抑郁症患者述情障碍与SCL-90症状自评因子的相关性及对症状的影响  

Relationship between alexithymia and symptoms factor of SCL-90 in patients with depression

作　　者：张毅梅[1,2] 周朝当[1,2] 王继才[1,2] 

机构地区：[1]云南省红河州第二人民医院,654300 [2]昆明医学院第一附属医院

出　　处：《精神医学杂志》2012年第2期113-115,共3页Journal of Psychiatry

摘　　要：目的探讨抑郁症患者述情障碍与SCL-90症状自评因子的相关性及影响。方法对40例抑郁症患者进行症状自评量表(SCL-90)评定和多伦多述情障碍量表(TAS)评定,对二者之间的总分和因子分进行相关和回归分析。结果 TAS因子Ⅱ与5个症状因子呈正相关(r分别为0.333、0.379、0.369、0.418、0.395,P<0.05或P<0.01),因子Ⅲ与8个症状因子呈负相关(r分别为-0.509、-0.463,-0.364、-0.395、-0.414、-0.463、-0.456、-0.484,P<0.01),逐步回归分析显示,因子Ⅱ对5个症状因子的解释变异度在11.0%～17.5%之间,因子Ⅲ对8个症状因子的解释变异度在13.2%～25.9%之间。结论识别情绪和躯体感受的能力缺乏对抑郁症患者症状因子有一定影响,指向自身内部的想象力对心身症状的影响较为突出。Objective To explore the relationship between alexithymia and symptoms factor of SCL-90 in patients with depression. Methods 40 patients with depression were assessed with Symptom Checklist 90 （SCL-90） and Toronto Alexithymia Scale （TAS）. Total score and factor scores of the two scales were analyzed by method of correlation analysis and regression analysis. Results Factor II of TAS was positively related with five symptom factors of SCL-90 （ r = 0. 333, 0.379,0. 369,0. 418,0. 395 respectively; P 〈 0.05 or 0.01 ）. Factor III of TAS was negatively related with eight symptom factors of SCL-90（ r = - 0. 509, - 0.463, - 0. 364, - 0. 395, - 0.414, - 0.463, - 0.456, - 0.484 ; P 〈 0.01 ）. Stepwise regression analysis showed that the variance of five symptom factors of SCL-90 explained by factor Ⅱ of TAS varied from 11.0% to 17.5%, the variance of eight symptom factors of SCL-90 explained by factor Ⅲof TAS varied from 13.2% to 25.9%. Conclusion Lack of ability to distinguish emotions and body reception can influence the symptom factors in patients with depression. The effect of introversive imagination on psychosomatic symptoms maybe specially obvious.

关 键 词：抑郁症 述情障碍 SCL-90 症状因子 

分 类 号：R749.4[医药卫生—神经病学与精神病学]