广泛性焦虑障碍患者的述情障碍与焦虑症状的相关分析

目的探讨广泛性焦虑障碍患者的述情障碍与焦虑的相关性。方法采用自制的一般情况调查表、多伦多述情障碍量表(TAS-20)、汉密尔顿焦虑量表(HAMA)对伴有或不伴有惊恐发作的46例广泛性焦虑障碍患者(焦虑组)及50例健康志愿者(对照组)进行评估,并分析述情障碍与焦虑的相关性。结果 1焦虑组的TAS总分、因子1、因子2、因子3显著高于对照组(t=3.41,P0.05);2焦虑患者的TAS总分与HAMA总分及躯体评分呈显著正相关(t=17.27,P0.01),与精神焦虑分无相关性(t分别=-0.13,0.16,P0.05);TAS因子1、因子3与HAMA总分、精神焦虑分、躯体焦虑分无显著相关性(r=0.50,P0.05);因子2与HAMA总分、躯体焦虑分呈显著正相关(P0.05)。结论广泛性焦虑障碍的患者存在述情障碍,且述情障碍与焦虑症状存在正相关,缺乏情感描述能力者躯体焦虑更为显著。     

产后抑郁症患者的述情障碍与抑郁症状的相关分析

目的探讨产后抑郁症患者的述情障碍与抑郁症状的相关性。方法采用汉密尔顿抑郁量表17项版本(HAMD-17)和多伦多述情障碍量表20项(TAS-20)对60例产后抑郁症患者和60例健康产妇进行评定。结果①产后抑郁症组患者TAS-20总分及3个因子分评分显著高于对照组,差异有统计学意义(t=31.294,21.450,10.006,26.053;P<0.01;);②TAS-20总分及3个因子分与HAMD-17总分、焦虑/躯体化因子(Hf1)、体重因子(Hf2)、认知障碍因子(Hf3)、阻滞因子(Hf4)呈显著正相关(r=0.273～0.638,P<0.01或0.05);睡眠障碍因子(Hf5)与TAS-20总分和3个因子分相关均不显著(r=-0.141～0.030,P>0.05)。结论产后抑郁症患者存在着明显的述情障碍;述情障碍与抑郁症状的严重程度呈显著正相关,产后抑郁症患者的述情障碍与抑郁症状相互影响;有述情障碍的产后抑郁症患者的功能性躯体不适症状更突出。     

产后抑郁症患者的述情障碍及其特征

目的探讨产后抑郁症患者的述情障碍及其特征。方法采用汉密尔顿抑郁量表17项版本(HAMD-17)和多伦多述情障碍量表20项(TAS-20)对60例产后抑郁症患者和60例健康产妇进行评定。结果①产后抑郁症组患者TAS-20总分及Tf1、Tf2、Tf3因子分评分显著高于对照组,差异有统计学意义(t=31.294,21.450,10.006,26.053;P<0.01;);②分娩方式为剖宫产的产后抑郁症患者组HAMD评分、TAS-20总分及Tf1、Tf2、Tf3因子分显著高于阴道产患者组,差异有统计学意义(t=-5.735,-6.923,-4.703,-4.027,-2.275;P<0.05);③女婴儿组产后抑郁症患者的HAMD、TAS-20总分及Tf2评分显著高于男婴儿组,差异有统计学意义(t=-2.297,-2.469,-2.028;P<0.05)。结论产后抑郁症患者存在着明显的述情障碍,随着分娩方式、婴儿性别和抑郁严重程度不同,其述情障碍严重程度也不同,述情障碍可能是产后抑郁症的一种状态反应。     

抑郁症患者的述情障碍与焦虑、抑郁的相关性研究

目的 探讨抑郁症患者的述情障碍以及与焦虑、抑郁的关系.方法 采用多伦多述情障碍量表(Toronto Alexithymia Scale, TAS)、Hamilton焦虑量表(Hamilton Anxiety Scale,HAMA)及Hamilton抑郁量表(Hamilton Depression Scale,HAMD)对100例抑郁症患者和100例正常自愿者进行测评,并对述情障碍与焦虑、抑郁作相关分析.结果 抑郁症组TAS评分显著高于正常对照组0=6.86,P＜0.01);其述情障碍的发生率为43%,亦显著高于对照组的11%(x2=25.98,P＜0.01).抑郁症患者的TAS总分及因子Ⅰ、Ⅱ、Ⅳ评分与HAMA及HAMD评分均呈显著性正相关.结论 抑郁症患者存在着明显的述情障碍,并与焦虑、抑郁有关.     

5·12汶川地震前后灾区焦虑抑郁障碍病人症状对比研究

目的探索5.12汶川地震对幸存者焦虑和抑郁情绪的影响。方法通过对德阳市人民医院神经内科2007年5月12日～2009年5月12日的1298名就诊者,进行汉密尔顿焦虑量表和汉密尔顿抑郁量表评估病人的结果比较,以发现地震对幸存者的焦虑、抑郁情绪的影响。结果地震后单纯焦虑障碍发病率明显增加(P0.05),女性焦虑障碍和抑郁障碍的程度明显高于男性,并且地震对幸存者的认知障碍产生了比较大的影响。结论5.12汶川地震对灾区群众的情绪产生了较大影响。     

综合心理护理干预对抑郁症康复的影响

目的探讨综合心理护理干预对抑郁症患者康复的影响。方法对60例住院抑郁症患者随机分为实验组和对照组,2组患者均接受常规治疗和护理,实验组在常规治疗的基础上,由护士对患者进行综合心理护理干预,内容包括集体心理护理、个别心理护理、认知干预、行为干预、家庭干预等,应用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)量表,比较2组患者评分差异。结果治疗前2组HAMD、HAMA评分差异与对照组比较无统计学意义(P>0.05),治疗4、8周时,2组HAMD、HAMA评分均比治疗前显著下降(P<0.05),实验组下降更明显(P<0.05)。结论综合心理护理干预对抑郁症患者的抑郁、焦虑情绪有改善作用,能够促进疾病的早日康复。     

社区人群抑郁障碍早期心理干预效果随访

目的 探索心理教育时社区抑郁障碍患者及高危人群的近期效果.方法 干预对象为社区抑郁障碍患者12例及阈下抑郁者40例.干预形式包括发放健康教育手册及讲座形式,内容包括抑郁障碍知识及认知行为治疗取向的心理教育.结果 干预后抑郁障碍知晓率显著提高,熟悉率由7.5％升至30.5％(x2=11.80,P=0.00).干预后汉密尔顿抑郁量表(HAMD)总分及应对方式消极应对分均显著降低(t=2.01,P=0.05;t=2.28,P=0.03).女性汉密尔顿抑郁(HAMD)、汉密尔顿焦虑(HAMA)减分值均显著高于男性(P分别为0.01、0.00),内向者HAMD减分值亦显著低于性格外向及一般者(F=3.38,P=0.04),女性特质应对方式问卷(TCSQ)消极应对分减分值亦显著高于男性(F=9.77,P=0.00).年龄与HAMD减分值呈显著负相关(r=-0.27,P=0.05).干预1年后随访,HAMD、HAMA总分均显著低于基线(t=3.82,2.97;P＜0.01).结论 心理教育能提高社区抑郁症患者及高危人群抑郁症知晓率,改善抑郁症状及应对方式,女性改善较佳.     

帕罗西汀治疗老年期抑郁障碍36例临床观察

目的 探讨帕罗西汀治疗老年期抑郁障碍的临床治疗和安全性.方法 对入组的36例老年期抑郁障碍的患者使用帕罗西汀进行治疗,使用汉密尔顿抑郁量表(HAMD)与汉密尔顿焦虑量表(HAMA)及副反应量表(TESS)在治疗前,治疗后2、4、6、8周进行评定.结果 治疗后2、4、6、8周(HAMD)评分及(HAMA)评分减分率显著(P＜0.05).TESS评分帕罗西汀副反应小,患者耐受较好.结论 帕罗西汀对老年期抑郁障碍起效快,疗效显著尤其对焦虑、躯体化症状,副作用小,安全性高.     

脑电生物反馈治疗脑卒中后焦虑障碍的临床疗效研究

目的了解脑电生物反馈治疗对脑卒中后焦虑障碍患者的治疗效果。方法经汉密尔顿焦虑量表(HAMA)筛选出伴焦虑症状的70例脑卒中患者,随机分为治疗组35例,对照组35例。治疗组联合脑电生物反馈治疗,4周及8周后再对两组进行临床疗效及HAMA评分比较。结果治疗组联合脑电生物反馈治疗后,4周及8周HAMA评分与对照组比较有显著差异(t=-2.45,-2.89;P<0.05),两组治疗8周总有效率比较有显著差异(χ2=9.68,P<0.05)。结论脑电生物反馈治疗用于脑卒中后焦虑障碍患者的治疗值得推广。     

广泛性焦虑障碍患者的述情障碍及其特征

目的探讨广泛性焦虑障碍患者的述情障碍及其影响因素。方法采用自制的一般情况调查表、多伦多述情障碍量表(TAS-20)对伴有或不伴有惊恐发作的46例广泛性焦虑障碍患者(焦虑组)及50例健康志愿者(对照组)进行评估。结果 1焦虑组的TAS总分与对照组相比较差异有统计学意义(t=3.41,P0.01);2男性焦虑患者的TAS因子3显著高于女性焦虑患者,差异有统计学意义(t=2.76,P0.05);3焦虑患者的TAS总分及各因子分与受教育水平显著负相关(P0.05);4伴有惊恐发作的焦虑患者的TAS总分显著高于不伴有惊恐发作的广泛性焦虑患者,差异有统计学意义(t=3.43,P0.01)。结论广泛性焦虑障碍的患者存在述情障碍,且男性、低文化水平更为严重;伴有惊恐发作的焦虑患者的述情障碍较不伴有惊恐发作的患者严重。     

Emotional awareness in substance‐dependent patients

We explored emotional awareness in substance‐dependent patients and its relationships to self‐reported alexithymia. Sixty‐four outpatients with drug dependence or alcohol dependence were evaluated before the beginning of treatment with the Hamilton Depressive Scale and the Covi Anxiety Scale, and they completed the Toronto Alexithymia Scale (TAS‐20) and the Levels of Emotional Awareness Scale (LEAS). Subjects exhibited low levels of emotional awareness and TAS‐20 scores were high. Both measures were not related to depressive and anxious symptomatology. This research is the first to provide LEAS results with substance‐dependent patients and highlights their deficits in emotions' differentiation and complexity. The lack of a relationship between LEAS and TAS‐20 is discussed from the methodological and theoretical points of view. © 2010 Wiley Periodicals, Inc. J Clin Psychol 66:1–12, 2010.     

心身疾病与抑郁症患者的述情障碍特征

目的 探讨心身疾病与抑郁症患者的述情障碍特征.方法 本研究采用汉密顿抑郁量表(HAMD)和多伦多述情障碍量表(TAS),分别对62例心身疾病、66例抑郁症患者和60名正常健康者进行评定分析.结果 心身疾病组多伦多述情障碍量表总分、Ⅰ、Ⅱ、Ⅳ因子分高于对照组(t1=4.230,P1=0.000);抑郁症组多伦多述情障碍量...     

What does the Toronto Alexithymia Scale TAS-R measure?

One hundred seventy four inpatients of a psychosomatic hospital were examined with the revised version of the Toronto Alexithymia Scale TAS-R, as well as further measures of emotionality, somatization, psychopathology and personality. A significant association was found between TAS alexithymia and the number of somatoform symptoms. This association, however, disappeared when it was corrected for the possible impact of depression. The factor 1 of the TAS (ability to describe feelings to others) correlated significantly with the use of negative emotional words. Thus TAS alexithymics do not use less, but more emotional words, especially words describing negative feelings. The validity of factor 2 (externally oriented thinking) seems to be low. TAS alexithymia may measure specific aspects of depression or general distress. © 1996 John Wiley & Sons, Inc.     

Alexithymia and perceived symptoms: criterion validity of the Toronto Alexithymia Scale.

The associations between alexithymia and somatization, perceived symptoms and subjective health, were investigated in a population sample of 2,297 middle-aged Finnish men. A modified translated version of the Toronto Alexithymia Scale (TAS) was used to assess alexithymia. A graded and statistically significant relationship was observed between the TAS score for alexithymia and self-reported recent symptoms. The alexithymia score, adjusted for age, smoking and socioeconomic status, was also positively associated with the MMPI hypochondriasis index and inversely with perceived level of health. One of the factors of the TAS appeared to have a weak but significant correlation with a variety of diagnosed disorders that previously have been considered psychosomatic.     

酒中毒性精神障碍患者述情障碍及应付方式相关研究

目的：了解酒中毒性精神障碍患者述情障碍和应付方式的特点,方法：对40例酒中毒性精神障碍患者的述情障碍和应付方式进行调查分析,并与49例正常人的应付方式进行对照。结果：酒中毒性精神障碍TAS及因子得分显著高于正常人群,幻想性缺得分偏高相对突出。应付方式的问题定性应付、自信心、理性加工、控制力显著低于正常人群;而情绪缓冲性应付、支持倾向、情绪加工、顺从回避显著高于正常人群,相关分析发现,述情障碍Ⅱ因子与应付方式敏感化、控制力呈显著负相关,与顺从回避呈显著正相关,结论：酒中毒性精神障碍患者术障碍明显,有较高的依赖性和问题解决的情绪化,内在情绪、态度和躯体感受识别的能力,与应付方式的选择相关。     

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

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,P0.01),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;P0.01)。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;P0.01);物质生活维度评分差异无统计学意义(P0.05)。患者TAS-20评分与MCMQ的面对因子评分呈显著负相关(r=-0.34,P0.01),而与MCMQ回避、屈从因子评分呈显著正相关(r=0.32,0.34;P0.01);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;P0.01),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。     

多发性硬化患者事件相关电位的检测及其情感障碍的评价

目的：评价多发性硬化(MS)患者的认知损害以及情感障碍。方法：对40例MS患者进行事件相关电位(ERP)的检测并与汉密尔顿焦虑和抑郁量表(HAMA和HAMD)的评分进行比较。结果：部分MS患者出现N2和P3波潜伏期延长以及HAMA和HAMD评分的增高。结论：MS患者可以出现认知功能损害以及焦虑或抑郁状态。     

冠心病合并抑郁患者的血管内皮功能的临床研究

目的 探讨冠心病合并抑郁患者的血管内皮功能及临床意义.方法 320例经冠脉造影确诊的冠心病患者根据汉密顿抑郁量表(HAMD)评定,抑郁组192例和非抑郁组128例,所有入选者均接受肱动脉超声检查和血清一氧化氮(NO)、内皮素(ET)浓度测定.结果 抑郁组与非抑郁组的冠心病患者FMD%、NMD%、NO、ET比较差别有统计...     

Psychometrics of the Schalling-Sifneos and Toronto Alexithymia Scales

Two measures of alexithymia, the Schalling-Sifneos (SSPS) and the Toronto Scales (TAS) were administered to 178 male and female undergraduate students. For both measures alexithymia appears to decrease with age. Five factors for the TAS were retained accounting for 35% of the variance and for the SSPS a three-factor solution was determined accounting for 53% of the variance. The robustness of the solution analyzed with the TAS reflected greater stability. The factor structure of the TAS seemed more consistent with the concept of alexithymia than that of the SSPS.     

Emotion-processing deficit in alexithymia.

College undergraduates were identified as alexithymic or control, based on their scores on the Toronto Alexithymia Scale (TAS; Taylor, Ryan, & Bagby, 1985). All subjects were presented standardized emotion-eliciting color slides for 6 s while facial muscle, heart rate, and skin conductance activity were recorded. Stimuli were presented a second time while subjects were asked to provide emotion self-reports using a paper-and-pencil version of the Self-Assessment Manikin (SAM; Lang, 1980) and to generate a list of words describing their emotional reaction to each slide. Consistent with the definition of alexithymia as a syndrome characterized, in part, by a deficit in the identification of emotion states, high TAS subjects supplied fewer emotion-related words than did controls to describe their response to the slides. Alexithymics also indicated less variation along the arousal dimension of the SAM, produced fewer specific skin conductance responses and showed less heart rate deceleration to the slides, regardless of category. No valence-related differences between alexithymic and control subjects were noted.