有述情障碍与无述情障碍抑郁症患者自传体记忆比较  

Comparison of autobiographical memory between depressive patients with and without alexithymia

作　　者：柳艳松[1] 王军[1] 孙玉军[2] 陈新宇[1] 王国强[1] 

机构地区：[1]无锡市精神卫生中心,无锡214151 [2]昆山市第三人民医院康乐分院

出　　处：《中华行为医学与脑科学杂志》2015年第9期808-811,共4页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：无锡市科技支撑计划项目（CSE01N1234）;南京医科大学面上项目（2013NJMU205）

摘　　要：目的 探讨有述情障碍与无述情障碍抑郁症患者自传体记忆的差异,以及有述情障碍抑郁症患者的自传体记忆与述情障碍的关系.方法 对29例有述情障碍抑郁症患者以及34例无述情障碍抑郁症患者,采用自传体记忆测评（autobiographical memory test,AMT）评定自传体记忆得分、多伦多述情障碍量表（20-item Toronto alexithymia scale,TAS-20）评估述情障碍得分、汉密尔顿抑郁量表测评（Hamilton de-pression scale,HAMD-24）评定抑郁得分.结果 ①有述情障碍抑郁症组对消极线索词诱导的过度概括化自传体记忆显著高于无述情障碍抑郁症组[分别为（3.34±1.80）分,（2.51±112）分,t=2.19,P＜0.05];②有述情障碍抑郁症组过度概括化自传体记忆总分显著高于无述情障碍抑郁症组[分别为（6.14±2.44）分,（4.86±2.06）分,t=2.21,P＜0.05];③在有述情障碍抑郁症组中,述情障碍总分及外向性思维因子分与具体自传体记忆的各因子分及总分均呈负相关（r=-0.502～-0.205,P＜0.05）,而过度概括化自传体记忆与各因子分及总分均呈正相关（r=0.240～0.611,P＜0.05）.结论 与无述情障碍抑郁症患者相比,有述情障碍抑郁症患者的过度概括化自传体记忆更为严重,述情障碍能够增加有述情障碍抑郁症患者的过度概括化自传体记忆的严重程度.Objective To explore the difference of autobiographical memory （AM） between depressive patients with and without alexithymia,and correlation between AM and alexithymia in depressive patients with alexithymia.Methods 29 depressive patients with alexithymia,34 depressive patients without alexithymia were enrolled.All patients were measured by autobiographical memory test （AMT）,Toronto alexithymia scale-20 （TAS20）,Hamilton depression scale-24 （HAMD-24）.Results ①The negative overgeneral AM score was higher in depressive patients with alexithymia than those without alexithymia （（3.34± 1.80）,（2.51 ± 1.12）,respectively t=2.19,P〈0.05）.②The total overgeneral AM score was higher in depressive patients with alexithymia than those without alexithymia （（6.14±2.44）,（4.86±2.06）,respectively t=2.21,P〈0.05）.③）The correlation coefficient （r value） between the total score of overgeneral AM and total score of TAS,TAS-Ⅲ scores of TAS in depressive patients with alexithymia were significantly positively correlated （r=0.240～0.611,P〈0.05）.However,the correlation coefficient between the total score of specific AM and total score of TAS,TAS-Ⅲ scores of TAS in depressive patients with alexithymia were significantly negatively correlated（r=-0.502～-0.205,P〈0.05）.Conclusion Compared with depressive patients without alexithymia,the overgeneral AM in depressive patients with alexithymia is more severe,and the alexithymia can increase the severity of overgeneral AM.

关 键 词：抑郁症 述情障碍 自传体记忆 

分 类 号：R749.4[医药卫生—神经病学与精神病学]