感知和表达情绪方面的困难与腰痛有关吗？1180名城市公共交通运营人员中缺乏情绪意识（述情障碍）与腰痛12个月患病率之间的关系。

Are difficulties perceiving and expressing emotions associated with low-back pain? The relationship between lack of emotional awareness (alexithymia) and 12-month prevalence of low-back pain in 1180 urban public transit operators.

作者信息

Mehling Wolf E, Krause Niklas

机构信息

Department of Family and Community Medicine, University of California-San Francisco, Campus Box 1726, 1701 Divisadero, #150, San Francisco, CA 94143-1726, USA.

出版信息

J Psychosom Res. 2005 Jan;58(1):73-81. doi: 10.1016/j.jpsychores.2004.05.007.

DOI:10.1016/j.jpsychores.2004.05.007

PMID:15771873

Abstract

OBJECTIVE

To assess the association of alexithymia (deficit in emotional awareness) with 12-month prevalence of low back pain (LBP) cross-sectionally in a cohort study of 1180 San Francisco transit operators.

METHODS

Alexithymia was measured by the Toronto Alexithymia Scale (TAS-20). LBP was assessed in medical histories during drivers relicensing exams. Multivariate logistic regression analyses controlled for demographic, behavioral (smoking, alcohol, coping style), and physical and psychosocial job factors measured by questionnaire and interview.

RESULTS

Of all the drivers, 31.4% suffered from LBP. Scoring in the upper quartile of alexithymia summary scores was associated with twofold higher odds of LBP (adjusted odds ratio=2.00, 95% confidence interval: 1.31-3.00). The association was stronger in women (adj. OR=4.35) than in men (adj. OR=1.83). The factor "difficulty identifying feelings" showed the strongest association with LBP (adj. OR=2.23).

CONCLUSION

The results support an association between alexithymia and LBP.

摘要

目的

在一项针对1180名旧金山公交司机的队列研究中，横断面评估述情障碍（情绪意识缺陷）与腰痛（LBP）12个月患病率之间的关联。

方法

采用多伦多述情障碍量表（TAS-20）测量述情障碍。在司机重新获得执照考试期间的病史中评估腰痛情况。多因素逻辑回归分析对通过问卷调查和访谈测量的人口统计学、行为（吸烟、饮酒、应对方式）以及身体和心理社会工作因素进行了控制。

结果

在所有司机中，31.4%患有腰痛。述情障碍总分处于上四分位数与腰痛几率高出两倍相关（调整后的优势比=2.00，95%置信区间：1.31-3.00）。该关联在女性中（调整后的优势比=4.35）比在男性中（调整后的优势比=1.83）更强。“难以识别情感”这一因素与腰痛的关联最为强烈（调整后的优势比=2.23）。