躯体形式障碍患者述情障碍的相关因素分析

目的 探讨躯体形式障碍（SD）患者述情障碍的影响因素.方法 采用自编的躯体症状报告单、贝克抑郁问卷（BDI）、认知情绪调节问卷（CERQ-C）、多伦多述情量表（TASk0）、儿童期受虐经历问卷（CTQ-SF）对115例SD患者（研究组）进行评定,使用TASk0量表对101名健康志愿者（对照组）进行评定.结果 纳入研究的109例研究组患者TAS-20总分及各因子分均高于对照组（P＜0.01）.躯体症状报告单、CERQ-C、CTQ-SF及BDI多个因素中与TAS-20总分及TAS-20因子Ⅰ、Ⅱ、Ⅲ有相关性（P＜0.05,P＜0.01）.躯体症状报告单总分、躯体忽视、呼吸系统症状和睡眠障碍依次进入TAS-20总分的回归方程;BDI总分、泌尿生殖系统症状、积极重新关注依次进入TAS-20因子Ⅰ的回归方程;躯体症状报告单总分与情感虐待依次进入TAS-20因子Ⅱ的回归方程.结论 SD有明显的述情障碍.SD述情障碍的不同纬度影响因素不同,躯体化症状、抑郁情绪等为SD患者述情障碍的重要影响因素.

Correlation factors of alexithymia in patients with somatoform disorders

Objective To investigate the correlation factors of alexithymia in patients with somatoform disorders （SD）.Methods 115 SD patients （study group） were assessed with a self-designed somatic symptom report card,Beck Depression Inventory （BDI）,Chinese version of Cognitive Emotion Regulation Questionnaire （CERQ-C）,Toronto Alexithymia Scale-20 item （TAS-20）,Childhood Trauma Questionnaire-Short Form （CTQ-SF）.101 healthy controls （control group） were assessed with TAS-20.Results Total score and all factor scores of TAS-20 in 109 SD patients who completed the study were significantly higher than those in control group （P ＜0.01）.Total score of TAS-20 and its factor scores of Ⅰ,Ⅱ,Ⅲ were correlated with many factors in somatic symptom report card,CERQ-C,CTQ-SF and BDI （P ＜ 0.05 or P ＜ 0.01）.Total score of somatic symptom report card,factor score of body neglect in CTQ-SF,factor scores of respiration system symptom and sleep disorder in somatic symptom report card entered the regression equation for total score of TAS-20 by turns.Total score of BDI,factor score of urogenital system symptoms in somatic symptom report card and factor score of positive refocusing in CERQ-C entered the regression equation for factor score of I in TAS-20 by turns.Total score of somatic symptom report card and factor score of emotional abuse entered the regression equation for factor score of Ⅱ in TAS-20 Ⅱ by turns.Conclusion Alexithymia is commonly existed in patients with somatoform disorder.The different dimensions of alexithymia in patients with somatoform disorder have different correlation factors,in which the somatic symptoms and depressive mood are the most important ones.