广泛性焦虑障碍患者的述情障碍与焦虑症状的相关分析

Study on Relativity between Alexithymia and Anxiety Symptom in Generalized Anxiety Disorder

目的探讨广泛性焦虑障碍患者的述情障碍与焦虑的相关性。方法采用自制的一般情况调查表、多伦多述情障碍量表(TAS-20)、汉密尔顿焦虑量表(HAMA)对伴有或不伴有惊恐发作的46例广泛性焦虑障碍患者(焦虑组)及50例健康志愿者(对照组)进行评估,并分析述情障碍与焦虑的相关性。结果 1焦虑组的TAS总分、因子1、因子2、因子3显著高于对照组(t=3.41,P<0.05);2焦虑患者的TAS总分与HAMA总分及躯体评分呈显著正相关(t=17.27,P<0.01),与精神焦虑分无相关性(t分别=-0.13,0.16,P>0.05);TAS因子1、因子3与HAMA总分、精神焦虑分、躯体焦虑分无显著相关性(r=0.50,P>0.05);因子2与HAMA总分、躯体焦虑分呈显著正相关(P<0.05)。结论广泛性焦虑障碍的患者存在述情障碍,且述情障碍与焦虑症状存在正相关,缺乏情感描述能力者躯体焦虑更为显著。

Objective To investigate the relativity between alexithymia and anxious symptom in generalized anxiety disorder patients.Methods A total of 46 patients with generalized anxiety disorder （anxiety group） and 50 healthy volunteers （control group） were investigated by self-made general situation inventory,and Toronto alexthymia scale-20 （TAS-20）,and analyze the correlation between alexithymia and anxiety symptom.Results ①There were significant differences in total score and subscale scores （factor 1,2 and 3） of TAS-20 between anxiety group and control group （P0.05）.②There was a significantly positive correlation between TAS total score and HAMA total score in generalized anxiety disorder patients（P0.05）,except of mind-anxiety and body-anxiety factor scores（P0.05）. There were no correlations between TAS factor 1,3 and HAMA total score,mind-anxiety and body-anxiety factor scores（P0.05）. The score of TAS factor 2 was positively correlated with HAMA total score and body-anxiety factor score（P0.05）.Conclusions The patients with generalized anxiety disorder may have a significant alexithymia,which positively correlates with anxious symptoms. The body-anxious symptom of patients is more serious in lack of describing affective symptom.