【摘要】 目的：探讨自杀未遂和未发生自杀行为的青少年抑郁障碍患者述情障碍的差异及其与抑郁严重程度的相关性。方法：纳入2019—2021年40例自杀未遂的青少年抑郁障碍患者（自杀未遂组），68例未发生自杀行为的青少年抑郁障碍患者（非自杀未遂组），以及23名性别、年龄和受教育年限相匹配的健康对照者（健康对照组）。采用17项汉密尔顿抑郁量表（17-item hamilton depression scale,HAMD-17）、多伦多述情障碍量表（26-item Toronto Alexthymia Scale,TAS-26）、儿童期创伤问卷（Childhood Trauma Quesnnaire,CTQ），对三组被试进行评估。结果：自杀未遂组、非自杀未遂组与健康对照组在TAS-26总分及描述情感的能力、认识和区分情感与躯体感受的能力、外向性思维因子得分中差异存在统计学意义。两组抑郁障碍被试的TAS-26总分及描述情感的能力、认识和区分情感与躯体感受的能力、外向性思维因子得分高于对照组，自杀未遂组的外向性思维得分高于非自杀未遂组。三组之间童年创伤无差异。自杀未遂组TAS-26中外向性思维与CTQ中情感无视分量表得分呈正相关（r=0.361,p=0.028）；非自杀未遂组青少年外向性思维得分与CTQ情感无视分量表得分也呈正相关（r=0.260,p=0.021）。结论：述情障碍可能会增加青少年抑郁障碍患者的自杀风险，而童年创伤对预测青少年抑郁障碍患者的自杀未遂行为缺乏足够的证据。更多还原

【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.更多还原