心理学通讯2023,Vol.6Issue(4):212-218,7.DOI:10.12100/j.issn.2096-5494.223033
青少年抑郁障碍患者述情障碍与自杀未遂的相关性
Correlation Between Alexithymia and Suicide Attempts in Adolescents With Depressive Disorders
摘要
Abstract
Objective:To explore the differences in alexithymia between adolescent patients with depressive disorders who have attempted suicide and those who have not,and its correlation with the severity of depression. Methods:From 2019 to 2021,40 adolescents with depressive disorders who had suicide attempts(suicide attempt group),68 adolescents with depressive disorders who had no suicide attempts(non-suicide attempt group),and 23 healthy controls matched by gender,age,and years of education(healthy control group)were included in the study.The 17-item Hamilton Depression Inventory(HAMD-17),the 26-item Toronto Alexithymia Scale(TAS-26),and the Childhood Trauma Questionnaire(CTQ)were used to assess the three groups. Results:Statistically significant differences were found among the suicide attempt group,the non-suicide attempt group,and the healthy control group in TAS-26 total score and some factor scores(ability to describe emotions,ability to recognize and differentiate emotions and bodily sensations,and extraversion thinking).Both groups of depressive disorder participants scored higher than the control group on TAS-26 total scores and some factor scores(ability to describe emotions,ability to recognize and differentiate emotions and bodily sensations,and extraversion thinking).Additionally,the suicide attempt group scored higher on extraversion thinking compared to the non-suicide attempt group.And there was no significant difference in childhood trauma among the three groups.In the suicide attempt group,there was a significant positive correlation between extraversion thinking scores in the TAS-26 and emotional neglect subscale scores in the CTQ(r=0.361,p=0.028).Similarly,in the non-suicide attempt group,adolescent extraversion thinking scores were also positively correlated with emotional neglect subscale scores in the CTQ(r=0.260,p=0.021). Conclusion:Alexithymia disorders may increase the risk of suicide among adolescents with depressive disorders,and childhood trauma may not have a sufficiently clear effect on predicting suicide attempts in adolescents with depressive disorders.关键词
自杀未遂/抑郁障碍/述情障碍/童年创伤/青少年Key words
suicide attempt/depressive disorder/alexithymia/childhood trauma/adolescent引用本文复制引用
王硕,杨荣,胡淑文,曹小梅,钟慧..青少年抑郁障碍患者述情障碍与自杀未遂的相关性[J].心理学通讯,2023,6(4):212-218,7.基金项目
合肥市第七周期重点培育专科(儿童青少年心理科) (儿童青少年心理科)
安徽省临床重点专科(临床心理科) (临床心理科)
安徽省重点研发计划项目"青少年抑郁障碍经颅直流电刺激tDCS临床评价研究"(202204295107020005) (202204295107020005)