院外康复期精神分裂症患者述情障碍现状及影响因素分析

Status and influencing factors of schizophrenia patients with alexithymia

1目的了解院外康复期精神分裂症患者述情障碍的现状及其影响因素,为精神分裂症患者家庭、社会回归提供基础依据。2方法选取唐山市某心理医院临床治愈、出院复诊的康复期精神分裂症患者277例。采用自编一般状况量表、多伦多述情障碍量表(TAS-20)、卡尔加里精神分裂症抑郁量表(CDSS-C)进行评测。3结果康复期精神分裂症患者述情障碍总评分为(58.28±8.80)分,有述情障碍者42.6%。精神分裂症患者述情障碍的单因素与年龄、文化程度、职业状况、病前性格、病耻感、首次起病形式、家族史、有无抑郁有关(P<0.05/P<0.01);精神分裂症患者述情障碍多因素与职业状况、病前性格、文化程度、有无抑郁、首次起病形式、有无病耻感密切相关(P<0.05/P<0.01)。4结论院外康复期精神分裂症患者非在职、内向性格、文化程度低、有抑郁、慢性起病、有病耻感的述情障碍较重。

[ABSTRACT〗 Objective To examine the influencing factors of alexithymia among convalescence discharged schizophrenia patients and to provide the basis for the foundation of social regression in patients with schizophrenia.Methods Select 277 clinically cured schizophrenia patients who sought return visit at Tangshan Psychiatric Hospital.A self-designed questionnaire、The Toronto Alexithymia Scale-20（TAS-20）and The Calgary Depression Scale for Schizophrenia-Chinese version（CDSS-C）were used in the study.Results Total TAS-20 score was（58.28±8.800）,the incidence of alexithymia among patients was 42.6%.Single factors showed with alexithymia of schizophrenia patients are related to age,education,occupational status,premorbid personality,stigma,first onset form,family history,depression（P〈0.05 or P〈0.01）.Multiple stepwise regression showed the main risk factors of alexithymia are occupational status,premorbid personality,education,depression,first onset form stigma（P〈0.05 or P〈0.01）.Conclusion Non-working,introverted,low education level,depression,chronic onset,stigma,in convalescence discharged schizophrenia patients with severe alexithymia.