青少年焦虑障碍患者的照顾者述情障碍对照研究

Control study of alexithymia among caregivers of adolescents with anxiety disorder

目的探讨有焦虑障碍青少年照顾者的述情障碍现状.方法选取有焦虑障碍的青少年的照顾者8 6 例为研究组,同时选取年龄、性别及受教育程度相匹配的无精神障碍史的青少年的父母或其他主要照顾人8 0 例为对照组.采用一般人口学调查表收集两组的社会人口学资料,采用多伦多述情障碍量表（TAS）评估两组的述情障碍程度.结果研究组TAS总评分及各因子评分均高于对照组（P 〈0.05）.Logistic回归分析显示,照顾者中好的家庭经济状况（ OR =0.68,95% C/0. 38-0. 87）是青少年焦虑障碍的保护性因素;而照顾者的外向性思维（OR = 1.362,95% CI：l . 14 - 1.48）是焦虑障碍的危险性因素.结论有焦虑障碍的青少年的照顾者具有述情障碍表现,其外向性思维方式及家庭经济状况可能与青少年的焦虑障碍相关.

Objective To explore the alexithymia situation of caregivers who care for adolescents with anxiety disorder.Methods Totally 86 caregivers of adolescents with anxiety disorder （ study group） and 80 caregivers of adolescents without mentaldisorder （ control group） matched by age, gender, education degree were included in the study and assessed with the TorontoAlexithymiaScale （TAS） and General demographic questionnaires. Results The total score and each factor score of TAS were higherin study group than that of control group （P 〈 0. 05 ）. Logistic regression analysis showed that better family economic condition（OR=0. 68, 9 5 % C/：0. 38-0. 87） was protective factors and externally oriented thinking （OR = 1. 362, 9 5 % CI： 1. 14 - 1.48 ） wasrisk factors for adolescents with anxiety disorder. Conclusion The caregivers of adolescents with anxiety disorder have alexithymia andtheir externally oriented thinking and family economic condition are associated with anxiety disorder of adolescents.