述情障碍对冠心病合并2型糖尿病患者应对方式及生活质量的影响

Effects of Alexithymia on the Coping Style and Life Quality of Patients with Coronary Heart Disease with Diabetes Mellitus

目的:探讨述情障碍对冠心病合并2型糖尿病患者应对方式及生活质量的影响。方法:对符合世界卫生组织冠心病、2型糖尿病诊断标准的70例患者,依据多伦多述情障碍量表(TAS-20)评分分为2组,总分>60分为述情障碍组,<50分为非述情障碍组,50~60分不做研究。述情障碍组41例,无述情障碍组29例。尔后分别进行医学应对问卷(MCMQ)、生活质量综合评定问卷(GQLI)测评,并进行比较分析。结果:述情障碍组MCMQ面对因子评分显著低于非述情障碍组(t=-8.23,P<0.01),而回避、屈从因子评分则显著高于非述情障碍组(t=5.21,4.27;P<0.01)。非述情障碍组GQLI总分及躯体健康、心理健康、社会功能因子分均显著高于述情障碍组,差异有统计学意义(t=3.66,3.82,3.66,2.37;P<0.01);物质生活维度评分差异无统计学意义(P>0.05)。患者TAS-20评分与MCMQ的面对因子评分呈显著负相关(r=-0.34,P<0.01),而与MCMQ回避、屈从因子评分呈显著正相关(r=0.32,0.34;P<0.01);与GQLI总分、躯体健康、心理健康及社会功能因子分呈显著负相关(r=-0.31,-0.33,-0.30;P<0.01),与物质生活维度评分无相关性。结论 :冠心病合并2型糖尿病述情障碍患者多采用回避和屈服的消极应对方式,而较少采用积极应对方式;其生活质量较非述情障碍患者差。

Objective ：To investigate the effects of alexithymia on the coping style and life quality of patients with coronary heart disease （CHD）with diabetes mellitus .Methods ：A total of 70 patients were enrolled following the di-agnostic criteria of CHD and diabetes mellitus ,and were divided into two groups according to Toronto Alexithymia scale - 20 （TAS - 20） ：Alexithymia group （TAS - 20 〉 60）and non - alexithymia group （TAS - 20 〈 50） .Medical Coping Modes Questionnaire （MCMQ）and Life quality complex assessment questionnaire （GQLI）were employed for the comparison .Results ：The confront factor was significantly lower in alexithymia group than in non - alexithymia group（t = -8 .23 ,P 〈 0 .01） ,whereas the scores of avoidance and resignation factors were significantly higher in alexi-thymia group than in non - alexithymia group（t = 5 .21 ,4 .27 ;P 〈 0 .01） .Scores of total ,physical health ,psychological health and social function of CQLI in non - alexithymia group were significantly higher than those in alexithymia group .There were no significant differences in material life dimension score （t = 3 .66 ,3 .82 ,3 .66 ,2 .37 ;P 〉 0 .05） . TAS - 20 score was negatively related to the score of confront factor （r = -0 .34 ,P 〈 0 .01）and positively related to the scores of avoidance and resignation factors of MCMQ （r = 0 .32 ,0 .34 ;P 〈 0 .01） ,which was further negatively re-lated to the scores of total ,physical health ,psychological health and social function of CQLI （r = -0 .31 ,-0 .33 ,-0 .30 ;P 〈 0 .05）in patients with CHD with diabetes mellitus ,with no significant correlation with material life dimension score .Conclusion ：Alexithymia patients with CHD with diabetes mellitus are prone to cope with passive avoidance and resignation rather than positive confront ,their life quality is lower than that of non - alexithymia patients .