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发作期抑郁症患者述情障碍影响因素的多元分析

A multianalysis on the influencing factors contributing to alexithymia of patients with depression in period of onset.

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【作者】 胡春凤李武任巧玲张金响张增

【Author】 HU Chunfeng,LI Wu,REN Qiaoling,et al.Ankang Hospital of Shandong Province,Jining 272051,China

【机构】 山东省安康医院

【摘要】 目的探讨发作期抑郁症患者述情障碍的相关因素。方法采用多伦多述情量表(TAS)中文版、Beck抑郁自评量表(BDI)对80例发作期抑郁症患者进行评定,并与95名健康志愿者(对照组)比较。结果(1)抑郁症组TAS因子Ⅰ、Ⅱ、Ⅲ、总分及BDI评分均显著高于对照组(P<0.01)。(2)患者住院与他人交流、抑郁总分依次进入TAS因子I的回归方程;抑郁总分、工作学习应激、性别依次进入TAS因子Ⅱ的回归方程;受教育年限、住院与他人交流依次进入TAS因子Ⅲ的回归方程;抑郁总分、治疗信心依次进入TAS总分的回归方程。结论抑郁发作患者存在明显的述情障碍。性别、受教育年限、抑郁的严重程度等为发作期抑郁症患者述情障碍的重要影响因素。述情障碍不同因子的影响因素不尽相同。

【Abstract】 Objective To explore the factors influencing alexithymia of patients with depression in period of onset.Methods A total of 80 patients with depression were assessed with Toronto Alexithymia Scale(TAS) and Beck Depression Inventory(BDI),and 95 healthy people were involved as controls.Results(1)Major depressive patients showed significantly higher scores in TAS-I,II,III,total scores of TAS and BDI than those of healthy controls(P<0.01).(2)In major depressive patients,the factors of communication with others in hospital and total scores of BDI entered the TAS-I regression equation in turn.The factors of total scores of BDI,stress in work and study and gender entered the TAS-II regression equation in turn.The factors of education years,communication with others in hospital entered the TAS-III regression equation in turn.The factors of total score of BDI and confidence to treatment entered the total score of TAS regression equation in turn.Conclusion Major depressive patients would suffer from significant alexithymia.The gender,education years and the severity of depression are responsible for alexithymia,and the influencing factors contributing to each factor of TAS are different.

【基金】 山东省济宁市科技局课题(项目编号:200633)
  • 【文献出处】 精神医学杂志 ,Journal of Psychiatry , 编辑部邮箱 ,2010年01期
  • 【分类号】R749.4
  • 【被引频次】15
  • 【下载频次】141
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