Fukunishi I, Norris P, Fahrion S, Baer C, Porter R
Psychiatric Research Institute of Tokyo, Japan.
Psychother Psychosom. 1992;57(1-2):75-80. doi: 10.1159/000288577.
A comparison of alexithymia in American and Japanese dialysis patients was performed using the Beth Israel Hospital Questionnaire (BIQ) and the MMPI Alexithymia Scale (MMPI-AS) including structured interviews. No significant differences between the USA and Japan were observed in all dialysis patients with both BIQ and MMPI-AS. However, the alexithymia score in US hemodialysis (HD) patients was significantly lower than that in Japanese HD patients, whereas the alexithymia score in American continuous ambulatory peritoneal dialysis (CAPD) patients was significantly higher than that in Japanese CAPD patients. These results may suggest the possibility that the differences in dialysis policy between USA and Japan have secondary effects on alexithymia, which is one of the psychosomatic factors reflecting self-control ability in dialysis patients.
使用贝斯以色列医院问卷（BIQ）和明尼苏达多项人格调查表述情障碍量表（MMPI - AS）（包括结构化访谈）对美国和日本透析患者的述情障碍进行了比较。在所有同时使用BIQ和MMPI - AS的透析患者中，未观察到美国和日本之间存在显著差异。然而，美国血液透析（HD）患者的述情障碍得分显著低于日本HD患者，而美国持续性非卧床腹膜透析（CAPD）患者的述情障碍得分显著高于日本CAPD患者。这些结果可能表明，美国和日本透析政策的差异对述情障碍有次要影响，述情障碍是反映透析患者自我控制能力的身心因素之一。
