青少年抑郁症述情障碍和家庭功能及其与抑郁的相关性研究

Alexithymia and family function in adolescents with depressive disorder and their correlation with depression

目的探索青少年抑郁症患儿述情障碍和家庭功能特征及其与抑郁的相关性。方法选取2020年12月至2023年5月于杭州市第一人民医院就诊的131例青少年抑郁症患儿作为研究组,另选取280例健康青少年作为对照组,采用儿童抑郁量表(CDI)评定抑郁严重程度、多伦多述情障碍20条目量表中文版(TAS-20)评定述情障碍、中文版儿童用家庭功能评估量表(FFAS-C)评估家庭功能。比较两组儿童的CDI、TAS-20和FFAS-C量表评分,并采用Pearson相关分析法分析研究组CDI评分与TAS-20和FFAS-C量表评分的相关性。结果研究组儿童的CDI总分及各因子分、TAS-20总分及各因子分、FFAS-C总分及各因子分明显高于对照组,差异均有统计学意义(P<0.05);研究组儿童的TAS-20和FFAS-C总分异常比例分别为88.3%和48.3%,明显高于对照组的26.1%和13.3%,差异均有统计学意义(P<0.05);经Pearson相关分析结果显示,研究组患者的抑郁症严重程度与述情障碍严重程度和家庭功能异常严重程度均呈正相关(P<0.05)。结论青少年抑郁症存在述情障碍问题和家庭功能异常,其中青少年抑郁症状与述情障碍和家庭功能相关。

Objective To explore the characteristics of alexithymia and family function in adolescents with depression and their correlation with depression.Methods A total of 131 adolescents with depression who were treated at Hangzhou First People's Hospital from December 2020 to May 2023 were selected as the study group,and 280 healthy adolescents were selected as the control group.Children's Depression Inventory(CDI)was used to assess the severity of depression,the 20-item Toronto Alexithymia Scale(TAS-20)was used to assess alexithymia,and Family Functioning Assessment Scale for Children(FFAS-C)was used to assess family function.The scores of CDI,TAS-20,and FFAS-C scales were compared between two groups of children.Pearson correlation analysis was used to investigate the correlation between CDI scores and TAS-20 and FFAS-C scales in the study group.Results The total score and factor scores of CDI,TAS-20,and FFAS-C in children in the study group were significantly higher than those in the control group(P<0.05).The abnormal percentage of TAS-20 total score and FFAS-C total score in children in the study group were 88.3%and 48.3%,respectively,significantly higher than 26.1%and 13.3%in the control group(P<0.05).Pearson correlation analysis showed that severity of depressive symptoms(CDI total score)was positively correlated with severity of alexithymia(total score and factor scores of TAS-20)and abnormal family functions(total score and factor scores of FFAS-C)in patients in the study group(P<0.05).Conclusion Adolescents with depression have alexithymia and abnormal family function.Among them,adolescent depression symptoms was related to alexithymia and family function.