中国临床心理学杂志

边缘性人格障碍倾向者的述情障碍及与抑郁的关系

作者：陈纹¹ 苗冰² 唐秋萍¹ 颜双¹

单位：1. 中南大学湘雅三医院临床心理科长沙 410013
2. 长沙医学院长沙 410219

分类号：R395.2

出版年,卷(期):页码：2016,24(1):116-119

摘要：

目的:了解边缘性人格障碍倾向者的述情障碍及与抑郁的关系。方法:采用多伦多述情障碍量表(TAS-20)、流调中心抑郁量表(CES-D)、人格障碍诊断问卷第四版(PDQ-4+)对110名临床心理科门诊患者进行调查。结果:①经协方差分析控制抑郁水平,BPD倾向组的述情障碍总分(F=6.86,P=0.002)、情感识别困难(DIF)(F=9.08,P<0.001)、情感描述困难(DDF)(F=7.80,P=0.001)均显著高于非BPD倾向组;②控制抑郁障碍共病的影响,BPD特征与述情障碍总分、DIF、DDF及抑郁水平存在显著的正相关(r=0.364-0.440,P均<0.001);③对抑郁水平的分层回归分析显示:BPD特征主效应(B=0.441,P<0.001)、BPD特征与述情障碍的交互作用(B=-0.181,P=0.029)显著。进一步分组回归发现,非BPD倾向组中述情障碍能够显著正向预测抑郁(B=0.427,P=0.023),而在BPD倾向组中述情障碍对抑郁的预测作用不显著(B=-0.009,P=0.954)。结论:BPD倾向者存在明显的述情障碍,但述情障碍对抑郁的预测作用在BPD倾向组和非BPD倾向组中存在明显差别。

Objective: To understand the alexithymia and its relationship with depression in patients with borderline personality disorder(BPD) tendency.Methods: The 20-item Toronto Alexithymia Scale(TAS-20), Center for Epidemiological Survey Depression Scale(CES-D), and Personality Diagnostic Questionnaire(PDQ-4+) were used to assess 110 outpatients recruited from department of clinical psychology.Results: ①After controlling for depressive level, patients with BPD tendency had higher total score of TAS-20(F=6.86, P=0.002)、DIF(difficulty identifying feelings)(F=9.08, P<0.001)、DDF(difficulty describing feelings)(F=7.80, P=0.001) than patients without BPD tendency;②BPD features were positively associated with the total score of TAS, DIF, DDF and depressive level(r=0.364-0.440, P<0.001);③Hierarchical regression anal-ysis revealed that BPD features(B=0.441, P<0.001) and the interaction between BPD features and alexithymia(B=-0.181, P=0.029) were both significant on the prediction of depression.Furthermore, alexithymia could significantly predict depression in patients without BPD tendency(B=0.427, P=0.023), but not in patients with BPD tendency(B=-0.009, P=0.954).Conclusion: Patients with BPD tendency have evident alexithymia, and the predictive effect of alexithymia on depression is different in patients with and without BPD tendency.

基金项目：

作者简介：

参考文献：

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