广泛性焦虑障碍患者的述情障碍与状态焦虑、特质焦虑的关系

目的探讨广泛性焦虑障碍患者的述情障碍与焦虑特质的相关性。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)、状态-特质焦虑问卷(STAI)对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,并分析述情障碍与状态焦虑、特质焦虑的关系。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(P0.05);2焦虑组患者状态焦虑分、特质焦虑分显著高于对照组,差异有统计学意义(P0.05);3焦虑患者的TAS-20总分与状态焦虑和特质焦虑的评分呈显著正相关(P0.05或P0.01);TAS因子2与状态焦虑分显著正相关,而与特质焦虑分无显著相关(P0.05);TAS因子3与特质焦虑分呈显著正相关(P0.05),与状态焦虑无显著相关(P0.05);TAS因子1与状态焦虑、特质焦虑分均无明显相关(P0.05)。结论广泛性焦虑障碍的患者存在述情障碍,缺乏情感描述能力与状态焦虑关系较为密切,外向性思维缺乏与特质焦虑更为密切。

Relationship Between Alexithymia and State Anxiety,Trait Anxiety in Generalized Anxiety Disorder

Objective To explore the relationship between alexithymia and anxious traits in generalized anxiety disorder patients.Methods A total of 46 patients with generalized anxiety disorder （anxiety group） and 50 healthy volunteers （control group） were adminisrated by self-made general situation inventory,Toronto alexthymia scale-20 （TAS-20）,and state-trait anxiety inventory（STAI）,and to analyze the correlation between alexithymia and anxiety traits.Results ①There is a significant difference in total score and subscale scores （factor 1,2 and 3） of TAS-20 between anxiety group and control group （P0.05）.②Compared with control group,the state anxiety inventory（S-AI） and trait anxiety inventory（T-AI） of anxiety group are significantly higher （P0.05）. ③There is a significant positive correlation between TAS total score and S-AI and T-AI scores in generalized anxiety disorder patients（P0.05）. There is no correlation between TAS factor 1 and S-AI and T-AI scores（P0.05）. The scores of TAS factor 2 were positively correlated with S-AI score （P0.05）. The scores of TAS factor 3 is positively correlated with T-AI score （P0.05）.Conclusion The patients with generalized anxiety disorder have a significant alexithymia,which is positively correlated with state anxious and trait anxiety. The body-anxious symptom of patients is close to state anxious,while the lack of externally oriented thinking is related to trait anxiety.