高述情障碍女学生的健康焦虑与人格特征研究  

Health anxiety and personality of female students with high level alexithymia

作　　者：余来洪[1] 张钰群[2] 毛圣芹[2] 赵月秋[3] 

机构地区：[1]南京医科大学附属脑科医院精神科,江苏南京210000 [2]东南大学附属中大医院心理精神科,江苏南京210009 [3]江苏联合职业技术学院南京卫生分院,江苏南京210000

出　　处：《中国妇幼健康研究》2016年第2期198-199,209,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨高述情障碍女学生的健康焦虑与人格特征及相互关系。方法对382名高述情障碍和382名无述情障碍女学生的简式健康焦虑量表(SHAI)和艾森克个性问卷(EPQ)结果进行比较,并对高述情障碍女学生的多伦多述情障碍量表(TAS-20)评分与SHAI和EPQ各维度评分作Pearson相关分析。结果高述情障碍组TAS-20总分为65.94±4.88分,显著高于低述情障碍组的45.47±5.29分,两组比较差异有统计学意义(t=55.606,P<0.001);高述情障碍组与低述情障碍组比较,健康焦虑发生率(x^2=58.770)及SHAI和EPQ各维度评分(t=-5.161~8.467)差异均有统计学意义(均P<0.05)。SHAI总分及2个因子分与TAS-20总分及F1、F2呈显著正相关(r=0.106~0.306,均P<0.01)。TAS-20总分及F1与EPQ的P因子和N因子均呈显著正相关(r=0.122~0.160,均P<0.05);TAS-20总分及F1与EPQ的L因子呈显著负相关(r值分别为-0.110、-0.136,均P<0.01)。结论高述情障碍女学生存在显著的健康焦虑,人格特征为内向、高神经质和精神质、低掩饰性。述情障碍中的难以识别和描述自已情感的2个因子与健康焦虑、人格特征关系更密切。ObjectiveTo explore health anxiety and personality of female students with high level alexithymia and their relationship. Methods Comparison was made between the results of Simple Health Anxiety Inventory （SHAI） and Eysenck Personality Questionnaire （EPQ） of 382 students with high alexithymia and 382 health students. Meanwhile, analysis was conducted to study the Pearson correlation between Toronto Alexithymia Scale （TAS-20） score and scores of different dimensions in SHAI and EPQ in students with high level alexithymia. Results The total score of TAS-20 in high level alexithymia group was 65.94 ± 4.88, which was significantly higher than that in low level alexithymia group （45.47 ± 5.29） （ t = 55. 606, P 〈 0. 001 ）. There were statistical differences in the incidence of health anxiety （χ^2= 58. 770） and scores of different dimensions of SHAI and EPQ between two groups （t value ranged -5. 161 -8. 467, both P 〈 0.05）. SHAI total score and scores of two factors were positively correlated with TAS-20 total score and F1 and F2 （ r value ranged 0. 106 -0.306, both P 〈 0.01 ）. TAS-20 total score and F1 were positively correlated with P and N of EPQ （ r value ranged 0. 122 - 0. 160, both P〈0.05） but negatively correlated with F1 and L （r value was -0. 110 and -0. 136, respectively, both P 〈0.01）. Conclusion Students with high level alexithymia have serious health anxiety. Their personalities are more introversion, psychoticism, neuroticism and truthfulness. Difficult identifying and distinguishing among feelings are closely correlated with health anxiety and personality.

关 键 词：女学生 述情障碍 健康焦虑 人格 

分 类 号：R749.4[医药卫生—神经病学与精神病学]