中国现代医学杂志2017，Vol.27Issue(29)：105-110,6.DOI:10.3969/j.issn.1005-8982.2017.29.023
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
Association between alexithymia and theory of mind in patients with somatoform disorder
易峰 1邹凯 1蒋幸衍 1甄莉丽1
作者信息
- 1. 南京医科大学附属无锡精神卫生中心 精神科,江苏 无锡 214151
- 折叠
摘要
Abstract
Objective To investigate the association between alexithymia and theory of mind (ToM) in patients with somatoform disorder. Methods Thirty patients with the age of 18-60 years who met the diagnostic criteria of DSM-IV for somatoform disorders were recruited as research group, and 30 normal healthy people were selected as control group. There was no significant difference in age, education level or course of disease between the two groups. Faux Pas Recognition (FPR) test and Yoni Task test were employed to investigate theory of mind in the two groups. Toronto Alexithymia Scale-20 (TAS-20) was employed to investigate the alexithymia of the subjects. The results of the two groups were compared and correlation analyses were conducted. Results In the FPR test, the Faux Pas questions score, control questions score and total score of FPR in the patients with somatoform disorder were significantly lower than those in the normal controls (P < 0.05). In Yoni Task test, cognitive theory of mind total score (Cog) and cognitive ToM second-level score (Cog2) and total score of affective theory of mind (Aff) and affective theory of mind first-level score (Aff1) and affective ToM second-level score (Aff2) in the patients with somatoform disorder were significantly lower than those in the normal controls (P < 0.05), while Cog1 and total score of control theory of mind (Phy) and control theory of mind first-level score (Phy1) and control theory of mind second-level score (Phy2) were not significantly different between the two groups (P > 0.05). In the research group, the Faux Pas questions score and FPR's total score were negatively correlated with the total score and each factor score of TAS-20 (P < 0.05). In Yoni Task test, the individual factor scores of Cog and Aff were negatively correlated with the total score and individual factor scores of TAS-20 (P < 0.05). Conclusions Theory of mind in somatoform disorder patients is obviously impaired. It is associated with alexithymia in somatoform disorder.关键词
躯体形式障碍/心智理论/述情障碍Key words
somatoform disorder/theory of mind/alexithymia分类
医药卫生引用本文复制引用
易峰,邹凯,蒋幸衍,甄莉丽..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[J].中国现代医学杂志,2017,27(29):105-110,6.
