持续躯体形式疼痛障碍临床症状与述情障碍的关系  

Psychological Characteristics and Alexithymia in Patients with Persistent Somatoform Pain Disorder

作　　者：申景进[1] 陈向一[1] 赖平妹[1] 鲍广林 彭敏[1] 

机构地区：[1]中国广东医学院附属深圳市南山区人民医院精神科,518052

出　　处：《中国健康心理学杂志》2014年第7期990-992,共3页China Journal of Health Psychology

基　　金：深圳市南山区科技局资助项目(编号:2012033)

摘　　要：目的探讨持续的躯体形式疼痛障碍患者临床症状与述情障碍状况的关系。方法 58例持续的躯体形式疼痛障碍患者与41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 58病例组除了难以描述自己的情感因子分两组差异无统计学意义(t=1.70,P>0.05),TAS-20-C总分、难以识别自己的情感因子分及外向性思维因子分均显著高于对照组(t=4.32,3.55,4.29;P<0.01);SCL-90量表评分总均分及各因子得分均显著高于对照组(t=6.98,11.40,6.34,3.41,4.63,4.78,5.05,4.87,5.17,4.40,5.8;P<0.01)。病例组TAS-20-C总分与SCL-90总均分、躯体化因子得分、人际关系敏感因子分、敌对因子分及精神病性因子分均正相关(P<0.05或0.01);而难以识别自己的情感因子得分与躯体化因子分和人际关系敏感因子分正相关(P<0.01和0.05),难以描述自己的情感因子得分和人际关系敏感因子分和敌对因子分正相关(P<0.05和0.01);外向性思维因子得分与SCL-90总均分、躯体化因子得分及焦虑因子得分正相关(P<0.05或0.01)。结论持续的躯体形式疼痛障碍患者存在明显的述情障碍,且与临床症状相互影响;心理治疗应更关注情绪的识别和处理方面。Objective To explore relationship between alexithymia and psychological status among patients with persistent somato -form pain disorder .Methods All of the 58 patients who were diagnosed with persistent somatoform pain disorder and 41 controls com-pleted the assessments of common information ,TAS-20-C and SCL-90.All the data were analyzed by SPSS17.0.Results The total and factor scores of TAS-20-C （t=4.32,3.55,4.29;P〈0.01）and SCL-90 （t=6.98,11.40,6.343.41,4.63,4.78,5.05,4.87, 5.17,4.40,5.8;P〈0.01）of case group were significantly higher than those of the controlled group except scores of difficulty describing feelings（t=1.70,P〉0.05）.In the case group,the total score of TAS-20-C had significantly positive association with the mean score of SCL-90 and the subscales scores of somatization ,interpersonal sensitivity ,aggression and psychosis （ P〈0.05 or P〈0.01）;And the scores of TAS-20-C factor difficulty identifying feelings were positively correlated with the scores of SCL -90 factor somatization and interpersonal sensitivity（P〈0.01 and 0.05）;The score of TAS -20-C factor difficulty describing feelings was positively correlated with the scores of SCL -90 factor interpersonal sensitivity and aggression （P〈0.05 and 0.01）;The score of TAS-20-C factor exter-nally oriented thinking was positively correlated with the mean score of SCL -90 and factor somatization and anxiety .Conclusion Pa-tients with persistent somatoform pain disorder tend to have visible alexithymia ,which affects each other with clinical symptoms .Psycho-therapeutic treatment of patients with persistent somatoform pain disorder should focus on the recognition of emotions and deal with them .

关 键 词：躯体形式障碍 疼痛 述情障碍 临床症状 

分 类 号：R749.7[医药卫生—神经病学与精神病学]