广东医学Issue(1)：16-19,4.
抑郁症患者述情障碍与功能性躯体不适的关系
Somatization and alexithymia in patients with depressive disorder
摘要
Abstract
Objective To examine the alexithymia features of patients with depressive disorder and to investigate the associations between alexithymia and somatization .Methods 113 patients with depressive disorder and 100 healthy controls were included.The Chinese version of the 20 -item Toronto Alexithymia Scale (TAS -20), Patient Health Ques-tionnaire (PHQ -15), and the 17 -item Hamilton Depression Scale (HAMD -17) were applied for analysis.Results Compared with controls, patients with depressive disorder showed significantly higher scores in TAS -20 and PHQ -15 (P <0.05).Among the scores of TAS -20, Factor 1 (difficulty in identifying feelings) and Factor 3 (externally oriented thinking) were gradually increased as the increased severity of somatization (P <0.05).In all three factors of alexithy-mia, Factor 1 was strongly correlated with symptoms of pain on body (including back and arms /legs/joints) and tire (r =0.211, r =0.434, P <0.05), while Factor 3 was strongly correlated with discomfort of digestive system and head (r =0.192, r =0.388, P <0.05).According to multiple linear regression, Factor 1 (β=0.220, 95%CI 20.55 ~22.28), Factor 3 (β=0.216, 95%CI 21.32 ~22.76) and HAMD -17 total scores (β=0.334, 95%CI 21.54 ~23.79) were the potential risk factors of somatic complains (R2 =0.238).Conclusion These results suggest that patients with de -pressive disorder have significant somatic amplifications .Alexithymia may be an affecting factor of the somatization symp -toms of depression.关键词
抑郁症/述情障碍/功能性躯体不适Key words
depression/alexithymia/somatization引用本文复制引用
杨程甲,许明智..抑郁症患者述情障碍与功能性躯体不适的关系[J].广东医学,2015,(1):16-19,4.基金项目
广东省自然科学基金资助项目 （）
