精神分裂症患者的述情障碍及影响因素研究  

An Analysis of Toronto Alexithymia Scale Results on Schizopbrenics.

作　　者：张敬悬[1] 刘金同[1] 原伟[1] 李宪伟[1] 王松波[1] 唐济生[1] 李星宝[1] 邱慧敏[1] 刘桂花[1] 翁正[1] 

机构地区：[1]山东省精神卫生中心

出　　处：《中国临床心理学杂志》1995年第1期29-31,共3页Chinese Journal of Clinical Psychology

摘　　要：本文用多伦多述情障碍量表（ＴＡＳ）对８０例恢复期住院精神分裂症患者进行测评。结果表明，８０例患者的ＴＡＳ平均得分为７２．６±１１．９，ＴＡＳ得分与ＢＰＲＳ评分（ｒ＝０．２７，Ｐ＜０．０５）、ＳＡＮＳ评分（ｒ＝０．２２，Ｐ＜０．０５）、患者用药剂量（ｒ＝０．２３，Ｐ＜０．０５）和患者的妄想（ｒ＝０．２３，Ｐ＜０．０５）、思维贫乏（ｒ＝０．２４，Ｐ＜０．０５）、意志缺乏（ｒ＝０．２８，Ｐ＜０．０５）因子分呈显著正相关，与ＳＡＰＳ总分、患者的年龄、病程、住院次数和本次住院天数相关性不显著（Ｐ＞０．０５）。多元逐步回归分析揭示：与医生护士谈心的机会较少、用药剂量较大、与家人的感情交流较少和家庭和睦程度较差为患者述情障碍发生的主要影响因素。Eighty patients with schizophrenia were examined in this study to evaluate their alexithymiausing Toronto Alexithymia Scale(TAS),The results showed that the mean score of TAS of all subjects was72.6±11.9.The score of TAS was positivly significantly correlated with BPRS,SANS,dose of drugs,delu-sion subscale score of SAPS, poverty of thought subscale score of SANS and hypobulia subscale score ofSANS,but these were no significant correlation with the age of patients,period of disorders, times ofadimission,duration of this hospitalization,and score of SAPS. Multi-stepwise regression analysis revealed4 influencing factors(α=0.05)were less opportunity of heart-to-heart with medical workers,higherdose of drug,less feeling communication and worse family enviroment.

关 键 词：精神分裂症 述情障碍 影响因素 

分 类 号：R749.302[医药卫生—神经病学与精神病学]