青少年躯体形式障碍临床症状与述情障碍的关系  

Psychological Characteristics and Alexithymia in Adolescent Patients with Somatoform Disorder

作　　者：邵云[1] 苏荣坤[1] 王旭梅[1] 何强[1] 韩继阳[1] 

机构地区：[1]中国医科大学附属盛京医院心理科,沈阳110004

出　　处：《中国医科大学学报》2012年第6期532-535,共4页Journal of China Medical University

基　　金：教育部人文社会科学青年基金项目(09YJCXLX028)

摘　　要：目的探讨青少年躯体形式障碍患者的述情障碍状况及其与临床症状的关系。方法 131例青少年躯体形式障碍患者与124例对照者共同完成一般资料调查表、多伦多述情障碍量表中文版(TAS-20-C)和症状自评量表(SCL-90),对所得数据进行统计分析。结果病例组TAS-20-C、SCL-90量表评分总分及各因子得分均显著高于对照组(P<0.01)。病例组TAS-20-C总分及各因子得分与SCL-90总均分及躯体化因子得分正相关(P<0.05或0.01),而TAS-20-C总分及情感辨别不能因子得分与SCL-90中敌对因子得分正相关(P<0.01);TAS-20-C中外向型思维因子得分与SCL-90中焦虑因子得分正相关(P<0.01)。结论青少年躯体形式障碍患者存在明显的述情障碍,且与临床症状相互影响。Objective To explore relationship between Alexithymia and psychological status among adolescent patients with somatoform disorder. Methods All of the 134 adolescent patients who were diagnosed with somatoform disorder and 124 controls completed the assess- nients of common infonnation,TAS-20-C and SCL-90. All the data were analyzed by SPSSll.5. Results The total and factor scores of TAS-20-C and SCL-90 of case group were significantly higher than those of the controlled group （P 〈 0.01 ）. In the case group,the total score of TAS-20-C and the subscales scores had significant positive association with the mean score of SCL-90 and the subscales scores of somatization （P 〈 0.05 or P 〈 0.01 ） ; and the total score of TAS-20-C and the scores of TAS-20-C factor DIF were positively correlated with the mean scores of SCL-90 factor Hostile （P 〈 0.01 ） ;the scores of TAS-20-C factor EOT were positively correlated with the scores of SCL- 90 factor Anxiety （ P 〈 0.01 ）. Conclusion Patients with somatoform disorder tend to have visible alexithymia which affects each other with clinical symptoms.

关 键 词：青少年 躯体形式障碍 述情障碍 

分 类 号：R749[医药卫生—神经病学与精神病学]