躯体形式障碍患者的述情障碍及其与负性情绪的相关性研究

发布时间：2018-05-16 21:28

本文选题：躯体形式障碍 + 述情障碍　；参考：《中国全科医学》2017年31期

【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(P0.05)。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(P0.05)。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(P0.05)。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(P0.05);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(P0.05)。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。
[Abstract]:Objective to explore the relationship between alexithymia and depression in patients with somatoform disorder (SD), and to explore the correlation between alexithymia and negative emotion. Methods 60 SD patients were selected from September 2015 to March 2016 at the First Affiliated Hospital of Nanchang University, the First Affiliated Hospital of the psychosomatic medicine department, and the patients were treated in this department outpatient department. Among the family members, 60 patients in the other departments of the hospital were selected as the control group. The basic situation was collected by the self-designed questionnaire; the Toronto Alexithymia Scale (TAS-20), Hamilton Anxiety Scale (HAMA), and the Hamilton Depression Scale (HAMD) were used to assess the subjects' alexithymia, anxiety and depression, respectively. The correlation between alexithymia and negative emotion in SD patients was analyzed by Pearson correlation analysis. Results two groups of emotional discrimination, emotional description, extraversion thinking and TAS-20 total score were statistically significant (P0.05). Two groups of somatomatic anxiety (HAMA-SOM), mental anxiety (HAMA-PSY) and HAMA total score were compared. The difference was statistically significant (P0.05). The two groups of anxiety / somatization, body mass, cognitive impairment, retardation, sleep disorder score and HAMD total score were statistically significant (P0.05).SD patients' emotional discrimination, emotional description cannot, extroverted thinking score and TAS-20 total score and HAMA-SOM, HAMA-PSY score and HAMA total score were linear positive correlation (P0.) 05): SD patients' emotional discrimination, emotional description, extroverted thinking score, TAS-20 total score and anxiety / somatization, body mass, cognitive impairment, retardation, sleep disorder score and total score were linear positive correlation (P0.05). Conclusion SD patients have obvious alexithymia with a certain degree of anxiety, depressive symptoms, and alexithymia and anxiety. There is a positive correlation between depression and depression.
【作者单位】：南昌大学第一附属医院心身医学科;南昌大学体育与教育学院;南昌大学第一附属医院康复医学科;南昌大学医学院;
【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)
【分类号】：R749.4

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