Depression is strongly associated with alexithymia in the general population
Depression is strongly associated with alexithymia in the general population
复制标题
DOI：
10.1016/s0022-3999(99)00083-5
复制
发表时间：
2000-01-01
影响因子：
4.7
通讯作者：
Viinam채ki, H
中科院分区：
文献类型：
--
作者：
Honkalampi, K;Hintikka, J;Viinam채ki, H
目的：本研究探讨了芬兰一般人群样本（n = 2018）中男性和女性的述情障碍和抑郁症如何相互关联。方法：采用多伦多述情障碍量表的20项版本对述情障碍进行筛查。采用Beck抑郁量表（BDI）评定抑郁水平。生活满意度估计与结构化的规模。结果：述情障碍的患病率男性为12.8%，女性为8.2%。然而，在BDI评分大于或等于9的受试者中，述情障碍的患病率为32.1%，而在非抑郁受试者中仅为4.3%（p < 0.001）。BDI评分解释了TAS-20评分变异的29.2%。如果不考虑抑郁症，述情障碍与几个社会人口因素有关。然而，在将抑郁纳入逻辑回归模型后，只有抑郁和低生活满意度与男性和女性的述情障碍相关。结论：述情障碍与一般人群中的抑郁有密切关系。社会因素对述情障碍的影响可能主要由抑郁症来解释。由于述情障碍和抑郁症之间的强相关性，在研究一般人群的述情障碍时，必须将抑郁症作为一个混杂因素考虑在内。(C)2000 Elsevier Science Inc. All rights reserved.
Objective: This study examines how alexithymia and depression are related to each other in men and women in a sample of Finnish general population (n = 2018). Methods: Alexithymia was screened using the 20-item version of the Toronto Alexithymia Scale. Llevel of depression was assessed using the 21-item Beck Depression Inventory (BDI). Life satisfaction was estimated with a structured scale. Results: The prevalence of alexithymia was 12.8% in men and 8.2% in women. However, the prevalence of alexithymia was 32.1% among those having BDI scores of greater than or equal to 9, but only 4.3% among the nondepressed subjects (p < 0.001). The BDI scores explained 29.2% of the variation in TAS-20 scores. Alexithymia was associated with several sociodemographic factors if depression was not taken into account. However, after including depression in the logistic regression models, only depression and low life satisfaction were associated with alexithymia, both in men and women. Conclusion: These results suggest that alexithymia has a close relationship to depression in the general population. The impact of social factors on alexithymia may be primarily explained by depression. Depression must be taken into account as a confounding factor when studying alexithymia in general populations due to the strong association between alexithymia and depression. (C) 2000 Elsevier Science Inc. All rights reserved.