소화성궤양 환자의 다면적 인성검사 (MMPI)반응

MMPI Responses of Peptic Ulcer Patients

A clinical study was done to investigate how the personality traits of peptic ulcer patient are reflected in the Minnesota multiphasic personality inventory (MMPI). This study was done on 41 peptic ulcer patients (19 gastric ulcer patients and 22 duodenal ulcer patients) who were confirmed by the fiberendoscopy. 41 healthy subjects were used as control group. All of the scales denoted mean T-score respectively. The results were as follows; 1) The mean T-scores on each scale were within normal range in both peptic ulcer group and normal control group. 2) Comparing peptic ulcer group with normal control group, scales of Hs, Pa, Sc, Ma(P<01) and F, D, Pt(P<.05) were significantly higher in peptic ulcer group. 3) Peptic ulcer patients were divided into two subgroups, gastric ulcer group and duodenal ulcer group, to compare MMPI responses with normal control group. Then MMPI responses of the both subgrops were compared with each other. The results were as follows. First, comparing gastric ulcer group with normal control group, scales of Hs(P<.01) were significantly higher in the former. Second, comparing duodenal ulcer group with normal control group, scales of Hs, D, Hy, Pa, Pt, Sc, Ma(P<.01) and F(P<.05) were significantly higher in the former. Third, comparing gastric ulcer group with duodenal ulcer group, no significant difference was found except scale of Sc(P<.05)，which was higher in the latter. 4) According to the results above mentioned it is possible to postulate that significantly higher scales of peptic ulcer group compared with the control group were strongly influenced by the duodenal ulcer group rather than gastric ulcer group. 5) According to pattern analysis, neurotic trait was recognized in 31.8% of duodenal ulcer group, 15.7% of gastric ulcer group, and none of the control group. Psychotic trait was recognized in 9.0% of the duodenal ulcer group, 5.3% of the gastric ulcer group and none of the control group. This finding supports the existing hypothesis that duodenal ulcer patients are strongly related to emotional factors.