西宁地区高血压患者的述情障碍及情绪状态特征研究

The Investigation on Alexithymia and Emotional State Characteristics of Hypertension Patients in Xining Area

目的:了解西宁地区高血压患者的述情障碍及情绪状态特征。方法:随机选取西宁市某社区纳入管理的高血压患者59例,采用多伦多述情障碍量表和情绪状态问卷进行述情障碍及情绪状态评估。结果:59例高血压患者TAS-20得分在因子F1(难以识别自己的情感的倾向)高于正常对照组(t=7.91,P<0.05)、因子F2(难以描述自己情感的倾向)高于正常对照组(t=4.30,P<0.05)。因子F3(外向型思维)高于正常对照组(t=2.18,P<0.05)。高血压患者在紧张(t=6.20,P<0.05)、疲劳(t=2.23,P<0.05)、抑郁(t=4.51,P<0.05)维度高于正常对照组,精力维度(t=4.34,P<0.05)低于常模。情绪纷乱总分TMD高于常模(t=14.21,P<0.05)。高血压患者TAS-20,POSM各因子分与患者年龄、性别、病程等一般情况作相关分析发现,高血压患者紧张、疲劳与病程相关(r=0.39,r=0.32);高血压患者抑郁、疲劳与婚姻相关(r=0.41,r=0.25);高血压患者紧张与F1、F3相关(r=0.33,r=0.35);抑郁与F1、F2、F3相关(r=0.37,r=0.44,r=0.26);疲劳与F1、F2、F3相关(r=0.34,r=0.23,r=0.39)。结论:西宁地区高血压述情障碍患者的情绪特征以抑郁、紧张和疲劳为主,述情障碍与抑郁、疲劳具有内在联系。疲劳还可能是高原地区高血压述情障碍患者的危险因素。

Objective. The study is to investigate the alexithymia and the emotional state characteristics of patients with high blood pressure in Xining area.Methods： 59 patients with hypertension were selected from a community in Xining to be evaluated by the Toronto Alexithymia scale-20 （TAS-20）and Profile of mood states（POMS）.Results. TAS - 20 scores in the factor of F1 （it is difficult to identify their own emotional tendency） is higher than normal control （t = 7.91, P〈0.05）, the factor F2 （hard to describe their emotional tendency） is higher than normal control （t = 4.30, P〈0.05） and F3 （extroverted thinking） is higher than normal control （t=2.18,P〈0.05）. The tense dimension （t=6.20,P〈6.20）, fatigue dimension （t =2.23,P〈2.23） and depression dimension （t =4.51 ,P〈0.05） of the patients with high blood pressure are higher than normal control but the energy dimension （t=4.34,P〈0.05） is lower than the norm. Meanwhile, the total Mood Disturbance （TMD） is higher than the norm （t=14.21,P〈0.05）. It is correlated with tension, fatigue and pathogenesis （r = 0.39, r = 0.32） ; and with depression, fatigue and marriage （r=0.41, r=0.25）. The patients＇ nerves is associated with F1, F3 （r=0.33, r=0.35） ; their depression is associated with F1, F2 and F3 （r=0.37, r=0.44, r=0.26） and their fatigue is related to F1, F2 and F3 （r=0.34, r=0.23, r=0.39）. Conclusion. It is obvious that the alexithymia of hypertension patients can be associated with tension, depression and fatigue in Xining area. Fatigue may be the risk factor for hypertension patients with alexithymia in Xining.