目的探讨变应性鼻炎(allergic rhinitis,AR)患者的基本心理人格特征。方法应用明尼苏达多相个性调查表(minnesota muliphasic personality inventory,MMPI)分析84例AR患者和37例健康对照者的心理人格特征。结果AR患者在疑病量表(hypochondriasis,Hs)、抑郁量表(depression,D)、癔病量表(hysteria,Hy)、轻躁狂量表(hypomania,Ma)、社会内向量表(social introversion,Si)5个临床量表T分和外显焦虑量表(manifest aniety scale,Mas)T分明显高于健康对照(t值分别为2.169、2.711、2.010、2.577、2.390、2.196,P值均〈0.05)。皮肤点刺风团等级与Hs、Hy、精神病态量表(psychopathic deviance,Pd)、精神衰弱量表(psychasthenia,Pt)的T分呈正相关(r值分别为0.366、0.449、0.345、0.355,P值均〈0.05),风团直径越大患者Hs、Hy、Pd、Pt的T分越高。AR患者的人格心理特征倾向于过度关注于自己、夸大病情、更不愉快和易于绝望,更易怒和暴躁、更感孤独和希望独处。结论AR患者比健康对照者的心理功能差,与不良精神心理功能具有一定相关性。
Objective To explore the relationship between allergic rhinitis (AR) and personality traits in nonpsychiatric population of allergic status. Methods Subjects were assigned to the allergic (84 cases) or nonallergic health group (37 cases ) on the basis of skin prick test (SPT) and allergic symptoms. The psychological aspects of subjects were assessed by using the minnesota muliphasic personality inventory (MMPI). Results The allergic group scored higher than the nonallergic group on five clinical scales, hypochondriasis (Hs), depression (D), hysteria (Hy), hypomania (Ma), social introversion ( Si), and one research scale manifest aniety scale (Mas). The differences were significant ( t value was respectively 2. 169, 2. 711, 2.010, 2. 577, 2. 390 and 2. 196, all P 〈0.05). In addition, the grade of resultant skin wheal was positively correlated with T scores on the Hs, Hy, psychopathic deviance (Pd) and psychasthenia ( Pt). The r value was 0. 366, 0. 449, 0. 345 and 0. 355 respectively ( all P 〈 0. 05 ). Conclusion Subjects with AR show poorer psychological functioning, indicating the close relationship between AR and psychological status.