神经症患者的述情障碍与个性相关性研究

A correlative study between alexithymia and personality in neurotic patients

目的探讨神经症患者的述情障碍及其与个性相关性。方法采用多伦多述情障碍量表、艾森克个性问卷及症状自评量表对43例神经症患者进行评估,并与58名健康者进行对照分析。结果神经症患者多伦多述情障碍量表总分及因子1、因子2评分均显著高于正常对照组(P<0.01),多伦多述情障碍量表总分、因子1、因子2及因子4与症状自评量表评分均呈显著正相关(P<0.05或0.01);多伦多述情障碍量表因子3与症状自评量表评分除躯体化因子外均呈负相关;多伦多述情障碍量表因子2与艾森克个性问卷神经质评分呈显著正相关(P<0.05)。结论神经症患者存在明显的述情障碍,与某些个性特质及症状有相关性。

Objective To examine the correlation between alexithymia and personality in neurotic patients. Methods 43 neurotic patients and 58 healthy controllers were surveyed with Toronto Alexithymia Scale （TAS-26）, Eysenck Personality Questionnaire （EPQ） and Symptom Checklist 90 （SCL-90）, the results were compared between them. Results The total score, factor Ⅰ and factor Ⅱ scores of TAS-26 in neurotic patients were significantly higher than those in the controllers（P〈0.01）. Correlation analysis showed there were significantly positive correlation between the total score , factor Ⅰ ,Ⅱ , Ⅳ scores and all the scores of SCL-90, and there was negative correlation between factor Ⅲ score and the scores of SCL-90 except somatization. There were positive correlation（r = 0.41 ,P 〈 0.05） between factor Ⅱ score of TAS and neuroticism scores of EPQ. Conclusion Patients with neurosis have prominent alexithymia, which had correlation with some personality characters and mental symptoms.