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持续躯体形式疼痛障碍临床症状与述情障碍的关系

申景进 陈向一 赖平妹 鲍广林 彭敏

中国健康心理学杂志Issue(7):990-992,3.
中国健康心理学杂志Issue(7):990-992,3.DOI:10.13342/j.cnki.cjhp.2014.07.013

持续躯体形式疼痛障碍临床症状与述情障碍的关系

Psychological Characteristics and Alexithymia in Patients with Persistent Somatoform Pain Disorder

申景进 1陈向一 1赖平妹 1鲍广林 1彭敏1

作者信息

  • 1. 中国.广东医学院附属深圳市南山区人民医院精神科 518052
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摘要

Abstract

Objective To explore relationship between alexithymia and psychological status among patients with persistent somato -form pain disorder .Methods All of the 58 patients who were diagnosed with persistent somatoform pain disorder and 41 controls com-pleted the assessments of common information ,TAS-20-C and SCL-90.All the data were analyzed by SPSS17.0.Results The total and factor scores of TAS-20-C (t=4.32,3.55,4.29;P<0.01)and SCL-90 (t=6.98,11.40,6.343.41,4.63,4.78,5.05,4.87, 5.17,4.40,5.8;P<0.01)of case group were significantly higher than those of the controlled group except scores of difficulty describing feelings(t=1.70,P>0.05).In the case group,the total score of TAS-20-C had significantly positive association with the mean score of SCL-90 and the subscales scores of somatization ,interpersonal sensitivity ,aggression and psychosis ( P<0.05 or P<0.01);And the scores of TAS-20-C factor difficulty identifying feelings were positively correlated with the scores of SCL -90 factor somatization and interpersonal sensitivity(P<0.01 and 0.05);The score of TAS -20-C factor difficulty describing feelings was positively correlated with the scores of SCL -90 factor interpersonal sensitivity and aggression (P<0.05 and 0.01);The score of TAS-20-C factor exter-nally oriented thinking was positively correlated with the mean score of SCL -90 and factor somatization and anxiety .Conclusion Pa-tients with persistent somatoform pain disorder tend to have visible alexithymia ,which affects each other with clinical symptoms .Psycho-therapeutic treatment of patients with persistent somatoform pain disorder should focus on the recognition of emotions and deal with them .

关键词

躯体形式障碍/疼痛/述情障碍/临床症状

Key words

Somatoform disorders/Pain/Alexithymia/Psychological characteristics

分类

医药卫生

引用本文复制引用

申景进,陈向一,赖平妹,鲍广林,彭敏..持续躯体形式疼痛障碍临床症状与述情障碍的关系[J].中国健康心理学杂志,2014,(7):990-992,3.

基金项目

深圳市南山区科技局资助项目 ()

中国健康心理学杂志

1005-1252

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