Guttman Herta, Laporte Lise
Allan Memorial Institute, Royal Victoria Hospital Pavilion, McGill University Health Centre, Montreal, Canada.
Compr Psychiatry. 2002 Nov-Dec;43(6):448-55. doi: 10.1053/comp.2002.35905.
Levels of alexithymia were measured with the Toronto Alexithymia Scale (TAS-20) in families of women with borderline personality disorder (BPD), restricting anorexia nervosa (AN) and a nonclinical (NC) group. Measures were correlated with sociodemographic information, empathy (as measured by the Interpersonal Reactivity Index [IRI]), emotional distress (using the Symptom Checklist-90-R [SCL-90-R]), and experiences of abuse. We have found that male gender, age, and low socioeconomic status are correlated with factor 3 of the TAS-20; that women with BPD and AN are more alexithymic than control subjects; that women with AN are more alexithymic than their parents; and that alexithymia is inversely related to the capacity for empathy. Family members of women with BPD have the highest levels of alexithymia and in these families there seems to be a complementary association between alexithymia in one parent and low levels of empathy in the other. There may be an association between the general emotional distress, history of abuse, and high levels of alexithymia that occur in women with BPD.
采用多伦多述情障碍量表（TAS - 20）对边缘型人格障碍（BPD）女性、神经性厌食症（AN）女性及非临床（NC）组女性的家庭成员进行述情障碍水平测量。测量结果与社会人口统计学信息、共情能力（通过人际反应指数[IRI]测量）、情绪困扰（使用症状自评量表90修订版[SCL - 90 - R]）以及虐待经历相关。我们发现，男性、年龄和低社会经济地位与TAS - 20的因子3相关；患有BPD和AN的女性比对照组受试者述情障碍更严重；患有AN的女性比其父母述情障碍更严重；并且述情障碍与共情能力呈负相关。患有BPD的女性家庭成员述情障碍水平最高，在这些家庭中，父母一方的述情障碍与另一方的低共情水平之间似乎存在互补关系。患有BPD的女性中普遍存在的情绪困扰、虐待史和高水平述情障碍之间可能存在关联。
