三种常见住院精神疾病患者述情特征的比较研究  

A Comparative Study on Alexithymia Characteristics among Three Kinds of Main Hospitalized Mental Disorders

作　　者：李武[1] 成义仁[1] 詹来英[1] 李龙飞[1] 张增[1] 韩鹏[1] 

机构地区：[1]山东省安康医院,山东济宁272051

出　　处：《中国临床心理学杂志》2009年第2期171-172,141,共3页Chinese Journal of Clinical Psychology

基　　金：山东省济宁市科技局立项课题(200736)

摘　　要：目的:探讨住院精神分裂症、躁狂发作及抑郁发作患者述情障碍的特征。方法:采用自编一般情况问卷、多伦多述情量表(TAS),对320例住院的精神分裂症患者、120例躁狂发作患者、105例抑郁发作患者及120名健康志愿者(对照组)进行评定。结果:①除TAS因子II,精神分裂症组TAS总分及各因子分均显著高于对照组(P<0.05或P<0.01)。②躁狂发作组TAS总分及因子III、IV显著高于对照组(P<0.05或P<0.01)。③抑郁发作组TAS总分及各因子分均显著高于对照组(P<0.01)。④抑郁发作组TASI分、TASII分及TAS总分显著高于精神分裂症与躁狂发作组(P<0.05),而精神分裂症与躁狂发作组述情障碍得分差异无显著性(P>0.05)。结论:抑郁发作、精神分裂症及躁狂发作患者均存在不同程度的述情障碍,抑郁发作患者更为严重。Objective： To explore the alexithymia characteristics of hospitalized schizophrenics, manics and major depressive patients. Methods： 320 schizophrenics, 120 manies, 105 major depressive patients and 120 healthy controls were assessed with a self-developed questionnaire and the Toronto Alexithymia Scale （TAS）. Results： Compared with controls, schizophrenics showed significantly higher scores in total score of TAS, TAS factor Ⅰ, Ⅱ and Ⅳ （P〈0.05 or P〈0.01）, and manics showed higher scores in total score of TAS, TAS factor Ⅲ and Ⅳ （P〈0.05 or P〈0.01）. Major depressive patients showed significant higher scores in total score of TAS and all factors of TAS （P〈0.01）. Compared with manics and sheizophrenics, depressive patients got higher scores in total score of TAS, scores of TAS factor Ⅰ and Ⅱ （P〈0.05）, while there was no significant difference in TAS between manics and schizophrenics （P〉0.05）. Conclusion： Major depressive, schizophrenic and manic patients all suffer from significant alexithymia in some degree. Major depresive patients suffer from severer alexithymia than schizophrenics and manics.

关 键 词：精神分裂症 躁狂发作 抑郁发作 述情障碍 

分 类 号：R395.2[哲学宗教—心理学]