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躯体形式障碍患者心智理论特点及其与述情障碍的相关性研究

发布时间:2018-09-12 06:42
【摘要】:目的探究躯体形式障碍(SD)患者心智理论(To M)功能的特征及与述情障碍的相关性。方法选择30例年龄在18~60岁符合《美国精神障碍诊断与统计手册第4版》诊断标准的躯体形式障碍患者作为研究组,选择年龄、性别及教育水平相匹配的30例正常健康者作为对照组。两组均给予评估失言察觉任务测试(FPR)、Yoni任务测试及多伦多述情障碍20个条目量表(TAS-20)评定,对两组所测得结果加以比较,并对研究组的FPR、Yoni任务评分与TAS-20评分进行相关性分析。结果两组间比较,研究组的FPR总分、失言故事分及控制故事分和Yoni任务测试的Cog、Cog2、Aff、Aff1及Aff2评分均低于对照组,两组间的Yoni任务测试Cog1、Phy、Phy1及Phy2评分比较,差异无统计学意义(P0.05);研究组FPR总分、失言故事分与TAS-20总分及各因子分的相关性分析均呈负相关(P0.05);Yoni任务测试的Cog及Aff各因子分与TAS-20总分、各因子分的相关性分析均呈负相关(P0.05)。结论 SD患者的心智理论能力明显受损,且与述情障碍有关。
[Abstract]:Objective to explore the characteristics of (To M) function in patients with somatoform disorder (SD) and its correlation with alexithymia. Methods Thirty patients with somatoform disorders, aged 1860 years, who met the diagnostic criteria of the American Manual for the diagnosis and Statistics of Mental Disorder, were selected as the study group. Sex and education level matched 30 normal healthy persons as control group. The two groups were assessed with (FPR) and 20 item scale of alexithymia (TAS-20). The results of the two groups were compared, and the correlation between FPR,Yoni task score and TAS-20 score of the study group was analyzed. Results compared with the control group, the total score of FPR, the score of control story and the score of Cog,Cog2,Aff,Aff1 and Aff2 of the Yoni task test in the study group were lower than those in the control group. The Cog1,Phy,Phy1 and Phy2 scores of the Yoni task test were compared between the two groups. There was no significant difference (P0.05); the total score of FPR, the score of miswords in the study group was negatively correlated with the total score of TAS-20 and the correlation analysis of each factor score (P0.05). The Cog and Aff factor scores of Yoni task test were negatively correlated with the total score of TAS-20, and the correlation analysis of each factor score was negative correlation (P0.05). Conclusion the mental theoretical ability of SD patients is obviously impaired and related to alexithymia.
【作者单位】: 南京医科大学附属无锡精神卫生中心精神科;
【分类号】:R749.7

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