摘要
目的探讨躯体化障碍患者的述情障碍与心理状况、人格特征的关系,为其心理治疗提供理论依据。方法 72例躯体化障碍患者和50名正常对照者进行多伦多述情障碍量表(TAS-20)、症状自评量表(SCL-90)及艾森克人格量表(EPQ)测定,并将结果进行分析。结果①躯体化障碍组的TAS总分、F1因子分、F2因子分、F3因子分均高于正常对照组,差异均有显著性(P<0.01或P<0.05);②躯体化障碍患者TAS与SCL-90的相关分析:TAS总分以及各因子分均与SCL-90总分、躯体化因子分呈正相关,与焦虑因子分呈负相关(P<0.05或P<0.01);③躯体化障碍组TAS与EPQ的相关分析:躯体化障碍患者的EPQ-E与TAS的F2因子呈负相关,与F3因子分呈正相关;EPQ-N分与TAS的F1、F2因子分呈正相关(P<0.05或P<0.01)。结论躯体化障碍患者存在明显的述情障碍,且与患者的心理症状及人格存在一定互动的关系,这为躯体化障碍患者心理干预提供了思路。
[ Objective ] To explore the relation between alexithymia and mental status and personality in patients with somatization disorder. [ Methods ] 72 somatization disorder patients and 50 normal controllers were evaluated with Toronto Alcxithymia scale （TAS-20）, Symptom Checklist （SCL-90） and Eysenck＇s Personality Questionnaire （EPQ）, the results were analyzed by t-test and correlation analysis. [ Results ] ①The total score and scores of F1, F2 and F3 of TAS-20 in somatization disorder patients were higher than those in controllers （P 〈0.01）. ② The total score and all factor＇s scores of TAS-20 were positive correlation with the total score and somatization factor score of SCL-90, and negative with anxiety factor score. ③ The E score of EPQ was negative and positive correlation with F2 and F3 scores of TAS-20 respectively. The score of N was positive correlation with F1 and F2 scores. [ Conclu- sion] Somatization disorder patients have obvious alexithymia. Alexithymia is correlation with psychological status and personality, which provide some theoretical basis for the early prevention and mental intervention of somatization disorder.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第3期68-71,共4页
China Journal of Modern Medicine
基金
河南省教育厅自然科学研究计划项目(No:2009A320014)
新乡医学院高学历资助项目(No:100795)
关键词
躯体化障碍
述情障碍
人格
心理状况
somatization disorder
alexithymia
personality
psychological status
