BIOPSYCHOBEHAVIORAL CORRELATES OF INSOMNIA .2. PATTERN SPECIFICITY AND CONSISTENCY WITH THE MINNESOTA MULTIPHASIC PERSONALITY-INVENTORY

BIOPSYCHOBEHAVIORAL CORRELATES OF INSOMNIA .2. PATTERN SPECIFICITY AND CONSISTENCY WITH THE MINNESOTA MULTIPHASIC PERSONALITY-INVENTORY
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DOI:
10.1097/00006842-198308000-00008
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发表时间:
1983-01-01
影响因子:
3.3
通讯作者:
KALES, JD
KALES, JD
中科院分区:
医学3区
文献类型:
--
作者:
KALES, A;CALDWELL, AB;KALES, JD

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在一项旨在评估慢性失眠症患者人格模式的研究中,共有528名受试者(428名失眠症患者和100名对照组)完成了明尼苏达州多相人格问卷(MMPI)。对来自半自然地区的失眠症患者和来自完全不同地理区域的城市失眠症患者的MMPI图谱进行比较,结果显示,高水平的精神病理学以及群体内部和群体之间的特定人格模式的结果是一致的。失眠症受试者的人格模式非常相似:只有几种MMPI代码类型占了.apprx。每个失眠症样本的1/2。失眠症患者的特征一直是神经性抑郁、沉思、慢性焦虑、情绪抑制和无法向外发泄愤怒。通过情绪内化来处理压力和冲突会导致生理上的激活,这是慢性失眠发生和维持的主要因素。
In a study designed to assess personality patterns of patients with chronic insomnia, a total of 528 subjects (428 insomniacs and 100 controls) completed the Minnesota Multiphasic Personality Inventory (MMPI). Comparison of the MMPI profiles of insomniacs from a semirural area and of those from an urban area, each in a completely different geographic region, showed results consistent for high levels of psychopathology as well as for specific personality patterns within and between groups. The personality patterns of insomnic subjects were remarkably homogeneous: only a few MMPI code types accounted for .apprx. 1/2 of each insomniac sample. The insomniac profiles were consistently characterized by the presence of neurotic depression, rumination, chronic anxiety, inhibition of emotions and an inability to discharge anger outwardly. The handling of stresses and conflicts through an internalization of emotions leads to physiologic activation and is a major factor underlying the development and maintenance of chronic insomnia.