本文選題：情志 + 神志病　； 參考：《中醫(yī)雜志》2017年23期

【摘要】：目的探討不同情志在神志病發(fā)病中的致病特征。方法用提綱式作業(yè)對434名神志病患者和50名普通人進(jìn)行情志經(jīng)歷的問卷調(diào)查,采用Nvivo 10.0對提綱式作業(yè)中的五志即喜、怒、思、悲、恐相關(guān)詞語進(jìn)行查詢,計算文本資料中情志相關(guān)字?jǐn)?shù)比例與相關(guān)詞語詞頻。結(jié)果共343份問卷納入研究,其中普通組41例,失眠組36例,抑郁組99例,軀體組21例,焦慮組60例,精分組21例,強迫組33例,他病組32例。普通組較失眠組、抑郁組、焦慮組和他病組"悲"字?jǐn)?shù)比例低(P0.01),較其他各組"喜"字?jǐn)?shù)比例高(P0.05);精分組較失眠組、抑郁組、焦慮組和他病組"悲"字?jǐn)?shù)比例低(P0.05);失眠組較軀體組和強迫組"悲"字?jǐn)?shù)比例高(P0.05);焦慮組和強迫組較失眠組和抑郁組"恐"字?jǐn)?shù)比例高(P0.05)。精分組較焦慮組、強迫組和他病組"恐"相關(guān)詞語詞頻低(P0.05);精分組和軀體組較焦慮組"怒"相關(guān)詞語詞頻高(P0.05)。結(jié)論普通人的情志經(jīng)歷中"喜"占優(yōu)勢,神志病患者中"怒"和"悲"占優(yōu)勢,精神分裂癥患者中"喜"和"怒"占優(yōu)勢,失眠癥和抑郁癥患者中"悲"占優(yōu)勢,而焦慮障礙和強迫癥患者中"恐"占優(yōu)勢。
[Abstract]:Objective to explore the pathogenetic characteristics of different emotions in the pathogenesis of psychosis. Methods A questionnaire survey was conducted on 434 patients with mental illness and 50 ordinary people with outline work, and the five words of joy, anger, thought, sadness and fear were investigated by NVivo 10.0. Calculate the proportion of affective correlation words and the frequency of related words in the text data. Results 343 questionnaires were included in the study, including 41 cases in general group, 36 cases in insomnia group, 99 cases in depression group, 21 cases in somatic group, 60 cases in anxiety group, 21 cases in fine group, 33 cases in obsessive-compulsive group and 32 cases in other disease group. Compared with insomnia group, depression group, anxiety group and other disease group, the proportion of "sad" words in common group was lower (P0.01), higher than that in other groups (P0.05). The proportion of "sad" words in anxiety group and other disease group was lower (P0.05); the proportion of "sad" words in insomnia group was higher than that in body group and compulsive group (P0.05); the proportion of "fear" words in anxiety group and compulsive group was higher than that in insomnia group and depression group (P0.05). The frequency of "fear" related words in obsessive group and other disease group was lower than that in anxiety group (P0.05), and the frequency of "anger" related words in fine group and body group was higher than that in anxiety group (P0.05). Conclusion the "joy" is dominant in the emotional experience of the common people, the "anger" and "sadness" are dominant in the mentally ill patients, the "joy" and "anger" in the schizophrenic patients, and the "sad" in the patients with insomnia and depression. Anxiety disorder and obsessive-compulsive disorder patients, "fear" is the dominant.
【作者單位】： 中國中醫(yī)科學(xué)院廣安門醫(yī)院;
【基金】：“十二五”國家科技支撐計劃(2014BAI10B07)
【分類號】：R277.7
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本文編號：2051723