Grabe H J, Rainermann S, Spitzer C, Gänsicke M, Freyberger H J
Department of Psychiatry, Ernst-Moritz-Arndt-University of Greifswald, Klinikum der Hansestadt Stralsund, Germany.
Psychother Psychosom. 2000 May-Jun;69(3):128-31. doi: 10.1159/000012380.
The study investigated the following hypotheses: (1) Alexithymia is significantly associated with dissociation. (2) Pathological versus nonpathological dissociation is associated with alexithymic traits.
Psychiatric in- and outpatients (n = 173) and nonclinical subjects (n = 38) were investigated with the Toronto Alexithymia Scale (TAS-20), the FDS (German version of Dissociation Experience Scale) and the Symptom Check List (SCL-90-R; GSI). Correlation analyses followed by MANOVA and logistic regression were performed.
Significant correlations and partial correlations, controlling for GSI, were observed between dissociation and alexithymia. The MANOVA demonstrated significantly higher scores for the two TAS-20 dimensions 'difficulty identifying feelings' and 'difficulty expressing feelings' in the group with pathological dissociation. On the basis of the TAS-20 subscores, logistic regression analysis correctly classified 72.5% of the cases into the pathological and the nonpathological dissociation group.
These results support our hypothesis that pathological traits of dissociation are highly associated with alexithymia. A model is discussed in which alexithymic characteristics may contribute to the development of pathological dissociation and stress-related disorders such as posttraumatic stress disorder.
本研究调查了以下假设：（1）述情障碍与分离显著相关。（2）病理性分离与非病理性分离与述情障碍特征相关。
使用多伦多述情障碍量表（TAS-20）、FDS（分离体验量表德文版）和症状自评量表（SCL-90-R；GSI）对精神科门诊和住院患者（n = 173）及非临床受试者（n = 38）进行调查。随后进行相关分析，接着进行多变量方差分析（MANOVA）和逻辑回归分析。
在控制GSI的情况下，观察到分离与述情障碍之间存在显著的相关性和偏相关性。多变量方差分析表明，在病理性分离组中，TAS-20的两个维度“难以识别情感”和“难以表达情感”的得分显著更高。基于TAS-20的子分数，逻辑回归分析将7
