摘要
目的:探讨首发精神分裂症患者述情障碍及与认知功能的关系,为制定提高患者社会心理康复干预措施提供依据。方法:对72例就诊于中山大学附属第三医院的首发精神分裂症患者进行多伦多述情障碍量表(TAS)、韦氏智力、韦氏记忆量表的评定,并与68例健康人的TAS的评定结果进行对照分析。结果:首发精神分裂症患者TAS总均分(73.51±12.67)及各因子分(因子Ⅰ:17.36±4.35,因子Ⅱ:20.47±5.09,因子Ⅲ:16.47±4.21,因子Ⅳ:20.26±3.83)均高于正常人群,差异均有显著性意义(t=2.389～3.377,P<0.05～0.01)。总均分与言语智商成负相关(r=0.61,P<0.01),与操作智商成正相关(r=0.41,P<0.01)。结论:首发精神分裂症患者存在述情障碍,言语智商越低的患者述情障碍越严重。
AIM:To investigate the relationship between alexithymia and cognitive function in patients with first episode schizophrenia so as to provide evidence for the preparation of interventional management that can increase psychosocial rehabilitation of patients. METHODS:Toronto Alexithymia Scale(TAS),Wechsler Adult Intelligence Scale(WAIS) and Wechsler Memory Scale(WMS) were adopted in 72 patients with first episode schizophrenia who were hospitalized in the Third Affiliated Hospital of Sun Yat-sen University.Then,the assessing results of TAS were compared and analyzed between the 72 patients and another 68 healthy subjects. RESULTS:In the first episode schizophrenic patients,the average total score of TAS(73.51±12.67) and all factor scores of TAS(factor Ⅰ:17.36±4.35,factor Ⅱ:20.47±5.09,factor Ⅲ:16.47±4.21,factore Ⅳ:20.26±3.83) were higher than those in the normal patients,with significant difference between them(t=2.389 to 3.377,P< 0.05 to 0.01).The average total score of TAS had a negative correlation with verbal intelligence quotient(VIQ)(r=0.61,P< 0.01),and a positive correlation with total performance intelligence quotient(r=0.41,P< 0.01). CONCLUSION:The first episode schizophrenic patients are often with alexithymia.The lower VIQ of patients is,the more serious alexithymia is.
出处
《中国临床康复》
CSCD
北大核心
2005年第8期58-59,共2页
Chinese Journal of Clinical Rehabilitation
