摘要
Abstract
Objective :To investigate the effects of alexithymia on the coping style and life quality of patients with coronary heart disease (CHD)with diabetes mellitus .Methods :A total of 70 patients were enrolled following the di-agnostic criteria of CHD and diabetes mellitus ,and were divided into two groups according to Toronto Alexithymia scale - 20 (TAS - 20) :Alexithymia group (TAS - 20 > 60)and non - alexithymia group (TAS - 20 < 50) .Medical Coping Modes Questionnaire (MCMQ)and Life quality complex assessment questionnaire (GQLI)were employed for the comparison .Results :The confront factor was significantly lower in alexithymia group than in non - alexithymia group(t = -8 .23 ,P < 0 .01) ,whereas the scores of avoidance and resignation factors were significantly higher in alexi-thymia group than in non - alexithymia group(t = 5 .21 ,4 .27 ;P < 0 .01) .Scores of total ,physical health ,psychological health and social function of CQLI in non - alexithymia group were significantly higher than those in alexithymia group .There were no significant differences in material life dimension score (t = 3 .66 ,3 .82 ,3 .66 ,2 .37 ;P > 0 .05) . TAS - 20 score was negatively related to the score of confront factor (r = -0 .34 ,P < 0 .01)and positively related to the scores of avoidance and resignation factors of MCMQ (r = 0 .32 ,0 .34 ;P < 0 .01) ,which was further negatively re-lated to the scores of total ,physical health ,psychological health and social function of CQLI (r = -0 .31 ,-0 .33 ,-0 .30 ;P < 0 .05)in patients with CHD with diabetes mellitus ,with no significant correlation with material life dimension score .Conclusion :Alexithymia patients with CHD with diabetes mellitus are prone to cope with passive avoidance and resignation rather than positive confront ,their life quality is lower than that of non - alexithymia patients .关键词
冠心病/糖尿病/述情障碍/应对方式/生活质量Key words
Coronary heart disease/Diabetes mellitus/Alexithymia/Coping style/Quality of Life分类
医药卫生
