创伤后应激障碍军人述情障碍特征及其影响因素
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摘要
目的探讨军人创伤后应激障碍患者的述情障碍特征及影响因素。方法采用多伦多述情障碍量表(TAS)、艾森克成人个性问卷(EPQ)、症状自评量表(SCL-90)调查了96例军人创伤后应激障碍患者(研究组),同期抽取某部100名官兵(对照组)进行测定,并将2组结果进行比较。结果军人创伤后应激障碍患者TAS总分和因子Ⅰ、Ⅱ、Ⅲ得分均显著高于对照组,而因子Ⅳ评分则低于对照组(P<0.01)。相关分析发现,研究组个性特征与述情障碍存在显著相关性(P<0.05或P<0.01);研究组SCL-90总分及各因子与TAS总分、TAS-Ⅰ、TAS-Ⅱ及TAS-Ⅲ呈显著正相关(P<0.05或P<0.01),躯体化、人际关系及焦虑与TAS-Ⅳ呈负相关(P<0.05)。结论创伤后应激障碍患者存在严重述情障碍,且与个性特征及心理健康状况密切相关。
Objective To investigate the soldier' s post-traumatic stress disorder(PTSD) alexithymia characteristics and its influencing factors.Methods Ninety-six soldiers with post-traumatic stress disorder who were investigated by Toronto alexithymia scale(TAS),Eysenck personality questionnaire adult(EPQ),symptom check list 90(SCL-90) were chosen as study group.An unit of 100 officers were selected as control group,and they were measured as the same as study group,and the results were compared.Results TAS total score and factorⅠ,Ⅱ,Ⅲ scores of the soldiers with PTSD were significantly higher,while the factor Ⅳ score lower than those of the control group(P < 0.01).Correlation analysis showed that there was significant correlation between personality characteristics and alexithymia in the study group(P < 0.05 or P < 0.01);SCL-90 total score and every factor score was significant positive correlated with the factor of TAS,TAS-Ⅰ,TAS-Ⅱ and TAS-Ⅲ in study group(P < 0.05 or P <0.01),while somatization,interpersonal and anxiety was negatively correlated with TAS-Ⅳ(P < 0.05).Conclusion Serious alexithymia exists in the patients with PTSD,and it is closely related with personality traits and mental health.
Objective To investigate the soldier' s post-traumatic stress disorder(PTSD) alexithymia characteristics and its influencing factors.Methods Ninety-six soldiers with post-traumatic stress disorder who were investigated by Toronto alexithymia scale(TAS),Eysenck personality questionnaire adult(EPQ),symptom check list 90(SCL-90) were chosen as study group.An unit of 100 officers were selected as control group,and they were measured as the same as study group,and the results were compared.Results TAS total score and factorⅠ,Ⅱ,Ⅲ scores of the soldiers with PTSD were significantly higher,while the factor Ⅳ score lower than those of the control group(P < 0.01).Correlation analysis showed that there was significant correlation between personality characteristics and alexithymia in the study group(P < 0.05 or P < 0.01);SCL-90 total score and every factor score was significant positive correlated with the factor of TAS,TAS-Ⅰ,TAS-Ⅱ and TAS-Ⅲ in study group(P < 0.05 or P <0.01),while somatization,interpersonal and anxiety was negatively correlated with TAS-Ⅳ(P < 0.05).Conclusion Serious alexithymia exists in the patients with PTSD,and it is closely related with personality traits and mental health.
引文
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[8]张朝辉,赵建民,李静,等.卒中后抑郁患者社会心理因素的研究[J].新乡医学院学报,2012,29(10):774-776.
[9]Bailey P E,Henry J D.Alexithymia,somatization and negative affect in a community sample[J].Psychiatry Res,2007,150(1):13-20.
[10]李艳玲,张春舫,高莉梅,等.慢性阻塞性肺疾病患者述情障碍及其相关因素分析[J].广东医学,2012,33(22):3474-3477.
[11]贺朝晖,张传海,王飞.神经症患者述情障碍的特征研究[J].临床精神医学杂志,2012,22(6):399.
[12]孟勇,张磊,张惠.大学生就业压力和应对方式与心理健康的关系研究[J].新乡医学院学报,2012,29(4):277-279.
[2]Bankier B,Aigner M,Bac M.Alexithymia in DSM-Ⅳdisorder:comparative evaluation of somatoform disorder,panic disorder,obsessive-compulsive disorder,and depression[J].Psychosomatics,2001,42(3):235-240.
[3]李武,胡春凤,詹来英,等.抑郁发作患者的述情障碍及相关因素[J].中国心理卫生杂志,2009,23(10):724-725.
[4]姚芳传.多伦多述情障碍量表的初步试用[J].中国心理卫生杂志,1992,6(5):378-381.
[5]龚耀先.修订艾森克个性问卷手册[M].长沙:湖南医学院出版社,1983:2-31
[6]张作记.行为医学量表手册[J].中国行为医学科学,2001,10(特刊):118-121.
[7]廖莎,江琛,唐秋萍.汶川地震救援官兵的心理健康状况及述情障碍[J].中国临床心理学杂志,2010,18(4):495-497.
[8]张朝辉,赵建民,李静,等.卒中后抑郁患者社会心理因素的研究[J].新乡医学院学报,2012,29(10):774-776.
[9]Bailey P E,Henry J D.Alexithymia,somatization and negative affect in a community sample[J].Psychiatry Res,2007,150(1):13-20.
[10]李艳玲,张春舫,高莉梅,等.慢性阻塞性肺疾病患者述情障碍及其相关因素分析[J].广东医学,2012,33(22):3474-3477.
[11]贺朝晖,张传海,王飞.神经症患者述情障碍的特征研究[J].临床精神医学杂志,2012,22(6):399.
[12]孟勇,张磊,张惠.大学生就业压力和应对方式与心理健康的关系研究[J].新乡医学院学报,2012,29(4):277-279.