摘要
目的探讨不同情志在神志病发病中的致病特征。方法用提纲式作业对434名神志病患者和50名普通人进行情志经历的问卷调查,采用Nvivo 10.0对提纲式作业中的五志即喜、怒、思、悲、恐相关词语进行查询,计算文本资料中情志相关字数比例与相关词语词频。结果共343份问卷纳入研究,其中普通组41例,失眠组36例,抑郁组99例,躯体组21例,焦虑组60例,精分组21例,强迫组33例,他病组32例。普通组较失眠组、抑郁组、焦虑组和他病组"悲"字数比例低(P<0.01),较其他各组"喜"字数比例高(P<0.05);精分组较失眠组、抑郁组、焦虑组和他病组"悲"字数比例低(P<0.05);失眠组较躯体组和强迫组"悲"字数比例高(P<0.05);焦虑组和强迫组较失眠组和抑郁组"恐"字数比例高(P<0.05)。精分组较焦虑组、强迫组和他病组"恐"相关词语词频低(P<0.05);精分组和躯体组较焦虑组"怒"相关词语词频高(P<0.05)。结论普通人的情志经历中"喜"占优势,神志病患者中"怒"和"悲"占优势,精神分裂症患者中"喜"和"怒"占优势,失眠症和抑郁症患者中"悲"占优势,而焦虑障碍和强迫症患者中"恐"占优势。
Objective To discuss the pathogenic characteristics of different emotions in the development of mental diseases. Methods Four hundred and thirty four mental disease patients and fifty ordinary people were asked to fill in a questionnaire of emotional experience with outline-style homework. Nvivo 10 was used to query the five minds of happiness,rage,thought,sorrow and fear in the outline homework. The frequency of words related to emotions and the frequency of related words in the textual data were calculated. Results A total of 343 questionnaires were included in the study. There were 41 cases in the general group,36 cases in the insomnia group,99 cases in the depression group,21 cases in the somatoform disorder group,60 cases in the anxiety group,21 cases in the schizophrenia group,33 cases in the obsessive-compulsive disorder group and 32 cases in the other disease group. The frequency of ＂sorrow＂words in the general group was lower than that in the insomnia group,depression group,anxiety group and the other disease group（ P〈0. 01）. The frequency of ＂happiness＂words in the ordinary group was higher than that in the other groups（ P〈0. 05）. The frequency of＂sorrow＂words in the obsessive-compulsive disorder group was lower than that in the insomnia group,depression group,anxiety group and the other disease group（ P〈0. 05）. The frequency of ＂sorrow＂words in the insomnia group was higher than that in the somatoform disorder group and obsessivecompulsive disorder group（ P〈0. 05）. The frequency of ＂fear＂in the anxiety group and obsessive-compulsive disorder group were higher than those in the insomnia group and depression group（ P〈0. 05）. The frequency of ＂fear＂in the schizophrenia group was lower than that in the anxiety group,obsessive-compulsive disorder group and the other disease group（ P〈0. 05）. The frequency of ＂fear＂in the schizophrenia group and somatoform disorder group were higher than those in the anxiety group（ P〈0. 05）. Conclusio In the emotional experience of general people,＂happiness＂seems to take the advantage. In the mental disease patients,＂rage＂and ＂sorrow＂seem to take the advantage. In the schizophrenia patients,＂happiness＂and ＂rage＂seem to take the advantage. In the insomnia patients and depression patients,＂sorrow ＂seems to take the advantage. In the anxiety patients and obsessive-compulsive disorder patients,＂fear＂seems to take the advantage.
出处
《中医杂志》
CSCD
北大核心
2017年第23期2008-2012,共5页
Journal of Traditional Chinese Medicine
基金
"十二五"国家科技支撑计划(2014BAI10B07)
关键词
情志
神志病
中医心理
病因
emotion
mental diseases
Chinese medicine psychology
cause of disease
