易性癖患者的心理健康状况研究

摘要

Objectives:To learn the mental health of patients with transsexualism.Methods:93 patients who visited the psychological consultation clinics between October 2014 and November 2015 were included.Demographic data,the Symptom Check List (SCL-90),the Minnesota Multiple Personality Inventory (MMPI) were used to analyze the mental health status.The mental health status was compared between the introverted and the extroverted patients (according the Si scores in the MMPI,Si ＜ 50,extroverted;Si ＞ 50,introverted),between female and male,different clinic ways and different degree of family harmony.Results:84 Chinese transsexual patients were included in the study.The proportion of female-male was 2 ∶ 1.The extroversion (Si ＜ 50) was higher than the introversion (Si ＞50) in SCL-90 factor scores and MMPI clinic scores.The three factors were concluded by principal component analysis of MMPI clinical scale.The first factor included depression,hypochondria,hysteria,paranoia,pathological personality scale,the second factor included mania,schizophrenia,Pt scale,and the third factor included Male-female and Si scales.Conclusion:Introverted transsexuals suffer a more serious mental health status and the MMPI can be divided into three factors to show the transsexuals' mental health status.%目的:了解易性癖群体的心理健康状况.方法:收集2014年10月至2015年11月期间来心理咨询门诊就诊的易性癖患者,采用一般人口学资料、症状自评量表(SCL-90)和明尼苏达多项人格测验(MMPI)对93名易性癖患者进行调查.以MMPI中Si得分来划分为内外向(Si＜ 50,划分为外向;Si＞ 50,划为内向),比较易性癖患者与常模的得分差异.比较内外向、不同性别、不同求诊方式以及不同家庭关系的易性癖患者的心理健康状况得分差异;将易性癖患者的MMPI临床量表分进行主成分分析.结果:最终共有84例易性癖人群入组.男变女与女变男的性别比为1∶2.在SCL-90的因素得分和明尼苏达多项人格测验的临床得分中,内向人群的得分高于外向人群.MMPI临床量表的主成分分析结果得出三个因子,第一因子包括抑郁、疑病、癔病、妄想狂、病态人格量表,第二因子包括躁狂症、精神病性和精神衰弱量表,第三因子包括男性化-女性化和社会内向量表.结论:内向型的易性癖患者可能会存在更糟糕的心理健康状况.明尼苏达多项人格测验调查后的三个维度能够为展现易性癖患者的心理健康状态提供参考指标.