抑郁症患者述情障碍特征及情绪调节的研究。

Hao Zhang, Qing Fan, Yan Sun, Jianyin Qiu, Lisheng Song
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引用次数: 12

摘要

背景:尽管抑郁症患者经常表现出明显的述情障碍,但其述情障碍的潜在机制尚不清楚。此外,很少有实验研究探索它们调节情绪的能力。目的:探讨抑郁症患者述情障碍的特点,以及抑郁症状、述情障碍与情绪调节的关系。方法:共36例抑郁症患者和31例健康对照。HAMD-24和HAMA用于评估抑郁和焦虑症状。采用多伦多述情障碍量表(TAS)评估述情障碍。采用计算机实验对情绪调节进行评价。结果:66.67%的抑郁症患者被认为存在述情障碍,而对照组的这一比例仅为3.23%。检出率差异有统计学意义(χ2=28.661, p(t=7.378, p(t=2.080, p=0.043);在消极观察、消极重评和消极抑制条件下,抑郁症患者的评分与对照组无显著差异。抑郁患者TAS评分与HAMD-24评分、HAMA评分呈显著相关。然而,情绪调节实验的评分与HAMD-24评分、HAMA评分和TAS评分没有相关性。结论:抑郁症患者述情障碍发生率高于普通人群。抑郁症患者的抑郁症状可能与述情障碍相互作用。情绪调节能力可能是一种独立的特征,与抑郁状态无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A Study of the Characteristics of Alexithymia and Emotion Regulation in Patients with Depression.

Background: Even though patients with depression often show significant alexithymia, the underlying mechanism of their alexithymia remains unclear. Furthermore, few experimental studies have explored their ability to regulate emotions.

Objective: To explore the characteristics of alexithymia in patients with depression, and the relationship of depressive symptoms, alexithymia and emotion regulation.

Methods: A total of 36 patients with depression and 31 healthy controls were enrolled. HAMD-24 and HAMA were used to evaluate depressive and anxious symptoms. Toronto Alexithymia Scale (TAS) was employed to assess alexithymia. A computer experiment was used to evaluate emotion regulation.

Results: 66.67% of the patients with depression were considered as having alexithymia, but the rate in the control group was only 3.23%. The rates showed a significant difference (χ2=28.661, p<0.001). The score of TAS was higher in patients with depression than healthy controls (t=7.378, p<0.001). In a computerized emotional regulation experiment, under watch-neutral conditions, the emotion experience ratings of patients with depression were higher than those of controls (t=2.080, p=0.043); while under watch-negative, negative-reappraisal and negative-suppression conditions, the ratings of patients with depression showed no difference from those of the controls. The scores of TAS were correlated with the HAMD-24 scores and the HAMA scores significantly in patients with depression. However, the ratings on the emotional regulation experiment had no correlation with the HAMD-24 scores, the HAMA scores or the TAS scores.

Conclusion: The incidence of alexithymia is higher in patients with depression than the general population. The depressive symptoms may have interplay with alexithymia in patients with depression. Emotion regulation ability may be an independent trait and have nothing to do with the depressive state.

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