【摘要】 目的:探讨躯体形式障碍患者的心理健康状况,以及与述情障碍的关系。方法:采用症状自评量表(SCL-90)及多伦多述情障碍量表(TAS)对60例躯体形式障碍患者(患者组)和60名健康自愿者(对照组)进行测评,并对躯体形式障碍患者的心理健康状况与述情障碍作相关分析。结果:患者组SCL-90总分及躯体化、人际关系敏感、抑郁、焦虑、偏执、精神病性6个因子评分均显著高于对照组(P<0.05或P<0.01);其TAS总分及因子Ⅰ、Ⅱ、Ⅳ评分亦均显著高于对照组(P<0.05或P<0.01),而因子Ⅲ评分两组间比较,差别则无统计学意义。躯体形式障碍患者的SCL-90总分与TAS总分及因子Ⅰ、Ⅱ、Ⅳ评分均呈显著性正相关;而与因子Ⅲ评分则无显著性相关。结论:躯体形式障碍患者的心理健康状况较差,并与述情障碍有关。更多还原

【Abstract】 Objective:To explore the psychological status and its relationship with alexithymia in patients with somatoform disorder.Method:60 patients with somatoform disorder(patients group)and 60 healthy volunteers(controlled group)were tested with symptom checklist 90(SCL-90)and Toronto alexithymia scale(TAS).Correlated analysis between psychological status and alexithymia was conducted in patients with somatoform disorder.Results:The total scores of SCL-90 and six factor scores such as somatozation,interpersonal sensitivity,depression,anxiety,paranoid ideation and psychoticism were significantly higher in patients group compared with that in controlled group(P<0.05 or P<0.01).Meanwhile,the total score of TAS and factor scores ofⅠ,Ⅱand Ⅳ were also obviously higher in patients group(P<0.05 or P<0.01);however,there was no significant difference in the score of factor Ⅲ between the two groups.The total score of SCL-90 in patients group correlated with the total score of TAS and the factor scores of Ⅰ,Ⅱand Ⅳ significantly and positively.Conclusion:Patients with somatoform disorder tend to have a poorer psychological status,which is related to alexithymia.更多还原