【摘要】 目的:探讨述情障碍者的情绪认知加工特征,并分析述情障碍者的认知性情绪调节特征。方法:在本对照研究中,采用班级整群抽样的方法抽出712名学生。采用多伦多述情障碍20个条目量表(TAS-20)中文版筛选出述情障碍者(TAS-20≥58分)117名和非述情障碍者(TAS-20≤38分)118名,比较两组认知情绪调节问卷(CERQ)、抑郁自评量表(CES-D)得分差异。间隔2～3个月后利用TAS-20对这235名受试进行重测,筛选出51名述情障碍者与54名非述情障碍者,分别对120张情绪图片进行愉悦度、唤醒度和优势度评分。结果:(1)述情障碍组消极应对维度得分高于非述情障碍组[(47.3±5.9)vs.(41.9±5.9),P<0.001],而积极应对维度得分低于非述情障碍组[(65.2±7.7)vs.(71.1±7.3),P<0.001]。(2)在愉悦度的评分上,述情障碍组对正性图片的评分低于非述情障碍组[(7.0±1.0)vs.(7.7±1.0),P<0.001],而对负性图片的评分高于非述情障碍组[(2.4±1.0)vs.(1.4±1.0),P<0.001];唤醒度方面,述情障碍组对正性和负性图片的评分均低于非述情障碍组[正性:(6.3±1.2)vs.(6.8±1.1),P=0.040;负性:(6.4±1.5)vs.(7.2±1.4),P=0.007]。结论:述情障碍者存在情绪的认知加工缺陷,且存在认知性情绪调节缺陷。更多还原

【Abstract】 Objective:To explore the characteristics of emotion cognitive processing and cognitive regulation in alexithymia.Methods:A total of 117 alexithymic subjects(TAS-20 scores ≥58)and 118 nonalexithymic subjects(TAS-20 scores ≤38)were selected with the Chinese version of 20-item Toronto Alexithymia Scale(TAS-20),and their scores on the Center for Epidemiologic Studies Depression Scale(CES-D)and Cognitive Emotion Regulation Questionnaire CERQ were compared.Then 51 alexithymic subjects and 54 nonalexithymic subjects were required to rate 120 affective pictures to three dimensions(valence,arousal and dominant).Results:(1)Compared with nonalexithymic group,alexithymic group got higher scores in negative coping dimension[(47.3±5.9) vs.(41.9±5.9),P<0.001],while got lower scores in positive coping [(65.2±7.7) vs.(71.1±7.3),P<0.001].(2)In valence rating,alexithymic group gave lower score for positive pictures[(7.0±1.0) vs.(7.7±1.0),P<0.001]and higher score for negative pictures [(2.4±1.0) vs.(1.4±1.0),P<0.001]than nonalexithymic group.In arousal dimension,alexithymic group gave lower scores to both positive pictures and negative pictures than nonalexithymic group[(6.3±1.2) vs.(6.8±1.1),(6.4±1.5) vs.(7.2±1.4);P<0.01].Conclusion:Alexithymia subjects have deficits in emotion cognitive processing and emotion cognitive regulation.更多还原