摘要
目的:研究旨在了解经历精神创伤后,创伤后应激障碍(PTSD)患者的症状特征与述情障碍的关系。方法:试验组为35名经历过精神创伤发生PTSD的患者,对照组为35名经历过精神创伤未发生PTSD的创伤暴露者,在不影响测验症状的情况下分别完成创伤后应激障碍临床筛查表平民版量表(PCL-C)及述情障碍20个条目量表(TAS-20)中文版。结果:PTSD患者述情障碍的发生率(57.14%)高于未发生PTSD的创伤幸存者(11.42%),PTSD患者的TAS-20总分(t=-5.271,P<0.001)、因子1(F1:情感辩别不能)(t=-6.113,P<0.001)及因子2(F2:情感描述不能)(t=-4.660,P<0.001)得分高于对照组,差异有统计学意义。总分及因子分与PTSD症状的相关分析表明,PTSD患者的症状特征与TAS-20总分及F1、F2因子显著相关。结论:精神创伤暴露者中PTSD患者与未发生PTSD的创伤幸存者的述情障碍表现明显不同,TAS-20量表在临床具有较好的辅助诊断价值。
Objective：To know the relationship between posttraumatic stress disorder（PTSD） symptoms and alexithymia of patients who experienced psychological trauma.Methods：Posttraumatic Stress Disorder Check-list-Civilian Version（PCL-C） and the Chineses version of the twenty-item Toronto Alexithymia Scale（TAS-20） were administered to 35 PTSD patients and 35 non-PTSD patients who experienced psychological trauma.Results：Patients with PTSD obtained a significantly higher occurrence of alexithymia（57.14%） than non-PTSD survivors（11.42%）,PTSD patients scored significantly higher on TAS-20 total score（t =-5.271,P〈0.001）,factor 1（F1：emotion recognition disability）（t =-6.113,P〈0.001） and factor 2（F2：emotion description disability）（t =-4.660,P〈0.001） than patients in control group.The correlation analysis indicated that PTSD symptoms had significant relation with TAS-20 total score,F1 score and F2 score.Conclusion：Patients and non-PTSD survivors among psychological trauma exposure show significantly different alexithymia performance.TAS-20 has important accessory diagnostic value in clinical.
出处
《中国健康心理学杂志》
2015年第5期657-661,共5页
China Journal of Health Psychology
基金
"十二五"兵团医药卫生重点领域科技攻关项目"精神创伤后应激相关障碍的识别与干预技术研究"(编号:2012BA023)
