【摘要】 目的 比较Ⅰ型、Ⅱ型精神分裂症患者的自知力及述情障碍,并探讨二者之间的关系。方法 依SANS、SAPS评分和Aedreason精神分裂症的分型标准进行Ⅰ型、Ⅱ型精神分裂症的分型诊断,用ITAQ和TAS分别评定患者的自知力和述情障碍。结果 评定时Ⅰ型和Ⅱ型精神分裂症患者的CGI评分分别为5.19±1.95和5.65±1.34(t=0.82,P>0.05),ITAQ总分分别为12.01±4.63和9.15±4.70(t= 2.06,P<0.05),述情障碍评分分别为64.50±13.10和74.00±10.20(t=2.49,P<0.05)。Ⅰ型和Ⅱ型精神分裂症TAS总分与ITAQ总分均无明显的相关性,但Ⅰ型精神分裂症TAS总分及描述情感的能力、认识和区别情感与躯体感受的能力、外向性思维3因子分与ITAQ的对疾病和治疗的认识这一因子分具有显著相关。结论 在总体疗效评定没有显著差异的情况下,Ⅱ型精神分裂症的自知力缺乏和述情障碍均较Ⅰ型精神分裂症明显。Ⅰ型精神分裂症患者的述情障碍和自知为之间有一定相关性,Ⅱ型精神分裂症二者之间相关性不明显。更多还原

【Abstract】 Objective To compare the insight and alexithymia of schizophrenia between type Ⅰ and type Ⅱ , and study the relations between insight and alexithymia in the two groups of schizophrenia. Methods The type Ⅰ and type Ⅱ schizophrenia were diagnosed according to the Aedreason’ s diagnoses criteria and the scores of SANS and SAPS. The insight and alexithymia of the schizophrenic patients were assessed with ITAQ and TAS. Results The scores of CGI of type Ⅰ and type Ⅱ schizophrenia were 5.19 ±1.95 and 5.65±1.34(t = 0.82, P > 0.05) respectively, the total scores of ITAQ were 12.01±4.63 and 9.15±4.70(t = 2.06,P < 0.05)respectively,and the TAS total scores were 64.50±13.10 and 74.00±10.20(t = 2.49, P < 0.05). The total scores of TAS showed no correlation with the total scores of ITAQ in type Ⅰ and type Ⅱ schizophrenia. However, in type I ,3 factor- scores and the total scores of TAS were correlated with the factor - scores of ITAQ, recognition of mental disease and treatment. Conclusions With the same curative effect (scores of CGI) of type Ⅰ and type Ⅱ schizophrenia, the lack of insight and alexithemia in type Ⅱschizophrenia was more serious than that in type Ⅰ schizophrenia.更多还原