山东部分农村社区人群的述情障碍  

Alexithymia of People in Some Rural Community of Shandong Province

作　　者：张敬悬[1] 赵仲堂[2] 张桂华[1] 

机构地区：[1]山东省精神卫生中心,济南250014 [2]山东大学公共卫生学院,济南250012

出　　处：《中国心理卫生杂志》2006年第10期653-656,共4页Chinese Mental Health Journal

摘　　要：目的:调查农村社区人群中述情障碍的发生情况,探讨述情障碍的发生与焦虑、抑郁、躯体健康状况、家庭环境和应对方式等因素的关系。方法:采用整群随机抽样方法和系统抽样方法抽样,使用TAS、FES、SDS、SAS、GHQ-12、TCSQ对山东部分农村社区人群进行调查,实际完成调查人口734人,资料符合要求者642名(87．5％)。结果:642名被调查者TAS评分为64．6±14．8,女性TAS评分(66．3±15．1)显著高于男性(62．6±13．8),内向性格(66．2±14．2)、躯体(81．9±15．1)和心理(73．0±18．8)健康状况较差者其TAS评分显著高于外向性格(63．1±15．1)、躯体(63．4±14．0)和心理(63．7±14．0)健康状况较好者。述情障碍与应对方式和家庭环境具有显著的相关性。多元逐步回归分析显示,述情障碍的主要影响因素按标准化回归系数大小依次为:心理健康水平(0．22)、家庭的矛盾性(0．15)、抑郁(0．14)、焦虑(0．13)、躯体健康状况(0．13)、家庭的亲密度(-0．10)、性格(0．09)、性别(0．09)。结论:农村社区人群中存在着一定程度的述情障碍,而且述情障碍与躯体健康、焦虑、抑郁、个性、性别、家庭环境和应对方式有关。Objective： The aim of this study was to evaluate alexithymia status of people in rural community, to explore the relationship among alexithymia, level of mental health, physical status, anxiety, depression, sex, age, personality base, family environment, personnel coping type, and psychosocial factors. Methods： 734 people participated by means of cluster sampling and systematic sampling, from rural community were investigated with TAS, FES, SDS, SAS, GHQ-12, TCSQ questionnaires by indoor survey. 642 （87.5%） people completed questionnaires. Results： Score of TAS in surveyed people was 64. 6 ± 14. 8, The score of TAS in female （66. 3 ± 15. 1 ） was significantly higher than that in male （62. 6 ± 13.8） . Score of TAS in people with internal personality （66. 2 ± 14. 2）, poor physical （81.9 ± 15. 1 ） and psychological （73.0 ± 18.8） status was higher than that with extrovert personality （63.1 ± 15.1 ）, good psychical （ 63.4 ± 14.0 ） and psychological （ 63.7 ± 14.0 ） status. Alexithymia was significantly related to positive coping and negative coping factors of coping type and family environment. Multiple stepwise regression analysis showed that the main influencing factors of alexithymia according to standardized estimate were level of mental health （0. 22）, family conflict （0. 15）, depressive symptom （0. 14）, anxiety symptoms （0. 13）, physical status （0. 13）, family cohesion （ -0. 10）, personality （0.09）, and sex （0.09） . Conclusions： The people of rural community suffer from alexithymia. Especially in people with physical health problems, depressive and anxiety symptoms, mental health problems, the severity of alexithymia is more serious, and this suggests that alexithymia may be secondary to physical disease, mental disease and mental problems.

关 键 词：农村人群 述情障碍 横断面调查 祖关因素 

分 类 号：R395.6[哲学宗教—心理学]