躯体形式障碍伴发抑郁的影响因素

目的探讨躯体形式障碍（SFD）伴发抑郁的影响因素。方法采用自编的躯体症状报告单、Beck抑郁自评问卷（BDI）、认知情绪调节问卷（CERQ—c）、多伦多述情量表（TAS）对115例SFD患者进行评定。结果纳入研究的109例SFD中，69例（SFD抑郁组）BDI总分≥14分，40例（SFD非抑郁组）BDI总分≤13分。SFD抑郁组CERQ—C不适应性策略总分（46．83±7．58）比（41．35±9．32）]、TAS总分（61．55±7．05）比（55．20±9．84）]均高于非抑郁组，差异有统计学意义（P〈0．01）。SFD抑郁组的认知功能、运动系统、疼痛、泌尿生殖系统症状及症状清单总分（26．38±6．80）比（22．35±6．30）]显著高于非抑郁组，差异有统计学意义（P〈0．05）。以是否抑郁为因变量，对有关变量进行Logistic回归分析，CERQ—C不适应性策略总分、性别、受教育年限依次进入方程。结论SFD伴发抑郁较为常见，SFD抑郁组较非抑郁组存在更为严重的述情障碍与躯体化症状。SFD抑郁的发生与不适应性策略、性别及受教育年限等密切相关。

Influencing factors correlated with depression in somatoform disorders

Objective To investigate the influencing factors correlated with depression in somato- form disorders （SFD）. Methods A total of 115 SFD patients were assessed with a self--designed self-- rating somatic symptom questionnaire, Beck Depression Inventory （BDI）, the Chinese version of Cogni- tive Emotion Regulation Questionnaire （CERQ--C） and the twenty--item Toronto Scale （TAS）. Results In 109 SFD completed the study, 69 patients （the SFD group with depression）had total BDI score over 14,and 40（the SFD group without depression）had total BDI score under 13. Compared with the SFD group without depression, the SFD group with depression showed significant higher total score of CERQ --C maladaptive strategies -（46.83±7.58）vs （ 41. 35±9.32）1 and TAS（61.55±7.05）vs （55.20± 9.84）] （P 〈 0.01）. In somatic symptom questionnaire, SFD with depressive mood had significant higher score in cognitive function, locomotor system, pain, urinary and reproductive system and total score of somatic symptom questionnaire -（26. 38±6. 80） vs （ 22. 35 ± 6. 30）1 than those without depressive mood （P 〈0.05）. Logistic regression showed that total score of CERQ--C maladaptive strategies, gender and education years entered sequentially the regression equation for total score of BDI in SFD. Conclusions Depressive disorder are very common in SFD. SFD with depressive mood show more severe alexithymia and somatic symptoms than those without depressive mood. The maladaptive strategies, gender and education years are responsible for the depression severity in SFD.