长期生存癌症患者的述情障碍

Alexithymia of Long-term Survivors of Cancers

目的 :探讨长期生存癌症患者的述情障碍及其相关因素。方法 :采用多伦多述情障碍量表及症状自评量表 ,对 36例长期生存癌症患者测评 ,并与 45例正常人进行对照比较。结果 :( 1)癌症组与对照组在SCL -90评价中无显著性差异 (P >0 0 5 )。 ( 2 )癌症组TAS总分值明显高于对照组 ,其中以II、III、IV因子尤为明显 (P <0 0 5 -0 0 1)。 ( 3)I因子与躯体化、焦虑、恐怖焦虑及精神病症呈显著性正相关 (P <0 0 5 )。III因子与强迫性 ,人际关系敏感 ,敌意及精神病症呈显著性负相关 (P <0 0 5 )。IV因子与偏执化呈显著性负相关 (P <0 0 5 )。结论 :长期生存癌症患者虽然SCL -90测评可正常 。

Objective:to study alexithymia of long-term survivors of cancers. Method:to compare 36 long-term survivors of cancers and 45 normal controls with TAS (Toronto alexithymia scale) and SCL-90.Result:there was no significant difference between the two groups in total score of SCL-90. But the survivors had significant higher score in TAS than controls.Conclusion:although long-term survivors are similar in symptom level to normal control, they still have obvious alexithymia.