海洛因依赖者述情障碍研究

Relationship between alexithymia and negative mood in patients with heroin dependence

目的:了解海洛因依赖者(PHD)述情障碍特征及与负性情绪的关系。方法:对194例男性PHD(PHD组),采用自编一般情况问卷、多伦多述情障碍量表(TAS)、抑郁自评量表(SDS)及焦虑自评量表(SAS)进行心理评估;107名健康男性作为对照,采用TAS进行述情障碍测评。结果:PHD组TAS总分及各因子分、SDS及SAS评分均显著高于对照组(P<0.05或P<0.01);TAS总分及因子Ⅰ、因子Ⅱ、因子Ⅳ与SDS、SAS总分均呈显著正相关(r=0.178～0.294,P均<0.05或P<0.01);TAS因子Ⅲ与SAS总分均呈显著负相关(r=-0.147,P<0.05)。结论:男性PHD存在明显述情障碍,并与负性情绪密切相关。

Objective：To understand the feature of alexithymia and the relationship between alexithymia and negative mood in patients with heroin dependence（PHD）. Method：194 male patients with PHD （study group） were evaluated with a self-developed questionnaire for general status of health,Toronto alexithymia scale （TAS） ,self-rating depression scale （SDS） and self-rating anxiety scale （SAS）. 107 healthy men （control group） were also assessed with TAS. Results：Compared with the control group, the patients with PHD had significant higher total and factor scores of TAS （ P 〈 0.05 or P 〈 0.01 ）. There was positive correlation be- tween total score and scores of factor Ⅰ , Ⅱ , Ⅳ of TAS and total scores of SAS and SDS（ r =0. 178 - 0. 294 ,all P 〈 0.05 or P 〈 0.01 ）, and there was negative correlation between factor-Ⅲ score of TAS and total score of SAS （ r = - 0. 147,P 〈 0.05 ）. Conclusion ： Male patients with PHD have severe alexithymia, which is correlated with negative mood.