中职学生述情障碍与功能性躯体不适相关性研究

Correlation study between alexithymia and functional somatic distress in secondary vocational school students

目的：探讨中职学生述情障碍与功能性躯体不适的相关性。方法对158中职学生采用多伦多述情障碍量表和病人健康问卷进行测评分析。将多伦多述情障碍量表总分≥58分者设为述情障碍组（45名），＜58分者设为对照组（113名）。结果述情障碍组多伦多述情障碍量表评分和病人健康问卷总分及5种症状分均显著高于对照组（ P＜0．05或0．01）。中职学生多伦多述情障碍量表总分与9种躯体不适症状分呈显著正相关（ P＜0．05或0．01），识别情感障碍因子分与10种躯体不适症状分呈显著正相关（ P＜0．05或0．01），描述情感障碍因子分与6种躯体不适症状分呈显著正相关（ P＜0．05或0．01），回归分析显示识别情感障碍和年龄为功能性躯体不适的预测因素（R2＝0．246）。结论中职学生述情障碍者功能性躯体不适主要表现为疼痛及睡眠障碍，识别情感障碍与这些不适症状关系密切，可作为青少年功能性躯体不适症状的预测因素。

Objective To explore the correlation between alexithymia and functional somatic distress （FSS） in secondary vocational school （SVS） students .Methods Assessments were conducted with the 20-item Toronto Alexithymia Scale （TAS-20 ） and Patient Health Questionnaire （PHQ-15 ） in 158 SVS students .Students with the TAS-20 total score ≥ 58 were assigned to alexithymia group （n=45） and ones〈 58 to control group （n=113） .Results The TAS-20 ,PHQ-15 total and 5 symptom score were signifi-cantly higher in alexithymia than control group （P〈0 .05 or 0 .01） .The total scores of the TAS-20 of SVS students were positively related to 9 somatic discomfort symptoms significantly （P〈0 .05 or 0 .01） ,emo-tion recognition deficit to 10 （P〈0 .05 or 0 .01） ,emotion description deficit to 6 （P〈0 .05 or 0 .01） ,and regression analysis showed that unrecognizing emotion and ages were predictive factors for functional so-matic discomfort （R2 =0 .246） .Conclusion Functional somatic discomforts of SVS students with alexithy-mia are mainly pain and sleep disorders ,emotion recognition deficits are closely related to these discomfort symptoms and could be used as predictive factor for functional somatic discomfort .