Stingl Markus, Bausch Sandra, Walter Bertram, Kagerer Sabine, Leichsenring Falk, Leweke Frank
Clinic for Psychosomatic Medicine and Psychotherapy, Justus-Liebig-University, Giessen, Germany.
J Psychosom Res. 2008 Aug;65(2):173-80. doi: 10.1016/j.jpsychores.2008.01.010. Epub 2008 May 21.
Although alexithymia is associated with several psychiatric disorders, there has been little research into the effects of psychodynamic psychotherapies on this condition. Here, the influence of inpatient multimodal psychodynamic psychotherapy on alexithymia and symptom load was evaluated in a large sample of patients.
Alexithymia [measured with the Toronto Alexithymia Scale (TAS)-26] and psychological stress and depression [measured with the Symptom Checklist 90 Revised (SCL-90-R)] were evaluated at admission and after inpatient multimodal psychotherapy in patients with various psychosomatic and psychiatric disorders admitted to this unit between 2002 and 2005. Patients undergoing both short-term (up to 4 weeks) and long-term treatment (8-12 weeks) were studied. Analyses of covariance were used to analyse the data on depression (SCL-90-R) and psychological stress (SCL-90-R), and correlations between admission and discharge scores for the TAS-26 were computed to evaluate mean and relative stability of alexithymia.
Data on 397 of the 568 patients admitted were analysed. Psychological stress and depression (SCL-90-R) decreased significantly during the study across all diagnostic groups. The TAS-26 total score also decreased significantly, showing that there was no mean stability of alexithymic characteristics. However, the significance of decrease was lost when psychological stress and depression were controlled for. Highly significant correlations between TAS-26 sores before and after treatment reflected high relative stability of alexithymia.
During inpatient multimodal psychodynamic treatment, the symptom load and alexithymia in our patients decreased. The high relative stability of alexithymia shown supports the view that alexithymia is a relative stable personality trait.
尽管述情障碍与多种精神疾病相关，但针对心理动力心理治疗对该病症影响的研究却很少。在此，我们在大量患者样本中评估了住院多模式心理动力心理治疗对述情障碍和症状负荷的影响。
对2002年至2005年间入住本单位的各种身心疾病和精神疾病患者，在入院时以及住院多模式心理治疗后，使用多伦多述情障碍量表（TAS-26）评估述情障碍，使用症状自评量表90修订版（SCL-90-R）评估心理压力和抑郁情况。对接受短期（最长4周）和长期治疗（8 - 12周）的患者进行了研究。采用协方差分析来分析抑郁（SCL-90-R）和心理压力（SCL-90-R）的数据，并计算TAS-26入院和出院分数之间的相关性，以评估述情障碍的平均稳定性和相对稳定性。
对568名入院患者中的397名患者的数据进行了分析。在研究期间，所有诊断组的心理压力和抑郁（SCL-90-R）均显著下降。TAS-26总分也显著下降，表明述情障碍特征不存在平均稳定性。然而，在控制了心理压力和抑郁后，下降的显著性消失。治疗前后TAS-26得分之间的高度显著相关性反映了述情障碍的高相对稳定性。
在住院多模式心理动力治疗期间，我们患者的症状负荷和述情障碍有所下降。所显示的述情障碍的高相对稳定性支持了述情障碍是一种相对稳定的人格特质这一观点。
