失眠症患者的述情障碍与人格特征的相关性研究

Correlation study of alexithymia and personality characteristics of patients with insomnia

目的 探讨失眠症患者的述情障碍和人格特征及两者间的相关性.方法 分别对60例失眠症患者（研究组）及60名健康者（对照组）采用多伦多述情障碍量表（TAS-20）及明尼苏达多相个性调查问卷（MMPI）进行评估比较.结果 患者组TAS总分及因子Ⅰ、Ⅱ、Ⅲ、Ⅳ评分[分别为（85.93±5.46）,（20.57±2.17）,（25.80±2.41）,（17.55±3.10）,（22.47±3.58）分]均高于对照组[分别为（64.10±5.52）,（14.33±4.42）,（15.63±3.94）,（16.28±3.08）,（17.18±3.38）分],其MMPI各临床量表中疑病、抑郁、癔症、精神病态、男性女性化、偏执平均T分值[分别为（72.33±6.25）,（67.02±8.98）,（76.28±7.44）,（54.83±5.07）,（50.90±5.19）,（56.72±6.22）分]均高于对照组[分别为（51.97±6.72）,（46.80±5.83）,（51.30±7.57）,（52.10±4.56）,（47.73±5.38）,（47.33±4.08）分],差异均具有统计学意义（P＜0.05）;患者组TAS因子Ⅰ与疑病正相关,差异具有统计学意义（r=0.29,P＜0.05）,因子Ⅳ与抑郁、癔症、精神病态、男性-女性化呈正相关,差异具有统计学意义（r分别为0.29,0.34,0.31,0.30;P＜0.05）.结论 失眠症患者有一定的人格基础,存在明显的述情障碍,并且这两者密切相关.

Objective To study the alexithymia and personality characteristics in patients with insomnia. Methods Totally 60 patients with insomnia and 60 normal controls were tested with Toronto alexithymia scale （TAS） and Minnesota Muhiphasic Personality Inventory （MMPI）. Results The patients with insomnia showed alexithymia and personality base. The total and {actor scores of TAS of study group[（85.93±5.46）, （20.57±2.17）, （25.80±2.41）, （17.55±3.10）, （22.47±3.58）] were higher than controlled group [（64.10 ± 5.52）, （14.33 ± 4.42）, （15.63 ± 3.94）, （16.28 ± 3.08）, （17.18 ± 3.38）]with significant difference （P 〈 0.05）. The MMPI scale scores of Hs （hypochondriasis）, D（depression）, Hy（hysteria）, paranoid（Pa）, Men--Nancy（Mr）, psychotic（Pt） were higher in patients with insomnia [（72.33± 6.25）,（67.02±8.98）,（76.28±7.44）,（54.83±5.07）, （50.90± 5.19）,（56.72± 6.22）] than those in normal controls[（51.97±6.72） ,（46.80±5.83） ,（51.30±7.57） ,（52.10=[=4.56）, （47.73 ± 5.38）, （47.33 ± 4.08） ] with significant difference （P 〈 0.05）. There was close correlation between personality traits and alexithymia. Factor I was positively related to hypochondriasis, the relevancy was 0.29 （P 〈 0.05） respectively, Factor IV was positively related to depression, hysteria, paranoid, Men--Nancy and the relevancy was 0.29,0.34,0.31,0.30 （P 〈 0.05）. Conclusions Patients with insomnia have the alexithymia and the personality characteristics, and there are close relationship between them.