【摘要】 目的探讨惊恐障碍患者的患病行为与述情障碍的相关关系。方法采用患病行为问卷(IBQ)和多伦多述情障碍量表(TAS)对47名惊恐障碍患者评估。结果惊恐患者患病行为因子中一般疑病、情感压抑、情绪状态与TAS因子Ⅰ、Ⅱ呈正相关,而与TAS因子Ⅲ呈负相关关系;情绪紊乱与TAS因子Ⅰ呈正相关,与因子Ⅲ呈负相关关系;易激惹与因子Ⅰ呈正相关(P<0.05)。疾病信念因子与TAS因子Ⅰ、Ⅱ呈正相关,疾病确信和疑病指数与因子Ⅰ呈正相关,否认心因与因子Ⅰ、Ⅱ呈负相关(P<0.05);心理取向与TAS各因子无相关关系(P>0.05)。结论惊恐障碍患者患病行为中不良情绪、病感、否认心因与其描述情感、认识和区别情绪和躯体感受的能力相关,提示在心理治疗时要注意针对性地改善其述情障碍。更多还原

【Abstract】 Objective To explore the relationship between the illness behavior and alexithymia of patients with panic disorder. Methods Forty-seven patients with panic disorder participated the study. Toronto Alexithymia Scale(TAS) was used to assess mood expression and Illness Behavior Questionnaire(IBQ) to evaluate the illness behavior. Results The subscale scores of general hypochondriasis,affective inhibition,affection state in IBQ were significantly positively correlated with subscales scores of I and Ⅱ in TAS,but negatively with subscale score of Ⅲ. The subscale score of affective disturbance was significantly positively correlated with subscale I score,but negatively with subscale Ⅲ score. The subscale score of irritability was significantly positively correlated with subscal I score. The subscale score of disease conviction was significantly positively correlated with the subscale scores of I and Ⅱ. The subscales scores of disease affirmation and whitely index of hypochondriasis were significantly positively correlated with the subscale I score. The subscale score of denial was significantly negatively correlated with the subscale scores of I and Ⅱ. There were no significant correlation between the subscale score of psychological versus somatic perception of IBQ and all subscale scores and total score of TAS. Conclusion The illness behavior in patients with panic disorder is associated with deficiency in the ability of describing emotion ,recognizing and making distinguish between emotion and body feeling.更多还原