产后抑郁症患者的述情障碍与抑郁症状的相关分析

Relationship between Alexithymia of Patients with Postpartum Depression and Depressive Symptoms

目的探讨产后抑郁症患者的述情障碍与抑郁症状的相关性。方法采用汉密尔顿抑郁量表17项版本(HAMD-17)和多伦多述情障碍量表20项(TAS-20)对60例产后抑郁症患者和60例健康产妇进行评定。结果①产后抑郁症组患者TAS-20总分及3个因子分评分显著高于对照组,差异有统计学意义(t=31.294,21.450,10.006,26.053;P<0.01;);②TAS-20总分及3个因子分与HAMD-17总分、焦虑/躯体化因子(Hf1)、体重因子(Hf2)、认知障碍因子(Hf3)、阻滞因子(Hf4)呈显著正相关(r=0.273～0.638,P<0.01或0.05);睡眠障碍因子(Hf5)与TAS-20总分和3个因子分相关均不显著(r=-0.141～0.030,P>0.05)。结论产后抑郁症患者存在着明显的述情障碍;述情障碍与抑郁症状的严重程度呈显著正相关,产后抑郁症患者的述情障碍与抑郁症状相互影响;有述情障碍的产后抑郁症患者的功能性躯体不适症状更突出。

Objective To investigate the relationship between alexithymia of patients with postpartum depression and depressive symptoms. Methods A total of 60 patients with postpartum depression and 60 healthy postpartum women were enrolled and as- sessed with Chinese version of the 20--item Toronto Alexithymia Scale（TAS--20）and 17--item Hamilton Depression Scale （HAMD--17）. Results ①The TAS--20 score and Tfl ,Tf2,Tf3 factors scores of patients with postpartum depression were sig- nificantly higher than those of the control group（t= 31. 294,21. 450,10. 006,26. 053 ;P〈0.01）. ②The TAS--20 score and Tfl, Tf2, Tf3 factors scores of patients with postpartum depression showed significantly positive correlation （r= 0. 273 ～0. 638, P〈 0.05 ）with the total score of HAMD--17, anxiety / somatization factor （Hfl）, weight factor （Hf2）, cognitive impairment fact, or （Hf3） ,retardation factor（Hf4）;There were no correlations between sleep disturbance factor（HfS）and TAS--20 total score,Tfl, Tf2, Tf3 factors scores （r=-0. 141～ 0. 030,P〉0. 05）. Conclusion Patients with postpartum depression have significant alex- ithymia;There is a significantly positive correlation between alexithymia and depressive symptom severity,the alexthymia of pa- tients with postpartum depression and depressive symptoms affect each other, patients with postpartum depression who have alex- thymia have more prominent functional somatic symptoms.