抑郁发作患者的述情障碍特征

The alexithymia of patients with depressive episode

目的了解抑郁发作患者的述情障碍特征;探讨述情障碍与抑郁、焦虑之间的关系。方法符合CCMD3抑郁发作诊断标准的172例患者和对照组172例正常人分别完成多伦多述情障碍20个条目量表(TAS20)中文版、流调中心用抑郁自评量表(CESD)和状态特质焦虑问卷(STAI)。结果抑郁组在TAS20、CESD和STAI的得分上均明显高于正常对照组;抑郁组的述情障碍发生率(42.4%)高于对照组(9.9%);抑郁组中,述情障碍者的CESD得分[(33.72±10.71)分]显著高于非述情障碍者[(24.64±11.27)分],但STAI的得分差异无显著性;TAS20总分与因子1与CESD和STAI均显著相关,且TAS20与特质焦虑的相关(0.318)高于与状态焦虑的相关(0.274)。结论抑郁发作患者表现出明显的述情障碍特征;述情障碍更倾向于作为一种人格特质。

Objective To investigate the alexithymia of patients with depressive episode and analyze the relationship between alexithymia and depression, anxiety. Method A total of 172 patients with depressive episode（CCMD-3） and 172 control subjects completed the TAS-20, the center for epidemiologic studies depression scale（CES-D） and the state-trait anxiety inventory（STAI）. Result The scores of TAS-20, CES-D and STAI were all higher in depressive patients than in control. 42.4% of patients with depressive episode were considered alexithymia, but only 9.9% in control. In depressive patients, the alexithymia got higher scores in CES-D than the nonalexithymia. The total score and the first factor of TAS-20 were correlated with CES-D and STAI significantly. Conclusion The patients with depressive episode have significant alexithymia, and alexithymia is an independent construct from depression and anxiety, though they may be closely related.