男性海洛因依赖者心身症状与述情特征  

Psychosomatic symptoms and alexithymia of the male patients with heroin dependence

作　　者：李武[1] 郝伟[1] 苏中华[2] 王绪轶[1] 成义仁[2] 

机构地区：[1]中南大学湘雅二医院精神卫生研究所,长沙济宁医学院第二附属医院410011 [2]济宁医学院第二附属医院

出　　处：《中国行为医学科学》2005年第10期887-889,共3页Chinese Journal of Behavioral Medical Science

基　　金：国家重点基础研究专项经费973项目(2003CB515400);中南大学研究生教育创新工程项目(040143)

摘　　要：目的了解男性海洛因依赖(MPHD)者心身症状与述情障碍的关系及心身症状的影响因素。方法采用一般情况问卷(自拟)、症状自评量表(SCL-90)、多伦多述情障碍量表(TAS)对湖南地区218名MPHD者进行测评,以SCL-90、TAS对107名社区健康男性进行测评,有194名MPHD者纳入研究。结果MPHD者TAS、SCL-90总分及各因子分与对照组差异均有显著性:TAS总分[(76.43±7.46)分vs(66.82±8.06)分,P<0.01];SCL-90总分[(208.86±58.62)分vs(156.85±33.71)分,P<0.01]。TAS与SCL-90大部分因子间均显著相关(P<0.05或P<0.01)。以SCL-90总分为因变量进行多元回归分析,SAS总分、TAS因子认识和区分情感与躯体感受的能力、用药渴望、既往中毒次数、受教育年限依次进入回归方程。结论MPHD者存在严重的心身症状与述情障碍,二者密切相关,述情障碍可能为海洛因依赖者一种素质性特征,不良的心身状况受多种因素影响。Objective To understand the relationship between psychosomatic symptoms and alexithymia, and the contributing factors to psychosomatic symptoms in male patients with heroin dependence （MPHD）. Methods 218 MPHD （study group） from Hunan province were assessed employing a self-developed data-collecting form, Symptom Checklist 90 （SCL-90）, Toronto Alexithymia Scale （TAS）, Heroin Craving Questionnaire （HCQ）, Self-Rating Depression Scale （SDS） and Self-Rating Anxiety Scale （SAS）, and there were 194 MPHD finished the test effectively. 107 healthy men were assessed employing SCL-90 and TAS. Results Compared with the control group, MPHD had significant higher total and factor scores of SCL-90 and TAS （ P 〈 0.05 or P 〈 0.01 ）. The total score of SAS, factor of TAS, drug abuse craving, the number of previous acute toxicosis and educated years entered the regression equation of SCL-90 in turn. Conclusion MPHD had severe psychosomatic symptoms and alexithymia, and there were significant associations between them. Alexithymia may be one of core psychological characteristics for heroin dependence. The worse psychosomatic status was impacted by multiple factors.

关 键 词：海洛因 精神病学 述情障碍 影响因素 海洛因依赖者 心身症状 健康男性 症状自评量表(SCL-90) 多伦多述情障碍量表 述情特征 多元回归分析 受教育年限 TAS 

分 类 号：R749.6[医药卫生—神经病学与精神病学]