CAJ | 학술논문

目的：：探讨伴有躯体症状的抑郁症患者述情障碍相关因素。方法：采用病例对照的研究方法，收集130例符合国际疾病分类第十版(ICD-10)抑郁症诊断标准的患者，汉密尔顿抑郁量表17项版本(HAMD-17)≥17分，其中SCL-90量表中躯体化因子得分>2的抑郁症患者为抑郁症伴躯体症状组(研究组)， SCL-90量表中躯体化因子得分≤2的抑郁症患者为抑郁症不伴躯体症状组(对照组)。对两组患者采用多伦多述情障碍量表(TAS-20)评估患者的述情障碍。并就述情障碍的相关因素进行分析比较。结果：①伴有躯体症状的抑郁症患者的述情障碍得分更高，有统计学意义(P<0.01)；②抑郁评分越高，其述情障碍越严重；③TAS因子1与3个症状因子呈正相关，因子2与5个症状因子成正相关，因子3与8个症状因子呈负相关，有统计学意义(P<0.05)。结论：伴有躯体症状的抑郁症患者存在明显的述情障碍。性别、受教育年限、抑郁的严重程度等是抑郁症患者述情障碍的重要影响因素。
목적：：탐토반유구체증상적억욱증환자술정장애상관인소。방법：채용병례대조적연구방법，수집130례부합국제질병분류제십판(ICD-10)억욱증진단표준적환자，한밀이돈억욱량표17항판본(HAMD-17)≥17분，기중SCL-90량표중구체화인자득분>2적억욱증환자위억욱증반구체증상조(연구조)， SCL-90량표중구체화인자득분≤2적억욱증환자위억욱증불반구체증상조(대조조)。대량조환자채용다륜다술정장애량표(TAS-20)평고환자적술정장애。병취술정장애적상관인소진행분석비교。결과：①반유구체증상적억욱증환자적술정장애득분경고，유통계학의의(P<0.01)；②억욱평분월고，기술정장애월엄중；③TAS인자1여3개증상인자정정상관，인자2여5개증상인자성정상관，인자3여8개증상인자정부상관，유통계학의의(P<0.05)。결론：반유구체증상적억욱증환자존재명현적술정장애。성별、수교육년한、억욱적엄중정도등시억욱증환자술정장애적중요영향인소。
Objective:To investigate related factors of alexithymia in depression patients with somatic symptoms. Methods:A case-control study was used, and 130 patients were collected, who met the tenth edition of the international classification of diseases (ICD-l0) diagnostic criteria for depression with a score of 17-item Hamilton depression scale 17 of greater than or equal to 17 points. The patients with the SCL-90 somatization factor score of greater than 2 were chosen as depression with somatic symptoms group ( study group), while those with the SCL-90 somatization factor score of less than or equal to 2were used as depression without somatic symp-toms group (control group). Alexithymia of all the patients was evaluated with Toronto alexithymia scale (TAS-20) and its related factors were analyzed and compared. Results:(1) study group had higher alexithymia scored, and had the statistical significance (P<0. 01). (2) The higher depression score was, the more severe alexithymia was. (3) TAS factor 1 and 3 symptom factors were posi-tively correlated, factor 2 and 5 symptom factors were positively correlated, while factor 3 and 8 symptom factors were negatively corre-lated, and they all were statistically significant (P<0. 05). Conclusions:The depression patients with somatic symptoms have obvious alexithymia. Gender, years of education, severity of depression are important factors for these patients.