CAJ | 학술논문

目的探讨有述情障碍与无述情障碍抑郁症患者自传体记忆的差异,以及有述情障碍抑郁症患者的自传体记忆与述情障碍的关系.方法对29例有述情障碍抑郁症患者以及34例无述情障碍抑郁症患者,采用自传体记忆测评(autobiographical memory test,AMT)评定自传体记忆得分、多伦多述情障碍量表(20-item Toronto alexithymia scale,TAS-20)评估述情障碍得分、汉密尔顿抑郁量表测评(Hamilton de-pression scale,HAMD-24)评定抑郁得分.结果 ①有述情障碍抑郁症组对消极线索词诱导的过度概括化自传体记忆显著高于无述情障碍抑郁症组[分别为(3.34±1.80)分,(2.51±112)分,t=2.19,P＜0.05];②有述情障碍抑郁症组过度概括化自传体记忆总分显著高于无述情障碍抑郁症组[分别为(6.14±2.44)分,(4.86±2.06)分,t=2.21,P＜0.05];③在有述情障碍抑郁症组中,述情障碍总分及外向性思维因子分与具体自传体记忆的各因子分及总分均呈负相关(r=-0.502～-0.205,P＜0.05),而过度概括化自传体记忆与各因子分及总分均呈正相关(r=0.240～0.611,P＜0.05).结论与无述情障碍抑郁症患者相比,有述情障碍抑郁症患者的过度概括化自传体记忆更为严重,述情障碍能够增加有述情障碍抑郁症患者的过度概括化自传体记忆的严重程度.
목적 탐토유술정장애여무술정장애억욱증환자자전체기억적차이,이급유술정장애억욱증환자적자전체기억여술정장애적관계.방법 대29례유술정장애억욱증환자이급34례무술정장애억욱증환자,채용자전체기억측평(autobiographical memory test,AMT)평정자전체기억득분、다륜다술정장애량표(20-item Toronto alexithymia scale,TAS-20)평고술정장애득분、한밀이돈억욱량표측평(Hamilton de-pression scale,HAMD-24)평정억욱득분.결과 ①유술정장애억욱증조대소겁선색사유도적과도개괄화자전체기억현저고우무술정장애억욱증조[분별위(3.34±1.80)분,(2.51±112)분,t=2.19,P＜0.05];②유술정장애억욱증조과도개괄화자전체기억총분현저고우무술정장애억욱증조[분별위(6.14±2.44)분,(4.86±2.06)분,t=2.21,P＜0.05];③재유술정장애억욱증조중,술정장애총분급외향성사유인자분여구체자전체기억적각인자분급총분균정부상관(r=-0.502～-0.205,P＜0.05),이과도개괄화자전체기억여각인자분급총분균정정상관(r=0.240～0.611,P＜0.05).결론 여무술정장애억욱증환자상비,유술정장애억욱증환자적과도개괄화자전체기억경위엄중,술정장애능구증가유술정장애억욱증환자적과도개괄화자전체기억적엄중정도.
Objective To explore the difference of autobiographical memory (AM) between depressive patients with and without alexithymia,and correlation between AM and alexithymia in depressive patients with alexithymia.Methods 29 depressive patients with alexithymia,34 depressive patients without alexithymia were enrolled.All patients were measured by autobiographical memory test (AMT),Toronto alexithymia scale-20 (TAS20),Hamilton depression scale-24 (HAMD-24).Results ①The negative overgeneral AM score was higher in depressive patients with alexithymia than those without alexithymia ((3.34± 1.80),(2.51 ± 1.12),respectively t=2.19,P＜0.05).②The total overgeneral AM score was higher in depressive patients with alexithymia than those without alexithymia ((6.14±2.44),(4.86±2.06),respectively t=2.21,P＜0.05).③)The correlation coefficient (r value) between the total score of overgeneral AM and total score of TAS,TAS-Ⅲ scores of TAS in depressive patients with alexithymia were significantly positively correlated (r=0.240～0.611,P＜0.05).However,the correlation coefficient between the total score of specific AM and total score of TAS,TAS-Ⅲ scores of TAS in depressive patients with alexithymia were significantly negatively correlated(r=-0.502～-0.205,P＜0.05).Conclusion Compared with depressive patients without alexithymia,the overgeneral AM in depressive patients with alexithymia is more severe,and the alexithymia can increase the severity of overgeneral AM.