海洛因依赖者的述情障碍及其认知功能  

Alexithymia and the Cognitive Function of the Male Heroin Addicts

作　　者：黄瑛[1] 朱熊兆[1] 姚树桥[1] 周世雄 

机构地区：[1]中南大学湘雅二医院医学心理中心,湖南长沙410011 [2]湖南省新开铺劳教所,湖南长沙410008

出　　处：《中国临床心理学杂志》2005年第2期217-218,共2页Chinese Journal of Clinical Psychology

基　　金：湖南省卫生厅基金项目(B2004-050);中科院知识创新工程重要方向项目(KSCXZ-SW-221)

摘　　要：目的:探讨男性海洛因依赖者的述情障碍与认知功能之间的关系。方法:用多仑多述情障碍20个条目量表(TAS-20)对400例男性海洛因依赖者进行述情障碍评定,抽取TAS高分(≧67)和低分(≦53)各50名分别作为高分组和低分组,两组均采用威斯康星卡片分类测量(WCST)进行执行功能评估。结果:高分组的持续性应答数、持续错误数、完成第一次分类所需应答数均高于低分组(P<0.05);而高分组的概念化水平应答率则明显低于低分组(P<0.01);相关分析显示,TAS-20的总分及因子分与WCST成绩呈正相关。结论:海洛因依赖者认知功能与述情障碍程度有关,述情障碍越严重,认知功能损害也越明显。Objective: To study the alexithymia and cognitive function of the male heroin addicts. Methods: TAS-20 was used to assess 400 male heroin addicts, according to the scores a high score group and a low score group were selected, 50 addicts in each group. WCST was used to investigate the executive function of the two groups. Rusults: There are significant differences between the two groups in the following items (P <0.05): number of persistent responses, number of persistent errors, and the first catalogue responses. Conclusion: The cognitive function of the male heroin addicts was strongly correlated with the level of alexithymia.

关 键 词：海洛因依赖者 述情障碍 威斯康星卡片 认知功能损害 功能评估 相关分析 WCST 分组 TAS 持续性 应答率 正相关 因子分 男性 

分 类 号：R595.5[医药卫生—内科学] R395.6[医药卫生—临床医学]