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原发性高血压中的人格特征与肾素

Personality characteristics and renin in essential hypertension.

作者信息

Perini C, Rauchfleisch U, Bühler F R

出版信息

Psychother Psychosom. 1985;43(1):44-8. doi: 10.1159/000287857.

DOI:10.1159/000287857
PMID:3883386
Abstract

There may be specific personality differences between some if not all biochemically defined subgroups of patients with essential hypertension. A newly standardized projective test of reactions to frustration, a questionnaire related to such characteristics as aggressiveness and dominance, and a standardized interview were applied to 16 patients with established high renin essential hypertension and 21 patients of similar age with normal renin. High renin patients are significantly less assertive, fail to externalize their aggression, perceive frustration less and try to please others more; they have a stronger need to solve problems immediately yet tend to deny social conflicts. These tendencies are likely to create internal conflict and indicate a psychosomatic component in high renin essential hypertension.

摘要

在原发性高血压患者中,即便不是全部,至少部分由生化指标定义的亚组之间可能存在特定的人格差异。一项新标准化的挫折反应投射测试、一份与攻击性和支配性等特征相关的问卷以及一次标准化访谈,被应用于16例确诊为高肾素原发性高血压的患者和21例年龄相仿的正常肾素患者。高肾素患者的坚定自信显著较低,无法将攻击性外化,较少感知到挫折,且更倾向于取悦他人;他们有更强烈的立即解决问题的需求,但往往否认社会冲突。这些倾向可能会引发内心冲突,并表明高肾素原发性高血压存在心身成分。

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