Imperio A M, Cullinan T F, Riklan M
Percept Mot Skills. 1979 Jun;48(3 Pt 1):1003-7. doi: 10.2466/pms.1979.48.3.1003.
The origins of dystonia musculorum deformans are now considered to be organic. However, misdiagnosis of dystonia as a functional psychiatric disorder--usually conversion reaction--has persisted. The present study describes personality traits as measured by the Minnesota Multiphasic Personality Inventory in 30 persons with dystonia and in a control group of 37 persons with cerebral palsy. The data, examined by diagnosis, level of disability, and sex, showed no differences for diagnostic groups or levels of disability. Males scored in the direction of greater psychopathology than did females. The male dystonics showed the highest elevations of MMPI scales of all the groups. Although only one person with dystonia musculorum deformans and none with cerebral palsy produced the profile usually associated with conversion reaction, 36% of all profiles showed two scales above a T score of 70. This finding suggested that young adults with a physically disabling disease may be at higher risk for developing maladaptive personality traits.
变形性肌张力障碍的病因现在被认为是器质性的。然而，将肌张力障碍误诊为功能性精神障碍——通常是转换反应——的情况仍然存在。本研究描述了通过明尼苏达多相人格调查表测量的30例肌张力障碍患者和37例脑瘫对照组患者的人格特征。经诊断、残疾程度和性别检验的数据显示，诊断组或残疾程度之间没有差异。男性在心理病理学方面的得分高于女性。男性肌张力障碍患者在所有组中MMPI量表得分升高幅度最大。虽然只有1例变形性肌张力障碍患者且没有脑瘫患者产生通常与转换反应相关的剖面图，但所有剖面图中有36%显示两个量表的T分高于70分。这一发现表明，患有身体残疾疾病的年轻人可能更易出现适应不良的人格特征。
