以躯体症状为主的抑郁症患者述情障碍特征分析

Alexithymia features of depressive patients characterized by somatic symptoms

目的探讨以躯体症状为主的抑郁症患者述情障碍的临床特征。方法对52例以躯体症状为主诉(A组)和56例以情感症状为主诉(B组)的抑郁症患者与50名正常健康者(C组),采用汉密顿抑郁量表和多伦多述情障碍量表进行评定分析。结果A组汉密顿抑郁量表焦虑/躯体化、睡眠障碍及绝望感因子分和多伦多述情障碍量表因子Ⅲ评分均显著高于B组及C组(P<0.05或0.01);多伦多述情障碍量表评分除B组因子Ⅲ与C组比较无显著性差异外,A、B两组总分和其他各因子分均显著高于C组(P均<0.05)。结论以躯体症状为主的抑郁症患者可能有更多的消极观念,并且缺乏幻想和想象力。

Objective To explore the clinical features of alexithymia of depressive patients characterized by somatic symptoms. Methods Assessments were conducted with the Hamilton Depression Scale（HAMD） and the Toronto Alexithymia Scale（TAS） in 52 depressive patients characterized by somatic symptoms（group A）, 56 ones by feeling symptom（group B） and 50 healthy controls（group C）. Results The scores of anxiety/somatization,dyssomnia,feeling of despair of the HAMD and that of factor Ⅲ of the TAS were all significantly higher in the group A than in the group B and C（P〈0.05 or 0.01）; except factor Ⅲ of the TAS, the total scores and the other factors＇ scores were all significantly higher in the group A and B than in the group C（P〈0.05）. Conclusion Depressive patients characterized by somatic symptoms have more passive concept and lack fancy and ideality.