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对二氧化碳刺激的呼吸困难倾向与人格(神经质、外向性、明尼苏达多相人格调查表因子)

Dyspnea proneness to CO2 stimulation and personality (neuroticism, extraversion, MMPI factors).

作者信息

Waeber R, Adler R H, Schwank A, Galeazzi R L

出版信息

Psychother Psychosom. 1982;37(2):119-23. doi: 10.1159/000287562.

Abstract

The relationship between extroversion (E), MMPI factors on the one hand and the ventilatory response to CO2 on the other was examined in order to extend and clarify earlier studies. 30 male nonsmokers were studied using the method of Read (delta VE/PaCO2 as index of readiness to react with dyspnea upon CO2 stimulation). Extroversion (E) and neuroticism (N) was assessed by the Eysenck Personality Test. The panic-fear (PF) and the ego-strength (Es) scales were extracted from the MMPI. The correlation between E, N, MMPI values and delta VE/PaCO2 was measured with Pearson's correlation. Reliability between the first and second respiratory test was obvious, r = 0.66 (p less than 0.001). The correlation between the psychological parameters and the readiness to respond to CO2 was very low in the first test. In the second test, the r for hypochondriasis, depression and PF was 0.25, 0.28 and 0.29, respectively (p less than 0.1; 2-tailed), for N the r was 0.33, for psychastheny 0.33, and for Es -0.40 (all p less than 0.05). In agreement with Saunders and co-workers, we found no correlation for E. Our results indicate that readiness to react to CO2 is related to anxiety (positive correlations for N, Hs, Pt and PF, and negative for Es). This corresponds to clinical observations.

摘要

为了扩展和澄清早期研究,我们研究了外向性(E)、明尼苏达多相人格调查表(MMPI)各因素与二氧化碳通气反应之间的关系。我们采用里德的方法(以ΔVE/PaCO2作为二氧化碳刺激时呼吸困难反应准备程度的指标)对30名男性非吸烟者进行了研究。通过艾森克人格测试评估外向性(E)和神经质(N)。从MMPI中提取了惊恐恐惧(PF)和自我力量(Es)量表。用皮尔逊相关性测量E、N、MMPI值与ΔVE/PaCO2之间的相关性。第一次和第二次呼吸测试之间的可靠性很明显,r = 0.66(p < 0.001)。在第一次测试中,心理参数与二氧化碳反应准备程度之间的相关性非常低。在第二次测试中,疑病、抑郁和PF的r分别为0.25、0.28和0.29(p < 0.1;双侧),N的r为0.33,精神衰弱的r为0.33,Es的r为 -0.40(所有p < 0.05)。与桑德斯及其同事的研究结果一致,我们发现E没有相关性。我们的结果表明,对二氧化碳的反应准备程度与焦虑有关(N、Hs、Pt和PF呈正相关,Es呈负相关)。这与临床观察结果相符。

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