Subic-Wrana Claudia, Bruder Susanne, Thomas Walther, Gaus Eckehard, Merkle Wolfgang, Köhle Karl
Institut für Psychosomatik und Psychotherapie der Universität zu Köln, Germany.
Psychother Psychosom Med Psychol. 2002 Nov;52(11):454-60. doi: 10.1055/s-2002-35281.
Preliminary findings of an ongoing study of the distribution of alexithymia in different diagnostic-groups of psychosomatically ill in-patients (n = 240, will be increased to n = 400) are reported. Alexithymiea is measured simultaneousely by the Levels of Emotional Awareness Scale (LEAS, a performance-test) and the 20-item Toronto Alexithymia Scale (TAS 20, a self-report-scale). Measured by the LEAS and compared with other diagnostic groups (affective, anxiety and compulsive-obsessive disorders; adjustment disorders; eating disorders), patients with somatoform disorders showed a decreased ability to be aware of and to communicate their emotional states. This finding which meets theoretical considerations about the origin of alexithymia could not be found with the TAS 20. The TAS 20 did not differentiate between the diagnostic groups, but showed - in accordance with two other self-report-scales (STAI for self reported anxiety as a personality trait and SCL-90-R for self reported somatic und psychic complaints) - higher mean scores at the onset than at the end of treatment. Methodical implications of the different findings of the two alexithymia scales are discussed.
报告了一项正在进行的关于身心疾病住院患者不同诊断组中述情障碍分布情况研究（n = 240，将增至n = 400）的初步结果。通过情绪觉知量表（LEAS，一种表现测试）和20项多伦多述情障碍量表（TAS 20，一种自我报告量表）同时测量述情障碍。通过LEAS测量并与其他诊断组（情感障碍、焦虑症和强迫性障碍；适应障碍；进食障碍）比较，躯体形式障碍患者在意识到并表达自身情绪状态方面的能力有所下降。这一发现符合关于述情障碍起源的理论考量，但用TAS 20未发现此情况。TAS 20未区分诊断组，但与另外两个自我报告量表（用于自我报告作为人格特质的焦虑的STAI和用于自我报告躯体及心理症状的SCL - 90 - R）一致，在治疗开始时的平均分高于治疗结束时。讨论了两种述情障碍量表不同结果的方法学意义。
