泌尿系统恶性肿瘤患者的述情障碍与心理健康状况  

Alexithymia and psychological health status in patients with malignancy of urinary system

作　　者：黄展鸿[1] 刘肇华[1] 余朋年[1] 陈敏坚[1] 莫劲军[1] 刘锡海[1] 

机构地区：[1]肇庆市第一人民医院泌尿外科,广东省肇庆市526021

出　　处：《中国临床康复》2005年第24期68-70,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:调查泌尿系统恶性肿瘤患者述情障碍和心理状况,并对两者的关系进行分析。方法:肿瘤组为2003-12/2004-12肇庆市第一医院泌尿外科收治的60例泌尿系统恶性肿瘤患者,对照组为同期本医院进行健康体检的正常人(n=60)。采用多伦多述情障碍量表(因子Ⅰ描述情感能力;因子Ⅱ认识和区别情绪和躯体感受能力;因子Ⅲ幻想;因子Ⅳ外向型思维。采用5级评分:1代表完全不同意;2代表基本不同意;3代表不同意也不反对;4代表基本同意;5代表完全同意。)进行述情障碍评定。总分越高,表示患者的述情障碍越重。选择症状自评量表(包含躯体化、强迫、人际关系、恐怖、抑郁、焦虑、敌对、偏执、精神病性等9大症状因子。参照全国成人常模标准:因子分<1.8分为正常;1.8～2.0分为轻度异常;2.1～3.0分为中度异常;>3.0分为重度异常)作为心理症状调查问卷,评定心理健康状况。得分越高,心理问题越重。测试均在医生办公室进行,时间为60～80min。测试者自行完成。如无法自己填写,由作者按照其回答完成调查,采用无记名形式,量表当场收回。比较两组多伦多述情障碍量表及症状自评量表评分情况。用t检验行组间显著性测试。结果:120份问卷均完整合格。①述情障碍量表评定情况:肿瘤组的述情障碍量表总分、因子Ⅰ描述情感能力;因子Ⅱ认识和区别情绪和躯体感受能力;因子Ⅲ幻想;因子Ⅳ外向型思维的评分均明显高于对照组(t=2.182～6.467,P<0.05)。②症状自评量表评定情况:肿瘤组的躯体化、强迫、恐怖、抑郁、焦虑、偏执和精神病性因子评分明显高于对照组(t=2.130～3.426,P<0.05)。③泌尿系统恶性肿瘤患者的述情障碍总分平均为(73.46±4.18)分,设定≥73.46分为高述情障碍分组(n=21),<73.46分为低述情障碍分组(n=39)。高述情障碍分组的躯体化、强迫、人际关系、恐怖、抑郁、焦虑、敌�AIM： To investigate the alexithymia and psychological status in patients with malignancy of urinary system, and analyze the association between them. METHODS： From December 2003 and December 2004, 60 patients with malignancy of urinary system （tumor group） in the Department of Urinary Surgery, Zhaoqing First Hospital and 60 healthy physical examinees （control group） in the same hospital participated in the study. The alexithymia was assessed with Toronto alexithymia scale （factor Ⅰ was ability of describing emotion; factor Ⅱ was ability of recognizing and discriminating emotional and somatic feeling; factor Ⅲ was illusion, factor Ⅳ was extraversire thought; scored by 5 grades： 1 as completely dissenting; 2 as generally dissenting; 3 as neither dissenting nor consent; 4 as generally consent; 5 as completely consent）, the higher the total score, the severe the alexithymia of the patients. Their psychological health status was evaluated with symptom checklist-90 （consisted of somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism; Referred to the standard of national adult norms： the factor score 〈 1.8 points was taken as normal; 1.8 to 2.0 points as mild abnormality; 2.1 to 3.0 points as moderate abnormality; 〉 3.0 points as severe abnormality）, the higher the score, the severer the psychological problems. The tests were performed in the office of physician within 60 to 80 minutes. The questionnaires were finished without recording names by the subjects themselves, the authors according to answers from those who could not fill the questionnaires on their own, and then the questionnaires were collected back on the spot. The scores of Toronto alexithymia scale and symptom checklist-90 were compared between the two groups. The t test was used to analyze the intergroup significance. RESULTS： Totally 120 questionnaires were complete and qualified. ① The scores of Toronto alexithymia scale：

关 键 词：心理 心理测定学 肿瘤/泌尿系统 

分 类 号：R749.4[医药卫生—神经病学与精神病学]