摘要
目的了解抑郁症患者的述情障碍及其特征,探讨述情障碍与抑郁症不同症状间的关系。方法选用多伦多述情障碍量表20项(TAS-20)中文版和汉密尔顿抑郁量表17项版本(HAMD-17),对82例抑郁症患者和80名健康志愿者进行了评定。结果 (1)抑郁组TAS-20总分和因子分均显著高于对照组(P<0.001);(2)抑郁组TAS-20总分、情感辨别不能因子分和外向性思维因子分随受教育水平的增高逐渐降低,差异有显著性(P<0.01,P<0.05),而对照组不同教育水平者在情感辨别不能因子和情感描述不能因子上差异有显著性(P<0.05);(3)重度组TAS-20总分和因子分均高于轻-中度组,两组差异有显著性(P<0.05,P<0.01);(4)TAS-20总分、情感描述不能因子和外向性思维因子与HAMD-17总分、焦虑/躯体化因子、睡眠障碍因子、阻滞因子和体重因子呈显著正相关关系(r=0.231～0.343,P<0.05,P<0.01)。HAMD-17认知障碍因子与TAS-20总分和因子分相关关系均不显著(P>0.05)。结论抑郁症患者存在述情障碍,可能为抑郁症的一种状态反应,其特征与抑郁症功能性躯体不适症状密切相关。
Objective To study the alexithymic features of patients with depressive disorder and the correlation between alexithymia and depression.Methods Eighty-two depressive patients and eighty healthy controls were enrolled and assessed with Chinese version of the 20-item Toronto Alexithymia Scale（TAS-20）and 17-item Hamilton Depression Scale（HAMD-17）.Results Compared with the controls,depressive patients showed significantly higher score in TAS-20（P0.001）.In depressive patients,the scores of TAS-20,factor 1（difficulty in identifying feelings）and factor 3（externally oriented thinking）were significantly lower in highly educated individuals（P0.01,P0.05）,while the scores of factor1 and factor 2（difficulty in describing feelings）were significantly lower in highly educated individuals in controls（P0.05）.TAS-20 Scores in patients with severe depression were significantly higher than patients with mild to moderate depression in total score,factor 2 and factor 3（P0.01,P0.05）.TAS-20 score was significantly correlated with the scores of anxiety/somatization factor,insomnia factor,blocking factor and weight losing factor of HAMD-17（r=0.231,-0.343,P0.01,P0.05）.However,there was no significant correlation between cognitive factor of HAMD-17 and alexithymia factor score（P0.05）.Conclusion Patients with depressive disorder have significant alexithymia.Alexithymia may be a state-dependent phenomenon in depressive patient,and correlated with the somatization symptoms of depression.
出处
《广东医学》
CAS
CSCD
北大核心
2010年第16期2072-2074,共3页
Guangdong Medical Journal
基金
广东省科技计划项目(编号:2007B031512006)
广东省医学科研立项项目(编号:A2006132)
