[神经性贪食症女性患者的连贯感：心理健康的保护因素？]
[Sense of coherence in female patients with bulimia nervosa: a protective factor of mental health?].
作者信息
Tagay Sefik, Mewes Ricarda, Brähler Elmar, Senf Wolfgang
机构信息
Klinik für Psychosomatische Medizin und Psychotherapie, Rheinische Kliniken Essen / Universitätsklinik Duisburg-Essen.
出版信息
Psychiatr Prax. 2009 Jan;36(1):30-4. doi: 10.1055/s-2008-1067461. Epub 2008 Jul 21.
OBJECTIVE
The aim of the current study was to examine the occurrence of sense of coherence (SOC) and the relationship between SOC and anxiety, depression, somatoform complaints and life satisfaction in female bulimia nervosa (BN) outpatients.
METHODS
In a consecutive cross-sectional study 73 BN outpatients (age 26.9 years, SD 7.8) were assesssed with the Sense of Coherence Scale (SOC-13), the Hospital Anxiety and Depression Scale (HADS-D), and the Screening for Somatoform Disorders (SOMS-2).
RESULTS
The BN outpatients showed highly reduced SOC in comparison to the reference group (M = 45.09 vs. M = 71.23; p < or = 0.001). SOC significantly correlated inversely with depression and somatoform complaints. Additionally, there was a positive correlation between SOC and life satisfaction (r = 0.467; p < or = 0.001). Interestingly, SOC was not significantly correlated with anxiety.
CONCLUSIONS
The results support the thesis that female BN outpatients could benefit from an enhancement of SOC particularly with regard to depression and somatoform complaints.
目的
本研究旨在探讨女性神经性贪食症（BN）门诊患者的连贯感（SOC）的发生率，以及SOC与焦虑、抑郁、躯体形式障碍主诉和生活满意度之间的关系。
方法
在一项连续的横断面研究中，使用连贯感量表（SOC-13）、医院焦虑抑郁量表（HADS-D）和躯体形式障碍筛查量表（SOMS-2）对73名BN门诊患者（年龄26.9岁，标准差7.8）进行评估。
结果
与参照组相比，BN门诊患者的SOC显著降低（M = 45.09 vs. M = 71.23；p≤0.001）。SOC与抑郁和躯体形式障碍主诉显著负相关。此外，SOC与生活满意度呈正相关（r = 0.467；p≤0.001）。有趣的是，SOC与焦虑无显著相关性。
结论
研究结果支持以下论点，即女性BN门诊患者可能会从增强SOC中获益，尤其是在改善抑郁和躯体形式障碍主诉方面。
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