中国全科医学2017，Vol.20Issue(31)：3937-3941,5.DOI:10.3969/j.issn.1007-9572.2017.31.021
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
Alexithymia and Negative Emotions in Somatoform Disorders
摘要
Abstract
Objective To investigate the emotional characteristics of alexithymia,anxiety and depression in somatoform disorders (SD),and to explore the correlation of alexithymia with negative emotion.Methods A total of 60 patients with SD who received the first treatment in Department of Psychosomatic Medicine,The First Affiliated Hospital of Nanchang University from September 2015 to March 2016 were selected as the study group,and other 60 volunteers (relatives of the study group and patients received treatment in other departments of this hospital during this period) who met the inclusion criteria and exclusion criteria were selected as the control group.A self-designed questionnaire was used to collect the demographic data.Toronto Alexithymia Scale (TAS-20) was adopted to assess the status of alexithymia.Hamilton Anxiety Scale (HAMA) was employed to assess the status of anxiety.And Hamilton Depression Rating Scale (HAMD) was applied to assess the status of depression.Pearson correlation analysis was performed to investigate the correlation between alexithymia and negative emotion in patients with SD.Results The average scores of TAS-20 and its three subscales (difficulty describing feelings,difficulty identifying feelings and externally-oriented thinking) were significantly different between the two groups (P ＜ 0.05).The average scores of HAMA,HAMA-SOM and HAMA-PSY differed significantly between the two groups (P ＜ 0.05).Two groups showed obviously different average scores of HAMD and its 5 subscales (anxiety-somatic,weight loss,insight,retardation and insomnia) (P ＜ 0.05).The average scores of TAS-20 and its three subscales were linear positively related to those of the HAMA and its two subscales (HAMA-SOM and HAMA-PSY) (P ＜ 0.05).The average scores of TAS-20 and its three subscales were linear positively correlated to those of HAMD and its 5 subscales (P ＜ 0.05).Conclusion The SD patients have severe alexithymia accompanied with varying degrees of anxiety and depressive symptoms.Moreover,the level of alexithymia is positively related with the levels of anxiety and depression.关键词
躯体形式障碍/述情障碍/焦虑/抑郁/相关性关系Key words
Somatoform disorders/Alexithymia/Anxiety/Depression/Correlation analysis分类
医药卫生引用本文复制引用
董香丽,袁也丰,孙伟铭,付伟,邹卿..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[J].中国全科医学,2017,20(31):3937-3941,5.基金项目
江西省卫生计生委科技计划项目(20155143) （20155143）
南昌大学研究生创新科研项目(cx2016310) （cx2016310）
