摘要
目的探究老年精神分裂症患者述情障碍发生情况以及述情障碍对精神症状的影响。方法采用前瞻性研究,选择2019年1月至2023年5月商丘市第二人民医院精神科收治的老年精神分裂症患者作为研究对象。入院后采用多伦多述情障碍量表(TAS-20)、阳性与阴性症状量表(PANSS)评估精神分裂症患者的述情障碍与精神症状,比较不同临床特征患者述情障碍发生现状,采用点二列相关性分析精神分裂症患者述情障碍与精神症状的关系。结果共纳入70例老年精神分裂症患者,其中发生述情障碍47例,占比67.14%。70例患者TAS-20评分为(57.39±7.02)分,处于中等障碍水平。发生组与未发生组在居住地、独生子女、家庭支持、抑郁、焦虑和精神症状方面比较,差异有统计学意义(P<0.05);其他临床特征差异无统计学意义(P>0.05)。经过点二列相关性分析显示,精神分裂症患者述情障碍与精神症状呈正相关关系(r>0,P<0.05)。结论老年精神分裂症患者述情障碍发生风险较高,且述情障碍处于中等水平,患者述情障碍情况越严重,精神症状越差。
Objective To explore the incidence of alexithymia in elderly patients with schizophrenia and the influence of alexithymia on mental symptoms.Methods A prospective cohort study was conducted to select elderly schizophrenic patients admitted to Department of Psychiatry of the Second People’s Hospital of Shangqiu City from January 2019 to May 2023.After admission,the Toronto alexithymia scale(TAS-20)and the positive and negative symptoms scale(PANSS)were used to assess the alexithymia and mental symptoms of schizophrenic patients.The status of alexithymia in patients with different clinical characteristics was compared,and the relationship between alexithymia and mental symptoms of schizophrenic patients was analyzed by point binary correlation.Results A total of 70 elderly schizophrenics were included,47 of whom had alexithymia,accounting for 67.14%.The TAS-20 score of 70 patients was(57.39±7.02),which was at a moderate level of impairment.There was a statistical significant difference between the occurrence group and the non-occurrence group in terms of residence,only child,family support,depression,anxiety and mental symptoms(P<0.05).There was no statistical difference in other clinical features(P>0.05).The point binary correlation analysis showed that there was a positive correlation between alexithymia and mental symptoms in schizophrenic patients(r>0,P<0.05).Conclusion The risk of alexithymia in elderly schizophrenic patients is high,and alexithymia is in the middle level.The more serious the alexithymia is,the worse the mental symptoms are.
作者
赵永丽
李丹
魏静
ZHAO Yongli;LI Dan;WEI Jing(Department of Psychiatry,the Second People’s Hospital of Shangqiu City,Shangqiu 476000,China)
出处
《河南医学研究》
CAS
2024年第13期2385-2388,共4页
Henan Medical Research
