Objective To explore the differences of symptoms and personalities between social phobia patients with sensitive delusion of reference (SDR) and those without SDR, and to provide theoretical support for clinical therapy. Methods 41 cases with social phobia were investigated and were divided into study group (31 cases accompanied with SDR) and control group (10 cases without SDR) by using SCL-90 and clinical interrogation. Scores of SCL-90 and Eysenck Personality Questionnaire (EPQ) were compared between the two groups. Results 75.61% of cases coexisted SDR. They had higher scores in SCL-90 and lower scores in EPQ-E when compared with patients without SDR. The differences were significant (P<0.01). Conclusion Sensitive delusion of reference may be one of the characteristic symptoms of social phobia. Introrse temperament in personality factors may be the important risk factor of sensitive delusion of reference.%目的 探讨伴与不伴敏感性关系妄想的社交恐惧症患者在症状及个性方面的差异,为临床治疗提供理论依据.方法 采用症状自评量表(SCL-90),结合临床问诊,对41例社交恐惧症患者进行评定；采用艾森克人格问卷(EPQ)对伴有敏感性关系妄想的社交恐惧症患者31例与不伴敏感性关系妄想的社交恐惧症患者10例进行对照研究.结果 75.61％的患者伴有敏感性关系妄想,伴妄想与不伴妄想者相比SCL-90各项因子得分均高,EPQ中E分较低,差异有统计学意义(P＜0.01).结论 敏感性关系妄想是社交恐惧症重症患者的症状特征,而性格内向是敏感性关系妄想的一个重要因素.
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