摘要

目的 根据对高血压共病抑郁状态患者及正常对照组的抑郁自评量表（SDS）、焦虑自评量表（SAS）及明尼苏达多相人格测验(MMPI)

结果，为高血压的早期发现与治疗提供参考依据。

方法 对门诊20例高血压共病抑郁状态患者进行SDS、SAS、MMPI测试，并与正常人群（对照组）进行对照分析。

结果 与对照组比较，高血压共病抑郁状态组SDS及SAS评分有差异，差异具有统计学意义（P＜0.05）。MMPI效度量表：说谎量表（L）、诈病量表（F）、校正量表（K）两组间差异无统计学意义（P>0.05）；临床量表中精神病态（Pd）、妄想狂（Pa）、轻躁狂（Ma）两组间差异无统计学意义（P>0.05）；与对照组比较，高血压共病抑郁状态组精神衰弱（Pt）、精神分裂（Sc）维度具有差异，差异具有统计学意义（P＜0.05），高血压共病抑郁状态组疑病（Hs）、抑郁（D）、癔病（Hy）、男性化-女性化（Mf）、社会内向（Si）维度具有差异，差异具有显著统计学意义（P＜0.01）。

结论 高血压共病抑郁状态患者多呈现轻度抑郁焦虑状态，在精神衰弱、精神分裂、疑病、抑郁、癔病、男性化-女性化、社会内向7个维度易被识别，其疑病、抑郁、癔病、男性化-女性化、社会内向显著高于正常人群，临床多表现为抑郁焦虑、疑病、躯体化形式障碍、性格内向等。

关键词：高血压；抑郁状态；心理特征；MMPI

ABSTRACT

Objective Based on the results of the SDS, SAS, and the MMPI for patients with hypertensive comorbid depression and normal controls, early detection and treatment of hypertension.Method SDS, SAS, and MMPI tests were performed on 20 patients with hypertensive comorbid depression in the outpatient department, and compared with the normal population (control group).Result Compared with the control group, the SDS and SAS scores of the hypertensive comorbidity group were different, and the difference was statistically significant (P<0.05); MMPI efficacy scale: L, F, K, the difference between the two groups was not statistically significant (P> 0.05); There were no significant differences between the two groups in the Pd, Pa, and Ma (P>0.05); Compared with the control group, the Pt,Sc dimensions of the hypertensive comorbid depression group were different, the difference was statistically significant (P<0.05), and the Hs,D, Hy, Mf, and Si dimensions of the hypertensive comorbid depression group were different, and the difference was statistically significant (P<0.01).

Conclusion   Patients with hypertensive comorbid depression have mild depression and anxiety, and are easily identified in 7 dimensions: Pt,Sc,Hs,D, Hy, Mf, and Si. His Hs,D, Hy, Mf, and Si were significantly higher than the normal population. The clinical manifestations were depression, anxiety, suspected somatization, and introversion.

Key words: hypertension; depression; Psychological characteristics; MMPI