躯体形式障碍的社会心理学分析

本研究对躯体形式障碍患者的社会心理特点进行调查分析.按照中国精神障碍分类与诊断标准第3版（CCMD-3）,试验组躯体形式障碍患者51例,在社区分层抽样51人作为对照组,用防御方式问卷、多伦多述情障碍量表进行测量.试验组不成熟型防御方式明显高于对照组,成熟型防御方式低于对照组,差异有统计学意义；述情障碍总分高于对照组,差异有统计学意义.情绪表达障碍、不成熟心理防御方式和社会文化因素共同作用形成了躯体形式障碍发病机制中的社会心理原因.在预防与治疗中需加强心理干预,以有效预防疾病的发生和提高治疗效果.

The Psychosocial Analysis of Somatoform Disorders

This is to analyze the psychosocial etiology of the patients who are suffering somatoform disorders （SD）. The experimental group composed by 51 cases of SD according to CCMD-8, and the control group is stratified sampled in community composed by 51 normal people. 2 groups have been measured by using defense style questionnaire （DSQ）, Toronto alexithymia scale （TAS）. The score of the immature defense mechanism of experimental group is significantly higher than that of the control group, and the score of mature defensive mechanism is significantly lower. The alexithymia of the experimental group were significantly higher than that of the control group. The alexithymia, immature defense mechanism and the social culture function together and lead to the perpetuating of the symptoms of SD. The psychological intervention should be highlighted in order to prevent the occurrence of SD and improve the therapeutic effect.