述情障碍与脑出血患者抑郁的相关性分析

摘要

Objective :To explore the relationship between alexithymia and depression in patients with cerebral hemorrhage (CH) .Methods:All 206 patients with CH were subjected to a questionnaire survey by Toronto alexi-thymia scale (TAS) and Hamilton depression scale (HAMD) one week after operation ,and divided into the depres-sion group and non-depression group according to the HAMD .Firstly ,the general information was compared be-tween the two groups ,and then the Pearson correlation analysis and multivariate linear regression analysis were used to explore the effect of alexithymia on depression .Results :57 .28% (118/206) and 41 .26% (85/206) patients with CH suffered depression and alexithymia ,respectively .The affective disorder of recognition ,affective disorder of de-scription ,extroverted thinking and the total score of TAS in the depression group were significantly higher than those in the non-depression group (P<0 .05) .Pearson correlation analysis revealed that the HAMD was positively correlated with TAS score ,the affective disorder of recognition ,affective disorder of description ,extroverted think-ing (r=0 .389 ,0 .374 ,0 .281 and 0 .456 respectively ,P<0 .05) .Multivariate linear regression analysis showed that affective disorder of recognition and extroverted thinking were the influencing factors of depression in patients with CH (P<0 .05) .Conclusions:Alexithymia was an influencing factor of depression in patients with CH .%目的：探讨述情障碍与脑出血患者抑郁的相关性。方法：采用多伦多述情障碍量表（TAS）和汉密尔顿抑郁量表（HAMD）对206例脑出血患者进行问卷调查，据此分为抑郁组和非抑郁组。首先，单因素分析比较2组基本资料的差别，然后采用多层回归分析法，探讨述情障碍对脑出血患者抑郁的影响。结果：脑出血患者抑郁和述情障碍发生率分别为57．28％（118/206）和41．26％（85/206）。抑郁组TAS识别情感障碍、描述情感障碍、外向性思维评分及总分均显著高于非抑郁组（P＜0．05）。Pearson相关分析提示，HAMD评分与TAS总分、识别情感障碍、描述情感障碍、外向性思维评分均显著正相关（ r＝0．389、0．374、0．281、0．456，P＜0．05）。多元回归分析显示，述情障碍中的外向性思维、识别情感障碍均为脑出血患者抑郁的影响因素（P＜0．05）。结论：述情障碍是脑出血患者抑郁的重要原因。