强迫症患者的述情障碍、自我和谐与强迫症状的相关性研究

Correlation study of serf - inconsistency, alexithymia and obsessions - compulsions of patients with obsessive- compulsive disorder

目的探讨强迫症患者的述情障碍、自我和谐以及与强迫症状的关系。方法采用Yale-Brown强迫量表（Yale—Brown Obsessive—Compulsivescale，Y-BOCS）、多伦多述情障碍量表（TorontoAlexithymiaScale，TAS）及自我和谐量表（Self—Consistencyand Congruence Scale，sees）对45例强迫症患者（强迫症组）和45例正常受试者（对照组）进行测评。结果①强迫症组自我与经验的不和谐及自我的刻板性评分和Y—BOCS评分均显著高于对照组（P〈0．01），而自我的灵活性评分则显著低于对照组（P〈0．05）；②强迫症组TAS总分及因子Ⅰ、Ⅱ评分均显著高于对照组（P〈0．01），而因子Ⅲ、Ⅳ评分两组间比较，无显著性差别（P〉0．05）；③强迫症患者的自我不和谐评分、TAS总分及因子Ⅰ、Ⅱ评分均与Y—BOCS评分呈显著性正相关（P〈0．01）。结论强迫症患者存在着明显的述情障碍，自我和谐性差，并与强迫症状有关。

Objective To explore the relationship among serf - inconsistency, alexithymia and obsessions - eompulsioxm of patients with obsessive - compulsive disorder. Methods The Yale - Brown Obsessive - Compulsive Scale （ Y - BOCS） , Toronto Alexithymia Scale （TAS） and Self-consistency and Congruence Scale （SCCS） were adopted to test 45 patients with obsessive -compulsive disorder （observation group） and 45 cases normal subjects （ control group）. Results （1）The scores of self - consistency, inflexibility and total score of ] - BOCS in observation group were higher than thcoe of control group （P 〈 0. 01 ）, but the score of flexibility in observation group was lower than that in control group （P 〈0. 01 ） . （2）The total score of TAS and factor I, H scores in observation group were significantly higher thma those in control group （ P 〈 0. 01 ） . （3）The score of self - consistency, the total score of TAS and factor I , 1I scores were significandy posi- tively correlated with the total score of Y - BOCS （ P 〈 0. 01 ） . Conclusions The patients with obsessive - compulsive disorder imve signif- icantly alexithymia and low self - consistency. Alexithymia and self - consistency were significantly correlated with obsessions - compuksiozm.