边缘性人格障碍倾向者的述情障碍及与抑郁的关系

发布时间：2018-05-05 06:39

本文选题：边缘性人格障碍 + 述情障碍　；参考：《中国临床心理学杂志》2016年01期

【摘要】：目的:了解边缘性人格障碍倾向者的述情障碍及与抑郁的关系。方法:采用多伦多述情障碍量表(TAS-20)、流调中心抑郁量表(CES-D)、人格障碍诊断问卷第四版(PDQ-4+)对110名临床心理科门诊患者进行调查。结果:1经协方差分析控制抑郁水平,BPD倾向组的述情障碍总分(F=6.86,P=0.002)、情感识别困难(DIF)(F=9.08,P0.001)、情感描述困难(DDF)(F=7.80,P=0.001)均显著高于非BPD倾向组;2控制抑郁障碍共病的影响,BPD特征与述情障碍总分、DIF、DDF及抑郁水平存在显著的正相关(r=0.364-0.440,P均0.001);3对抑郁水平的分层回归分析显示:BPD特征主效应(B=0.441,P0.001)、BPD特征与述情障碍的交互作用(B=-0.181,P=0.029)显著。进一步分组回归发现,非BPD倾向组中述情障碍能够显著正向预测抑郁(B=0.427,P=0.023),而在BPD倾向组中述情障碍对抑郁的预测作用不显著(B=-0.009,P=0.954)。结论:BPD倾向者存在明显的述情障碍,但述情障碍对抑郁的预测作用在BPD倾向组和非BPD倾向组中存在明显差别。
[Abstract]:Objective: to investigate the relationship between alexithymia and depression in patients with borderline personality disorder. Methods: the Toronto alexithymia scale (TAS-20), the depression scale (CES-DX) and the fourth edition of PDQ-4 (Personality Disorder Diagnostic questionnaire) were used to investigate 110 outpatients in clinical cardiology department. Results the total scores of alexithymia, affective recognition, affective identification, and affective description were significantly higher in BPD prone group than those in non-BPD tendency group (P < 0.01). The total scores of alexithymia, affective identification difficulties, and affective description difficulties were significantly higher than those in control of depressive disorder syndromes in non-bpd tendency group (P = 0.001), which were significantly higher than those in control of depressive disorder syndromes in non-BPD tendency group (P < 0.05). The relationship between bpd characteristics and alexithymia was significantly higher than that in non-BPD tendency group (P < 0.05). There was a significant positive correlation between DDF and depressive level. The stratified regression analysis showed that there was a significant positive correlation between DDF and depression level. The results of stratified regression analysis showed that the main effect of BPPD was 0.441P0.001BPD and its interaction with alexithymia was significant (P 0.029). Further group regression analysis showed that alexithymia could significantly positively predict depression in non-BPD prone group, while in BPD prone group, alexithymia had no significant predictive effect on depression. Conclusion there is a significant alexithymia in the patients with BPD tendency, but the predictive effect of alexithymia on depression is significantly different between the BPD tendency group and the non- tendency group.
【作者单位】：中南大学湘雅三医院临床心理科;长沙医学院;
【分类号】：R749.91

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