精神分裂症患者述情障碍与自动思维相关性研究

目的 探讨精神分裂症患者述情障碍与负性自动思维的相关性,为临床治疗提供依据.方法 将72例精神分裂症患者设为研究组,抽取同期健康志愿者66名设为对照组,采用自拟一般资料调查表、多伦多述情障碍量表和自动思维问卷对两组进行测评,同时采用阳性与阴性症状量表对研究组进行评定,对上述评定结果进行对比分析及相关分析.结果 研究组多伦多述情障碍量表总分及各因子分和自动思维问卷总分均显著高于对照组(P＜0.05或0.01),阳性与阴性症状量表总分和阳性症状、阴性症状因子分及抑郁症状项目分与多伦多述情障碍量表、自动思维问卷评分均无显著相关(P＞0.05),自动思维问卷评分与多伦多述情障碍量表总分及描述自身情感的能力、认识和辨别情感和躯体感受的能力因子分呈显著正相关(P＜0.05或0.01).结论 精神分裂症患者存在较高水平的述情障碍和负性自动思维,述情障碍与自动思维存在相关,提示在认知治疗的过程中,开展述情能力的情绪加工能力训练治疗,对患者的功能康复具有积极意义.

A correlation study of alexithymia and automatic thoughts in schizophrenia patients

Objective To explore the correlation between alexithymia and negative automatic thoughts in schizophrenia patients in order to provide basis for clinical treatment. Methods Seventy-two schizophrenics were assigned to research group and 66 selected contemporaneously healthy volunteers to control group, evaluations of both groups carried out with the Self-made General Information Questionnaire （SGIQI）, Toronto Alexithymia Scale （TAS-20） and Automatic Thoughts Questionnaire （ATQ）, assessments of research group with the Positive and Negative Syndrome Scale （PANSS）, and aboveentioned evaluation results contrastively and correlatively analyzed. Results The total and each factor score of the TAS-20 and total score of the ATQ were significantly higher in research than control group （P〈0.05 or 0.01）, there were no significant correlations between the total, positive, negative and depressive symptom score of the PANSS and the TAS-20 and ATQ score （P〉0. 05）, the ATQ score was significantly positive- ly related to the total, describing feelings, identifying and distinguishing feelings and bodily sensations of emotion （P〈0. 05 or 0.01）. Conclusion Schizophrenics have severer alexithymia and negative automatic thoughts, alexithymia is related to the exist of automatic thoughts, it points out that developing emotion processing ability training of describing emotions during cognitive therapy has active significance for patients＇ functional rehabilitation.