文章摘要
赵科,焦传安,周晓琴.强迫障碍患者的成人依恋与述情障碍相关研究[J].神经损伤功能重建,2020,15(6):322-324
强迫障碍患者的成人依恋与述情障碍相关研究
Adult Attachment and Alexithymia in Obsessive-Compulsive Disorder
  
DOI:
中文关键词: 强迫障碍  成人依恋  述情障碍
英文关键词: obsessive-compulsive disorder  adult attachment  alexithymia
基金项目:
作者单位
赵科,焦传安,周晓琴 安徽医科大学附属 巢湖医院精神科 
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中文摘要:
      目的:调查强迫障碍(OCD)患者的成人依恋类型和述情障碍程度,并探索两者的关系。方法:采用 亲密关系经历量表(ECR)和多伦多述情障碍20条目量表(TAS-20)对OCD患者35例(OCD组)及健康人 35名(对照组)进行测评,比较2组量表得分及相互关系。结果:OCD组的依恋回避得分和依恋焦虑得分 明显高于对照组(P<0.01),OCD组的不安全型比例显著高于对照组(χ2=20.160, P=0.000);OCD组在述 情障碍总分、情感辨别不能因子分和情感描述不能因子分上明显高于对照组(P<0.05);OCD组中的依 恋回避与情感辨别不能、情感描述不能之间存在正相关,依恋焦虑与情感辨别不能之间存在正相关(P< 0.05)。结论:OCD患者中不安全依恋占多数,且普遍存在述情障碍。
英文摘要:
      To explore the type of adult attachment and the degree of alexithymia in patients with obsessive-compulsive disorder (OCD) and evaluate their relationship. Methods: We assessed 35 OCD patients (OCD group) and 35 normal controls (NC group) using the Intimate Relationship Experience Scale (ECR) and the Toronto Alexithymia 20-item Scale (TAS-20). Results: The attachment avoidance score and attachment anxiety score of the OCD group were higher than those of the NC group (P<0.01). The proportion of unsafe attachment type in the OCD group was significantly higher than that in the NC group (χ2=20.160, P= 0.000). The TAS-20 total score, inability to distinguish between emotions, and inability to describe emotional factors in the OCD group were significantly higher than those in the NC group (P<0.05). In the OCD group, there was a positive correlation between attachment avoidance and inability to distinguish between emotions and emotional description (P<0.05) and a positive correlation between attachment anxiety and inability to identify emotions (P<0.05). Conclusion: OCD patients predominantly show insecure attachment and suffer alexithymia.
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