摘要
目的 探讨综合性医院门诊就诊患者述情障碍与情绪状态的相关关系.方法 采用述情障碍量表和中国心身健康量表中的焦虑和抑郁因子,以382例门诊就诊患者作为研究组和462名健康人群作为对照组进行问卷调查,数据应用t检验、描述统计、Pearson相关分析、回归分析.结果 ①综合性医院门诊就诊患者述情障碍总分及各因子分均高于对照组（t=1.746～7.419,P＜0.05,除情感体验缺失因子）；②已婚患者的述情障碍状况较未婚患者好（F =2.662 ～3.160,P＜0.05）、高文化患者的述情障碍较低文化患者好（F =0.773 ～6.253,P＜0.01,除情感体验缺失因子）；③门诊就诊患者述情障碍与焦虑、抑郁呈正相关（r =0.067 ～0.281,P＜0.05）,与其一般情况无显著相关（P＞0.05）；④影响综合性医院门诊就诊患者述情障碍的主要原因是焦虑（P＜0.01）.结论 综合性医院门诊就诊患者的述情障碍相对较严重；已婚和高文化患者的述情障碍状况较好；焦虑、抑郁症状越严重,患者的述情障碍越差,其中影响述情障碍的主要因素是焦虑因子.
Objective To explore the alexithymia of the general hospital outpatient and its relationship with emotional state. Methods 382 general hospital outpatients and 462 normal people who tested by randomized cluster sampling were assessed by the Alexithymia Scale and the anxiety, depression factor of the Chinese Psychosomatic Health Scale. The results were analyzed by Student ＇s t - test, de- scriptive statistics, Pearson correlation and stepwise regression. Results （1）The general hospital outpatient＇s total score of alexithymia and other factors were higher than the normal people （t = 1 ： 746 ~ 7.419, P 〈 0.05, expect the emotional experience missing factor） ; （2）Mar- ried patients alexithymia were better than the unmarried patients （F = 2. 662 ~ 3. 160, P 〈 0.05 ）, and the high culture patients alexithy- mia were better than the low culture patients （F = 0. 773 ~ 6. 253, P 〈 0.01, expect the emotional experience missing factor） ;（3）The gen- eral hospital outpatient alcxithymia positive correlation with anxiety and depression （ r = 0.067 ~ 0.281, P 〈 0.05 ）, there were no signifi- cant correlation between general hospital outpatient alexithymia and their general（P 〉 0.05 ） ;（4） The main factor influencing alexithymia was anxiety （P 〈 0.01 ）. Conclusion The general hospital outpatient have poor alexithymia;Married and high culture patients have bet- ter alexithymia;Patients withposr anxiety, depression, they have poor alexithymia. Anxiety is the main factor influencing alexithymia.
出处
《中国健康心理学杂志》
2014年第4期507-509,共3页
China Journal of Health Psychology
关键词
综合性医院门诊患者
述情障碍
焦虑
抑郁
心身医学
General hosnital outnatient： Alexithvmia： Anxietv ： Depression： Psvchosomatic medivine
作者简介
通讯作者E-mail：734641777@qq．com.
