抑郁症患者述情障碍与精神症状和个性特征的相关性  

Alexithymia in depressive disorder and its correlation with mental symptoms and personality traits

作　　者：吴限亮[1] 贾艳滨[1] 孟宪璋[1] 

机构地区：[1]暨南大学附属第一医院精神心理科,广东广州510630

出　　处：《暨南大学学报（自然科学与医学版）》2013年第2期202-206,共5页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：中央高校基本科研业务费专项基金项目(21612432)

摘　　要：目的:探讨抑郁症患者的述情障碍与精神症状和个性特征的相关性。方法:采用20项多伦多述情障碍量表(TAS-20)、抑郁自评量表(SDS)、症状自评量表(SCL-90)及艾森克人格问卷国内修订版(EPQ)对74例抑郁症患者进行了评定。结果:(1)TAS-20总分和各因子分均与SDS总分存在正向的直线相关关系,(P<0.01)。(2)TAS-20的各因子与症状自评量表中的众多症状存在相关性,其构成的回归方程的解释变异度在8.7%到23.4%之间。(3)抑郁症病人的TAS总分和因子2与EPQ量表中的E(内外向)因子存在负相关关系(P<0.01)。因子1与N因子之间、因子3与P因子存在正的相关关系(P<0.01)。结论:述情障碍既是抑郁症的一种易感的人格特质,也是抑郁症的一种反应状态,与抑郁症的多种精神症状相互影响,既具有特质性和相对稳定性,也具有状态性和反应性。Aim：To explore the feature of Alexithymia in patients with depression and its correlation with personality traits and mental symptoms. Methods： 74 patients with depression were assessed with Toronto Alexithymia Scale-20 （ TAS-20 ）, Self-rating Depression Scale （ SDS ）, Symptom Checklist 90 （SCL-90）, and Eysenck personality questionnaire （EPQ）. Results： The total score and factor scores of TAS-20 were positively related with the score of the SDS. Stepwise regression analysis showed that factors of TAS-20 were positively related with many symptom factors of SCL-90. The variance of symptom factors of SCL-90 explained by regression equations which consist of factors in TAS-20 varied from 8.7% to 23.4%. The total score and score of factor 2 in TAS-20 were negatively related with factor E in EPQ. There was positive correlation between factor 1 of TAS-20 and factor N as well as factor3 and factor P. Conclusion ： Alexithymia is the vulnerable personality trait as well as a reactive state of depression, which interact with many mental symptoms of depressive disorder. Alexithymia is a relatively stable as a personality trait and variable as a reactive state of depression.

关 键 词：抑郁症 述情障碍 人格 精神症状 

分 类 号：R749.4[医药卫生—神经病学与精神病学]