摘要
目的探讨躯体形式障碍(SD)患者述情障碍及焦虑、抑郁的情绪特征,并探讨述情障碍与负性情绪的相关性。方法选取2015年9月—2016年3月在南昌大学第一附属医院心身医学科门诊首次就诊的SD患者60例为研究组,在本科室门诊就诊患者的家属、本院其他科室就诊的患者中选取符合纳入排除标准的60例为对照组。采用自行设计的调查表收集基本情况;采用多伦多述情障碍量表(TAS-20)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)分别评估受试者述情障碍、焦虑及抑郁的严重程度;采用Pearson相关分析探讨SD患者述情障碍与负性情绪的相关性。结果两组情感辨别不能、情感描述不能、外向型思维评分及TAS-20总分比较,差异有统计学意义(P<0.05)。两组躯体性焦虑(HAMA-SOM)、精神性焦虑(HAMA-PSY)评分及HAMA总分比较,差异有统计学意义(P<0.05)。两组焦虑/躯体化、体质量、认知障碍、迟缓、睡眠障碍评分及HAMD总分比较,差异有统计学意义(P<0.05)。SD患者情感辨别不能、情感描述不能、外向型思维评分及TAS-20总分与HAMA-SOM、HAMA-PSY评分及HAMA总分呈线性正相关(P<0.05);SD患者情感辨别不能、情感描述不能、外向型思维评分及TAS-20总分与焦虑/躯体化、体质量、认知障碍、迟缓、睡眠障碍评分及总分呈线性正相关(P<0.05)。结论 SD患者存在明显的述情障碍并伴随一定程度的焦虑、抑郁症状,且述情障碍与焦虑、抑郁情绪呈正相关。
Objective To investigate the emotional characteristics of alexithymia, anxiety and depression in somatoform disorders（ SD）,and to explore the correlation of alexithymia with negative emotion. Methods A total of 60 patients with SD who received the first treatment in Department of Psychosomatic Medicine,The First Affiliated Hospital of Nanchang University from September 2015 to March 2016 were selected as the study group,and other 60 volunteers（ relatives of the study group and patients received treatment in other departments of this hospital during this period） who met the inclusion criteria and exclusion criteria were selected as the control group. A self-designed questionnaire was used to collect the demographic data. Toronto Alexithymia Scale（ TAS-20） was adopted to assess the status of alexithymia. Hamilton Anxiety Scale（ HAMA）was employed to assess the status of anxiety. And Hamilton Depression Rating Scale（ HAMD） was applied to assess the status of depression. Pearson correlation analysis was performed to investigate the correlation between alexithymia and negative emotion in patients with SD. Results The average scores of TAS-20 and its three subscales（ difficulty describing feelings, difficulty identifying feelings and externally-oriented thinking） were significantly different between the two groups（ P 0. 05）. The average scores of HAMA,HAMA-SOM and HAMA-PSY differed significantly between the two groups（ P 0. 05）. Two groups showed obviously different average scores of HAMD and its 5 subscales（ anxiety-somatic, weight loss, insight,retardation and insomnia）（ P 0. 05）. The average scores of TAS-20 and its three subscales were linear positively related to those of the HAMA and its two subscales（ HAMA-SOM and HAMA-PSY）（ P 0. 05）. The average scores of TAS-20 and its three subscales were linear positively correlated to those of HAMD and its 5 subscales（ P 0. 05）. Conclusion The SD patients have severe alexithymia accompanied with varying degrees of anxiety a
出处
《中国全科医学》
CAS
北大核心
2017年第31期3937-3941,共5页
Chinese General Practice
基金
江西省卫生计生委科技计划项目(20155143)
南昌大学研究生创新科研项目(cx2016310)
关键词
躯体形式障碍
述情障碍
焦虑
抑郁
相关性关系
Somatoform disorders
Alexithymia
Anxiety
Depression
Correlation analysis
