中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2001年
3期
163-165
,共3页
心身疾病%述情障碍%个性特征
心身疾病%述情障礙%箇性特徵
심신질병%술정장애%개성특정
目的：探讨心身疾病患者的述情障碍及相关因素。方法：采用多伦多述情障碍量表（TAS），艾森克成人个性问卷（EPQ）、SIMH精神卫生自评量表（SCL -90）测查了 42例原发性高血压患者，40例2型糖尿病患者，并以45例正常人作对照。结果：两组患者均有述情障碍；原发性高血压患者描述情感的能力欠缺，不易认识和区别情绪和躯体感受，多属外向型思维；2型糖尿病组除以上三方面述情障碍外，还具有缺乏幻想和想象力的特点。多元相关分析发现，原发性高血压组，个性越内倾，描述情感能力越欠缺；2型糖尿病组，个性越内倾，越难以认识和区分情绪和躯体的感受；两组情绪越不稳定，对情感的描述能力以及认识、区别情绪和躯体的感受的能力越低下。多元逐步回归分析发现，心怀敌意及情绪不稳定的个性缺陷是原发性高血压患者述情障碍的重要因素；偏执和精神质个性缺陷是2型糖尿病患者述情障碍的重要因素。结论：原发性高血压和2型糖尿病患者普遍存在述情障碍，且与个性特征及心理卫生状况有密切关系。
目的：探討心身疾病患者的述情障礙及相關因素。方法：採用多倫多述情障礙量錶（TAS），艾森剋成人箇性問捲（EPQ）、SIMH精神衛生自評量錶（SCL -90）測查瞭 42例原髮性高血壓患者，40例2型糖尿病患者，併以45例正常人作對照。結果：兩組患者均有述情障礙；原髮性高血壓患者描述情感的能力欠缺，不易認識和區彆情緒和軀體感受，多屬外嚮型思維；2型糖尿病組除以上三方麵述情障礙外，還具有缺乏幻想和想象力的特點。多元相關分析髮現，原髮性高血壓組，箇性越內傾，描述情感能力越欠缺；2型糖尿病組，箇性越內傾，越難以認識和區分情緒和軀體的感受；兩組情緒越不穩定，對情感的描述能力以及認識、區彆情緒和軀體的感受的能力越低下。多元逐步迴歸分析髮現，心懷敵意及情緒不穩定的箇性缺陷是原髮性高血壓患者述情障礙的重要因素；偏執和精神質箇性缺陷是2型糖尿病患者述情障礙的重要因素。結論：原髮性高血壓和2型糖尿病患者普遍存在述情障礙，且與箇性特徵及心理衛生狀況有密切關繫。
목적：탐토심신질병환자적술정장애급상관인소。방법：채용다륜다술정장애량표（TAS），애삼극성인개성문권（EPQ）、SIMH정신위생자평량표（SCL -90）측사료 42례원발성고혈압환자，40례2형당뇨병환자，병이45례정상인작대조。결과：량조환자균유술정장애；원발성고혈압환자묘술정감적능력흠결，불역인식화구별정서화구체감수，다속외향형사유；2형당뇨병조제이상삼방면술정장애외，환구유결핍환상화상상력적특점。다원상관분석발현，원발성고혈압조，개성월내경，묘술정감능력월흠결；2형당뇨병조，개성월내경，월난이인식화구분정서화구체적감수；량조정서월불은정，대정감적묘술능력이급인식、구별정서화구체적감수적능력월저하。다원축보회귀분석발현，심부활의급정서불은정적개성결함시원발성고혈압환자술정장애적중요인소；편집화정신질개성결함시2형당뇨병환자술정장애적중요인소。결론：원발성고혈압화2형당뇨병환자보편존재술정장애，차여개성특정급심리위생상황유밀절관계。
Objective: To investigate factors related to alexithymia of patients with essential hypertension or type 2 diabetes mellitus. Method: 42 patients wi th essential hypertension, 40 with diabetes mellitus and 45 healthy control were assessed by TAS (Toronto Alexithymia Scale), SCL-90 and EPQ (Eysenck Personalit y Questionnaire). Multiple correlation analysis and multiple stepwise regressio n were used in data analysis. Result: Compared with normal contr ol, patients with hypertension or diabetes showed alexithymia. They were deficient in the abilit y of describing emotion, recognizing and distinguishing between emotion and body feeling, and used to extroversion thought. Besides these, patients with diabete s showed fancy-lacking either. There was close relation between personality and a lexithymia. The more introversive of the hypertensives, the more deficient they were in describing emotion. The more introversive of the diabetics, the more de f icient they were in recognizing and making distinguish between emotion and body feeling. Hostility ideation and neuroticism of hypertension patients were major factors related to alexithymia. Paranoid ideation and psychoticism had similar e ffects in diabetics. Conclusion: Patients with essential hypert ension or diabete s have alexithymia relating to their personality traits and psychological state .
