughts reported by patients of a day hospital for neurotic disorders?

作者信息

Sobański Jerzy A, Cyranka Katarzyna, Rodziński Paweł, Klasa Katarzyna, Rutkowski Krzysztof, Dembińska Edyta, Mielimąka Michał, Müldner-Nieckowski Łukasz, Smiatek-Mazgaj Bogna

机构信息

Katedra Psychoterapii UJ CM.

Oddział Kliniczny Kliniki Psychiatrii Dorosłych, Dzieci i Młodzieży Szpitala Uniwersyteckiego w Krakowie.

出版信息

Psychiatr Pol. 2015;49(6):1343-58. doi: 10.12740/psychiatriapolska.pl/online-first/5.

DOI:10.12740/psychiatriapolska.pl/online-first/5
PMID:26909406
Abstract

AIM

Analysis of prevalence and intensity of suicidal thoughts and their associations with neurotic personality traits as well as neurotic symptoms intensity in patients participating in qualification for hospitalization in a day hospital for treatment of neurotic and behavioral disorders.

METHODS

The results of Symptom Checklist KO"0", Neurotic Personality Questionnaire KON-2006 and Life Inventory of 1063 patients (739 women and 324 men), admitted to psychotherapy in a day hospital because of neurotic, behavioral and personality disorders.

RESULTS

In the population of patients coming for treatment in the day hospital, the presence of suicidal ideations (SI) was common (reaching one-third of the respondents) and was regardless of the respondents'gender associated with significantly higher global symptom level (OWK) and significantly greater global neurotic personality disintegration (XKON) as well as significantly higher values of most of the neurotic personality inventory scales. None of the neurotic personality traits reduced the risk of suicidal ideation nor was associated with low SI arduousness.

CONCLUSIONS

Day hospital patients reporting SI are a subgroup burdened with more severe neurotic disorders and comorbid personality disorders. Thus, the persons reporting in symptom questionnaires willingness to take one's own life, although relatively frequently encountered, deserve special attention due to the greater severity of their symptoms.

摘要

目的

分析在日间医院接受神经症和行为障碍治疗的住院资格评定患者中自杀念头的发生率、强度及其与神经质人格特质以及神经质症状强度的关联。

方法

对1063例因神经症、行为和人格障碍而在日间医院接受心理治疗的患者(739名女性和324名男性)进行症状自评量表KO“0”、神经质人格问卷KON - 2006和生活量表测评。

结果

在日间医院接受治疗的患者群体中,自杀意念(SI)很常见(达到三分之一的受访者),且无论受访者性别,均与显著更高的总体症状水平(OWK)、显著更大的总体神经质人格解体(XKON)以及大多数神经质人格量表的显著更高值相关。没有一种神经质人格特质能降低自杀意念的风险,也与低自杀意念强度无关。

结论

报告有自杀意念的日间医院患者是一个负担更严重的神经症和共病性人格障碍亚组。因此,在症状问卷中报告有自杀意愿的人,尽管相对常见,但因其症状更严重而值得特别关注。

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