中国临床心理学杂志

三种常见住院精神疾病患者述情特征的比较研究

作者：李武成义仁詹来英李龙飞张增韩鹏

单位：山东省安康医院山东济宁 272051

分类号：R395.2

出版年,卷(期):页码：2009,17(2):171-172

摘要：

目的：探讨住院精神分裂症、躁狂发作及抑郁发作患者述情障碍的特征。方法：采用自编一般情况问卷、多伦多述情量表(TAS)，对320例住院的精神分裂症患者、120例躁狂发作患者、105例抑郁发作患者及120名健康志愿者(对照组)进行评定。结果：①除TAS因子II，精神分裂症组TAS总分及各因子分均显著高于对照组(P＜0.05或P＜0.01)。②躁狂发作组TAS总分及因子III、IV显著高于对照组(P＜0.05或P＜0.01)。③抑郁发作组TAS总分及各因子分均显著高于对照组(P＜0.01)。④抑郁发作组TASI分、TASII分及TAS总分显著高于精神分裂症与躁狂发作组(P＜0.05)，而精神分裂症与躁狂发作组述情障碍得分差异无显著性(P＞0.05)。结论：抑郁发作、精神分裂症及躁狂发作患者均存在不同程度的述情障碍，抑郁发作患者更为严重。

Objective: To explore the alexithymia characteristics of hospitalized schizophrenics, manics and major de pressive patients. Methods: 320 schizophrenics, 120 manics, 105 major depressive patients and 120 healthy controls were assessed with a self-developed questionnaire and the Toronto Alexithymia Scale (TAS). Results: Compared with controls, schizophrenics showed significantly higher scores in total score of TAS, TAS factor I, II and IV (P<0.05 or P<0.01), and manics showed higher scores in total score of TAS, TAS factor III and IV (P<0.05 or P<0.01). Major depressive patients showed significant higher scores in total score of TAS and all factors of TAS (P<0.01 ). Compared with manics and shci zophrenics, depressive patients got higher scores in total score of TAS, scores of TAS factor I and II (P<0.05), while there was no significant difference in TAS between manics and schizophrenics (P >0.05). Conclusion: Major depressive, schizophrenic and manic patients all suffer from significant alexithymia in some degree. Major depresive patients suffer from severer alexithymia than schizophrenics and manics.

基金项目：

山东省济宁市科技局立项课题(200736)

作者简介：

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