脑梗死急性期抑郁患者述情障碍研究  

Alexithymia study in patients with depression in acute phase of cerebral infarction

作　　者：黄贯峰 宋景贵[2] 王延玲[2] 张朝辉[2] 

机构地区：[1]鹤壁市人民医院,河南·鹤壁458030 [2]新乡医学院第二附属医院,河南·新乡453002

出　　处：《临床心身疾病杂志》2016年第5期9-11,共3页Journal of Clinical Psychosomatic Diseases

基　　金：河南省科技厅基础与前沿技术研究计划项目（编号112300410165）;新乡市科技创新平台建设项目（编号CP1305）

摘　　要：目的探讨脑梗死急性期抑郁患者述情障碍发生状况，为健康教育与心理干预提供依据。方法对67例脑梗死急性期患者采用抑郁自评量表评定抑郁状况，将符合抑郁发作诊断标准的31例患者设为抑郁组，其余36例患者设为非抑郁组；采用多伦多述情障碍量表评定两组述情障碍状况，并进行对比分析。结果抑郁组多伦多述情障碍量表缺乏识别情感的能力因子评分显著高于非抑郁组（P〈0．05），述情障碍发生率（54．8％）显著高于非抑郁组（30．6％）（x^2=4．04，P〈0．05）。结论脑梗死急性期抑郁患者述情障碍发生率高，临床上应采用药物联合心理治疗予以综合干预，以促进患者早日回归社会。Objective To explore the development status of alexithymia in patients with depression in acute phase of cerebral infarction in order to provide basis for health education and psychological intervention. Methods Depressive conditions were assessed with the Self-rating Depression Scale （SDS） in 67 patients with depression in acute phase of cerebral infarction, 31 ones meeting the diagnosis of depressive episode were assigned to depression group, and other 36 ones to non-depression group; alexithymia was assessed with Toronto Alexithymia Scale （TAS） for two groups and contrastive analyses were conducted. Results Score on lack of ability to identify the emotion of the TAS （P〈0.05） and alexithymia incidence （54.8% vs. 30.6%, Z2 =4.04,P〈0.05） were significantly higher in depression than non-depression group. Conclusion Alexithymia incidence in patients with depression in acute phase of cerebral infarction is higher, drug plus psychotherapy should be adopted to promote patients＇ early return to society.

关 键 词：脑梗死 急性期 脑卒中后抑郁 述情障碍 心身疾病 抑郁自评量表 多伦多述情障碍量表 

分 类 号：R395.6[哲学宗教—心理学]