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[心因性症状与智力之间的关系]

[Relationship between psychogenic symptomatology and intelligence].

作者信息

Meszner K, Hagedorn E

出版信息

Z Psychosom Med Psychoanal. 1976 Oct-Dec;22(4):364-9.

PMID:1014914
Abstract

Corresponding to variables "leading symptoms in the psychic area" and "psychosomatic diseases in a restricted sense" 493 patients have been divided in four groups. Taking the hypothesis that patients with a different symptomatic show different results in the HAWIE (Hamburg-Wechsler-Intelligence-Test for Adults) four groups have been compared corresponding to their HAWIE-scores. It turns out that patients with a psychic leading symptomatic without important somatic disease and patients with psychosomatic illness in a restricted sense without psychic symptoms showed better results compared with other patients in the verbal tests. For this correlations of the higher scores in the verbal part of the intelligence-test with the phenomena that the investigator more often found the diagnosis of a psychic leading symptom or a psychosomatic disease in a restricted sense the following interpretations are considered: 1. The innerpsychic effort connected with different psychogenic disorders is reflected in the cognitive efficiency. 2. The diagnosis of limited psychomatic illness is also a result of the verbal interaction of doctor(s) and patient.

摘要

对应于“精神领域的主要症状”和“狭义的心身疾病”这两个变量,493名患者被分为四组。基于不同症状的患者在HAWIE(汉堡成人韦氏智力测验)中表现不同这一假设,根据他们的HAWIE分数对四组进行了比较。结果发现,没有重要躯体疾病的精神主导症状患者和狭义的心身疾病但无精神症状的患者,在言语测试中的表现优于其他患者。对于智力测试言语部分的较高分数与调查者更常发现精神主导症状或狭义的心身疾病诊断这一现象之间的相关性,考虑了以下解释:1. 与不同心理障碍相关的内心精神努力反映在认知效率上。2. 狭义的心身疾病诊断也是医生与患者言语互动的结果。

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