精神分裂症患者童年创伤对述情障碍的影响:成人依恋和功能失调性态度的中介作用分析  

The impact of childhood trauma on alexithymia in schizophrenia:Analysis of the mediating role of adult attachment and dysfunctional sexual attitudes

作　　者：刘逸飞 卢瑶 仇玉莹[3] 李美娟[3] 李洁[1,2,3] LIU Yi-fei;LU Yao;QIU Yu-ying;LI Mei-juan;LI Jie(School of Education,Tianjin University,Tianjin 300350,China)

机构地区：[1]天津大学教育学院,300350 [2]天津大学应用心理研究所 [3]天津市安定医院

出　　处：《临床精神医学杂志》2025年第2期142-146,共5页Journal of Clinical Psychiatry

基　　金：天津市医学重点学科(专科)建设项目,天津市安定医院重点学科(TJYXZDXK-033A)。

摘　　要：目的:本研究旨在探索精神分裂症(schizophrenia,SCZ)患者童年创伤对述情障碍的影响,以及成人依恋、功能失调性态度在两者间的作用。方法:本研究纳入SCZ或SCZ样障碍患者103例(SCZ组),健康对照(health control,HC)107名(HC组),使用一般情况调查表、童年创伤问卷(childhood trauma questionnaire-short form,CTQ-SF)、成人依恋问卷(adult attachment scale,AAS)、功能失调性态度问卷(dysfunctional attitude scale,DAS-A)、多伦多述情障碍量表(Toronto alexithymia scale-20,TAS-20),收集相关资料分析。结果:SCZ组患者各变量得分均高于HC组,差异有统计学意义(P均<0.05);两组中CTQ-SF、AAS、DAS-A得分均与TAS-20得分呈显著正相关;在两组中,以童年创伤为预测变量,述情障碍为结果变量,依恋焦虑与功能失调性态度为中介变量的路径,依恋焦虑与功能失调性态度在路径均起到完全中介的作用。结论:童年创伤、成人依恋和功能失调性态度都是影响述情障碍的重要因素,在改善SCZ患者述情障碍方面可以就是否有创伤经历、成人依恋模式、功能失调性态度进行针对性的心理治疗或干预。Objective:This study aims to explore the impact of childhood trauma on alexithymia in patients with schizophrenia,and the role of adult attachment and dysfunctional attitudes between them.Method:This study included 103 patients with schizophrenia(SCZ group)or schizophrenia-like disorders and 107 healthy controls(HC group).The general questionnaire and the childhood trauma questionnaire-short form(CTQ-SF),adult attachment scale(AAS),dysfunctional attitude scale(DAS-A),and Toronto alexithymia scale(TAS-20)were used to collect and analyze the relevant information.Results:The scores of all variables in the SCZ group were significantly higher than those in the HC group,with statistical significance(all P<0.05),and CTQ-SF score,AAS score,and DAS-A score were positively correlated with TAS-20 score in both groups.In both gourps,the path with childhood trauma as predictive variable,alexithymia as outcome variable,attachment anxiety and dysfunctional attitude as mediating variable,attachment anxiety and dysfunctional attitude all played a complete mediating role in the path.Conclusion:Childhood trauma,adult attachment and dysfunctional attitudes are all important factors affecting alexithymia.To improve alexithymia in SCZ patients,targeted psychotherapy or intervention can be carried out.

关 键 词：精神分裂症 述情障碍 依恋焦虑 功能失调性态度 

分 类 号：R749.3[医药卫生—神经病学与精神病学]