述情障碍与脑出血患者抑郁的相关性分析

Relationship between alexithymia and depression in patients with cerebral hemorrhage

目的:探讨述情障碍与脑出血患者抑郁的相关性。方法:采用多伦多述情障碍量表(TAS)和汉密尔顿抑郁量表(HAMD)对206例脑出血患者进行问卷调查,据此分为抑郁组和非抑郁组。首先,单因素分析比较2组基本资料的差别,然后采用多层回归分析法,探讨述情障碍对脑出血患者抑郁的影响。结果:脑出血患者抑郁和述情障碍发生率分别为57.28%(118/206)和41.26%(85/206)。抑郁组TAS识别情感障碍、描述情感障碍、外向性思维评分及总分均显著高于非抑郁组(P<0.05)。Pearson相关分析提示,HAMD评分与TAS总分、识别情感障碍、描述情感障碍、外向性思维评分均显著正相关(r=0.389、0.374、0.281、0.456,P<0.05)。多元回归分析显示,述情障碍中的外向性思维、识别情感障碍均为脑出血患者抑郁的影响因素(P<0.05)。结论:述情障碍是脑出血患者抑郁的重要原因。

Objective ：To explore the relationship between alexithymia and depression in patients with cerebral hemorrhage （CH） .Methods：All 206 patients with CH were subjected to a questionnaire survey by Toronto alexi-thymia scale （TAS） and Hamilton depression scale （HAMD） one week after operation ,and divided into the depres-sion group and non-depression group according to the HAMD .Firstly ,the general information was compared between the two groups ,and then the Pearson correlation analysis and multivariate linear regression analysis were used to explore the effect of alexithymia on depression .Results ：57 .28% （118/206） and 41 .26% （85/206） patients with CH suffered depression and alexithymia ,respectively .The affective disorder of recognition ,affective disorder of description ,extroverted thinking and the total score of TAS in the depression group were significantly higher than those in the non-depression group （P〈0 .05） .Pearson correlation analysis revealed that the HAMD was positively correlated with TAS score ,the affective disorder of recognition ,affective disorder of description ,extroverted think-ing （r=0 .389 ,0 .374 ,0 .281 and 0 .456 respectively ,P〈0 .05） .Multivariate linear regression analysis showed that affective disorder of recognition and extroverted thinking were the influencing factors of depression in patients with CH （P〈0 .05） .Conclusions：Alexithymia was an influencing factor of depression in patients with CH .