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血液透析病人的述情障碍
作者:金宇  麦慈任  丁可梅 
单位:广州中山医科大学公共卫生学院妇幼系 广东广州 510080 
关键词:Hemodialysis Alexithymia Toronto Alexith ymia Scale 
分类号:R395.1
出版年,卷(期):页码:2001,9(3):226-227
摘要:

Objective:To study alexithymia and its cor related factors in hem odialysis patients.Methods:To compare 30 hemodi alysis patients of end s tage renal disease and 30 normal controls with the Toronto Alexithymia Scale (TAS), Self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale (SDS) a nd the General Information Questionnaire.Results:1.A high prevalence of alexithy mia (53.33%) was observed in hemodialysis patients.Hemodialysis patients group s howed significantly higher scores than the normal groups on the total score, Ⅰan d Ⅱfact or score of TAS, the standard scores of SAS and SDS (P0.05). 2.There was po si tive correlation between the total score of TAS and the standard score of SAS an d SDS(P0.05), and negative correlation between the total score of TAS and e ducat ion levels in hemodialysis patients group.Conclusion:The p revalence of alexithym ia was high in hemodialysis patients.The degree of alexithymia was more puonounc ed in patients with significant problems of anxiety and depression and in patien ts with lower levels of education.

Objective:To study alexithymia and its cor related factors in hem odialysis patients.Methods:To compare 30 hemodi alysis patients of end s tage renal disease and 30 normal controls with the Toronto Alexithymia Scale (TAS), Self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale (SDS) a nd the General Information Questionnaire.Results:1.A high prevalence of alexithy mia (53.33%) was observed in hemodialysis patients.Hemodialysis patients group s howed significantly higher scores than the normal groups on the total score, Ⅰan d Ⅱfact or score of TAS, the standard scores of SAS and SDS (P0.05). 2.There was po si tive correlation between the total score of TAS and the standard score of SAS an d SDS(P0.05), and negative correlation between the total score of TAS and e ducat ion levels in hemodialysis patients group.Conclusion:The p revalence of alexithym ia was high in hemodialysis patients.The degree of alexithymia was more puonounc ed in patients with significant problems of anxiety and depression and in patien ts with lower levels of education.

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参考文献:

[1] Lesser IM,Lesser BZ.Alexithymia:Examining thedevelopment of a psychological concept.American Journal of Psychiatry,1983;140(10):1305-1308
[2] 汪向东执行主编.心理卫生评定量表手册.北京:中国心理卫生杂志,1993年(增刊)
[3] Taylor GJ.Measurement of alexithymia.Recommendations for clinical pracrice and futue research .Psychiaty Clinical of North American,1988,11(3):351-366
[4] 张建平."述情障碍”个性特点的研究概况.中国心理学会"个性”研讨会交流资料,1990,
[5] 张明园.精神科评定量表手册(第二版).长沙:湖南科学出版社,1998
[6] Taylor GJ.Alexithymia:concept,measurement and implications for treatment,American Journal of Psychiatry,1984,141(6):725-732
[7] FukunishiⅠ.Psychosomatic aspect of patients on hemodialysis 3.Clinical usefulness of alexithymia .Psychother Psychosom,1990,54(4):214-220
[8] Lesser IM.Current concepts in psychiatry:Alexitymia.New Eng J Med,1985,312(11):690-692

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