精神分裂症患者述情障碍与总体幸福感的相关性  

Correlation between alexithymia and general well-being status in schizophrenic patients

作　　者：师典红[1] 孙喜蓉[1] 刘文敬 张洁[1] 赵楠[1] SHI Dian-hong;SUN Xi-rong;LIU Wen-jing;ZHANG Jie;ZHAO Nan(Shanghai Pudong New Area Mental Health Center,Shanghai 200124,CHINA;Shanghai Mental Health Center,Shanghai 200030,CHINA)

机构地区：[1]上海市浦东新区精神卫生中心,上海200124 [2]上海市精神卫生中心,上海200030

出　　处：《海南医学》2019年第16期2064-2067,共4页Hainan Medical Journal

基　　金：上海市浦东新区卫生系统优秀青年医学人才培养计划(编号：PWRq2016-25)

摘　　要：目的调查长期住院的精神分裂症(SCZ)患者述情障碍状况,以及述情障碍与总体幸福感之间的关系。方法2017年4月于上海市浦东新区精神卫生中心住院患者中随机选择168例符合入组标准的SCZ患者为研究对象,采用TAS-20量表评估患者的述情障碍状况,采用GWB量表评估患者的幸福感情况。采用Pearson相关分析法分析精神分裂症患者述情障碍与总体幸福感的相关性。结果(1)168例患者的TAS量表总分均值为(55.68±7.25)分,述情障碍组患者47例(27.98%),述情障碍倾向组患者69例(41.07%),非述情障碍组患者52例(30.95%);三组患者在情感识别障碍、情感描述障碍、外向性思维及TAS总分方面比较差异均有统计学意义(P<0.05);(2)与非述情障碍组患者比较,述情障碍倾向组及述情障碍组患者在GWB总分、精力、忧郁或愉快的心境、松弛与紧张、对情感和行为的控制5个方面比较差异均有统计学意义(P<0.05);(3)长期住院SCZ患者TAS总分与GWB总分、精力、忧郁或愉快的心境、对生活的满足和兴趣、松弛与紧张、对情感和行为的控制得分均呈显著负相关(P<0.05)。结论长期住院SCZ患者述情障碍发生率处于较高水平;述情障碍的程度越高患者体验到的幸福感越低;建议加强对SCZ患者述情障碍的干预,提升患者的幸福感。Objective To investigate the alexithymia of long-term hospitalized patients with schizophrenia(SCZ)and the relationship between alexithymia and general well-being status.Methods In April 2017,168 SCZ inpatients who met the inclusion criteria were randomly selected from Shanghai Pudong New Area Mental Health Center.The Toronto Alexithymia Scale(TAS-20)was used to assess the alexithymia status,and the General Well-Being Schedule(GWB)was used to assess the patient's well-being status.Correlation analysis between alexithymia and general well-being in patients with schizophrenia was performed using Pearson correlation analysis.Results(1)The total score of TAS-20 in the 168 SCZ patients was 55.68±7.25.Among the 168 patients,47(27.98%)had alexithymia(alexithymia group),69(41.071%)had alexithymia tendency(alexithymia tendency group),and 52(30.952%)did not have alexithymia(non-alexithymia group);there were significant differences among the three groups of patients in emotion recognition disorder,emotional description disorder,extroversion thinking,and TAS total score.(2)Compared with non-alexithymia group,the alexithymia tendency group and the alexithymia group showed statistically significant differences in the scores of GWB total scores,energy,depression or pleasant mood,relaxation and tension,and control factors for emotions behaviors(P<0.05).(3)The total score of TAS was significant negatively correlated with the total score of GWB,energy,depression or pleasant mood,satisfaction and interest in life,relaxation and stress,control of emotion and behavior factor scores in long-term hospitalized SCZ patients(P<0.05).Conclusion The incidence of alexithymia in SCZ patients is higher than that in healthy people.The degree of alexithymia affects the patient's well-being experience and is negatively correlated with happiness.It is suggested to strengthen the intervention of alexithymia in SCZ patients and improve their well-being.

关 键 词：精神分裂症 幸福感 述情障碍 长期住院 情感障碍 

分 类 号：R749.3[医药卫生—神经病学与精神病学]