2006년 10월부터 2009년 영남대학교병원 정신건강의학과를 방문한 180명의 인격장애 환자(B군 121명, C군 59명)를 대상으로 Minnesota Multiphasic Personality Inventory(MMPI), Symptom Checklist-90-Revised (SCL-90-R), ...
2006년 10월부터 2009년 영남대학교병원 정신건강의학과를 방문한 180명의 인격장애 환자(B군 121명, C군 59명)를 대상으로 Minnesota Multiphasic Personality Inventory(MMPI), Symptom Checklist-90-Revised (SCL-90-R), Personality Disorder Questionnaire-4+ (PDQ-4+), Defense Style Questionnaire(DSQ)를 사용하여 정신병리 및 방어기제를 알아본 결과 다음과 같은 성적을 얻었다. 연구 대상자 180명 중 170명(95.6%)에서 제 1축 정신과적 질병이 동반되었고, 두 군 사이에 자살시도 경험의 차이는 없었다. B군 인격장애와 C군 인격장애의 심리검사 비교 결과, PDQ-4+에서 B군 인격장애 군은 편집성, 반사회성, 경계성, 히스테리성, 자기애성, 부정적 인격장애 척도가 높았으며, SCL-90-R에서는 신체화, 적개심 척도가, MMPI에서는 반사회성, 경조증 척도가, DSQ의 방어유형 중 표상왜곡형, 개별 방어기제 중 부정, 투사, 행동화, 친화 척도가 높았다. 반면 C군 인격장애 군에서는 MMPI에서 우울증, 사회적 내향성 척도, DSQ의 개별 방어기제 중 전능감 척도가 높았다. 인격장애 환자의 평가에서는 제 1축 정신질환을 함께 평가해야하며, 각 인격장애 군별 정신 병리 및 방어기제 특성을 함께 고려하여 환자 치료에 참고해야 할 것으로 사료한다.
2006년 10월부터 2009년 영남대학교병원 정신건강의학과를 방문한 180명의 인격장애 환자(B군 121명, C군 59명)를 대상으로 Minnesota Multiphasic Personality Inventory(MMPI), Symptom Checklist-90-Revised (SCL-90-R), Personality Disorder Questionnaire-4+ (PDQ-4+), Defense Style Questionnaire(DSQ)를 사용하여 정신병리 및 방어기제를 알아본 결과 다음과 같은 성적을 얻었다. 연구 대상자 180명 중 170명(95.6%)에서 제 1축 정신과적 질병이 동반되었고, 두 군 사이에 자살시도 경험의 차이는 없었다. B군 인격장애와 C군 인격장애의 심리검사 비교 결과, PDQ-4+에서 B군 인격장애 군은 편집성, 반사회성, 경계성, 히스테리성, 자기애성, 부정적 인격장애 척도가 높았으며, SCL-90-R에서는 신체화, 적개심 척도가, MMPI에서는 반사회성, 경조증 척도가, DSQ의 방어유형 중 표상왜곡형, 개별 방어기제 중 부정, 투사, 행동화, 친화 척도가 높았다. 반면 C군 인격장애 군에서는 MMPI에서 우울증, 사회적 내향성 척도, DSQ의 개별 방어기제 중 전능감 척도가 높았다. 인격장애 환자의 평가에서는 제 1축 정신질환을 함께 평가해야하며, 각 인격장애 군별 정신 병리 및 방어기제 특성을 함께 고려하여 환자 치료에 참고해야 할 것으로 사료한다.
The purpose of this study was to find out differences in psychopathologies and defense mechanisms between different personality disorder clusters. 180 subjects(cluster B personality disorder 121 subjects, cluster C personality disorder 59 subjects) were evaluated with the following psychological tes...
The purpose of this study was to find out differences in psychopathologies and defense mechanisms between different personality disorder clusters. 180 subjects(cluster B personality disorder 121 subjects, cluster C personality disorder 59 subjects) were evaluated with the following psychological tests before treatment; the Minnesota Multiphasic Personality Inventory(MMPI), the Symptom Checklist-90- Revised(SCL-90-R), the Personality Disorder Questionnaire-4+ (PDQ-4+), and the Defense Style Questionnaire(DSQ). 170 subjects(95.6%) had comorbidity in axis I disorder. There was no statistically significant difference between the two groups in suicide attempt. The results showed that somatization and hostility subscale scores of SCL-90-R were significantly higher in cluster B personality disorders than in cluster C personality disorders. MMPI showed significantly higher depression and social introversion in cluster C personality disorders, while psychopathic deviate and hypomania were significantly higher in cluster B personality disorders. Patients with cluster B personality disorders showed higher index on paranoid, antisocial, borderline, histrionic, narcissistic, negativistic personality disorder on PDQ-4+. DSQ results showed significantly higher image distorting with cluster B personality disorder. Of specific defense mechanisms of DSQ, neurotic denial, nondelusional projection, acting out, and affiliation were significantly higher in cluster B personality disorders, whereas omnipotence was significantly increased in cluster C personality disorders. In personality disorder patient, axis I disorder should be evaluated, as well as the psychopathology and defensive mechanism of each personality disorder; all of which needs to be considered for treatment of the patient.
The purpose of this study was to find out differences in psychopathologies and defense mechanisms between different personality disorder clusters. 180 subjects(cluster B personality disorder 121 subjects, cluster C personality disorder 59 subjects) were evaluated with the following psychological tests before treatment; the Minnesota Multiphasic Personality Inventory(MMPI), the Symptom Checklist-90- Revised(SCL-90-R), the Personality Disorder Questionnaire-4+ (PDQ-4+), and the Defense Style Questionnaire(DSQ). 170 subjects(95.6%) had comorbidity in axis I disorder. There was no statistically significant difference between the two groups in suicide attempt. The results showed that somatization and hostility subscale scores of SCL-90-R were significantly higher in cluster B personality disorders than in cluster C personality disorders. MMPI showed significantly higher depression and social introversion in cluster C personality disorders, while psychopathic deviate and hypomania were significantly higher in cluster B personality disorders. Patients with cluster B personality disorders showed higher index on paranoid, antisocial, borderline, histrionic, narcissistic, negativistic personality disorder on PDQ-4+. DSQ results showed significantly higher image distorting with cluster B personality disorder. Of specific defense mechanisms of DSQ, neurotic denial, nondelusional projection, acting out, and affiliation were significantly higher in cluster B personality disorders, whereas omnipotence was significantly increased in cluster C personality disorders. In personality disorder patient, axis I disorder should be evaluated, as well as the psychopathology and defensive mechanism of each personality disorder; all of which needs to be considered for treatment of the patient.
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