摘要
目的:探讨伴有躯体症状的抑郁症患者述情障碍相关因素。方法:采用病例对照的研究方法,收集130例符合国际疾病分类第十版(ICD-10)抑郁症诊断标准的患者,汉密尔顿抑郁量表17项版本(HAMD-17)≥17分,其中SCL-90量表中躯体化因子得分>2的抑郁症患者为抑郁症伴躯体症状组(研究组),SCL-90量表中躯体化因子得分≤2的抑郁症患者为抑郁症不伴躯体症状组(对照组)。对两组患者采用多伦多述情障碍量表(TAS-20)评估患者的述情障碍。并就述情障碍的相关因素进行分析比较。结果:1伴有躯体症状的抑郁症患者的述情障碍得分更高,有统计学意义(P<0.01);2抑郁评分越高,其述情障碍越严重;3TAS因子1与3个症状因子呈正相关,因子2与5个症状因子成正相关,因子3与8个症状因子呈负相关,有统计学意义(P<0.05)。结论:伴有躯体症状的抑郁症患者存在明显的述情障碍。性别、受教育年限、抑郁的严重程度等是抑郁症患者述情障碍的重要影响因素。
Objective：To investigate related factors of alexithymia in depression patients with somatic symptoms. Methods：A case-control study was used, and 130 patients were collected, who met the tenth edition of the international classification of diseases （ICD-l0） diagnostic criteria for depression with a score of 17-item Hamilton depression scale 17 of greater than or equal to 17 points. The patients with the SCL-90 somatization factor score of greater than 2 were chosen as depression with somatic symptoms group （ study group）, while those with the SCL-90 somatization factor score of less than or equal to 2were used as depression without somatic symp-toms group （control group）. Alexithymia of all the patients was evaluated with Toronto alexithymia scale （TAS-20） and its related factors were analyzed and compared. Results：（1） study group had higher alexithymia scored, and had the statistical significance （P〈0. 01）. （2） The higher depression score was, the more severe alexithymia was. （3） TAS factor 1 and 3 symptom factors were posi-tively correlated, factor 2 and 5 symptom factors were positively correlated, while factor 3 and 8 symptom factors were negatively corre-lated, and they all were statistically significant （P〈0. 05）. Conclusions：The depression patients with somatic symptoms have obvious alexithymia. Gender, years of education, severity of depression are important factors for these patients.
出处
《中国民康医学》
2014年第22期15-17,共3页
Medical Journal of Chinese People’s Health
关键词
抑郁症
躯体症状
述情障碍
Depression
Somatic symptoms
Alexithymia
