哮喘患者述情障碍与心理健康及人格特征的相关研究

A Study on the Correlations Between Alexithymia, Mental Health and Personality Trait of Patients with Asthma

目的:探讨哮喘患者述情障碍与心理健康、人格特征的相关性。方法:采用多伦多述情障碍量表(TAS)、症状自评量表(SCL-90)、艾森克人格问卷简式量表中国版(EPQ-RSC)对52例哮喘患者进行了测查。结果:与常模比较,哮喘患者存有明显的述情障碍。其TAS总分、Ⅰ、Ⅱ、Ⅲ及Ⅳ因子与EPQ-RSC的E、Ⅲ因子与N呈显著负相关;TAS总分、Ⅰ、Ⅱ因子与N、Ⅱ和Ⅳ因子与P均呈显著正相关。TAS总分与SCL-90各因子除恐怖因子外均呈正相关;I、Ⅱ及Ⅳ因子与躯体化、抑郁、焦虑及精神病性呈正相关;III、Ⅳ因子与强迫、偏执及精神病呈正相关;Ⅳ因子与人际关系敏感、敌意呈正相关。结论:哮喘患者普遍存在述情障碍,且与心理健康状况及个性特征有密切关系。

Objective： To explore the correlations between alexithymia, with mental health and personality character of patients with asthma. Methods： 52 patients with asthma were assessed with TAS, SCL-90 and EPQ-RSC. Results： Compared with normal model control, patients with asthma showed alexithymia. There was negative correlation between the total score of TAS, Ⅰ , Ⅱ, Ⅲ, Ⅳ and EPQ-E, Ⅲand EPQ-N. There was positive correlation between the total score of TAS, Ⅰ , Ⅱ, and N, Ⅱ, Ⅳ with EPQ-P. There was positive correlation between the total scores of TAS and the factors of SCL-90 except phobia. There was positive correlation between Ⅰ, Ⅱ,Ⅳand somatozation, depression, anxiety, and psychoticism;Ⅲ, Ⅳ were positively correlated with obsessive-compulsive, paranoid ideation, psychoticism; Ⅳ was positively correlated with interpersonal sensitivity, hostility. Conclusion： Patients with asthma have alexithymia. There is close relation between alexithymia, mental health and personality traits.