Department of Psychiatry, Kuopio University Hospital, FIN-70211 Kuopio, Finland.
Psychosom Med. 2010 Feb;72(2):187-91. doi: 10.1097/PSY.0b013e3181c65d00. Epub 2009 Nov 30.
To explore the associations between alexithymia and increased somatic morbidity. The mechanisms underlying these associations, however, are still unclear. Furthermore, data on the association between alexithymia and mortality are scarce.
A total of 2321 Finnish men, aged 46 to 61 years, were followed up for an average of 20 years. Mortality rates were obtained from the national register. The associations between baseline alexithymia and cardiovascular disease (CVD), all-cause, injury, and cancer deaths were examined with adjustments for age and several behavioral (smoking, alcohol consumption, physical activity), physiological (low- and high-density lipoprotein cholesterol, body mass index, systolic blood pressure, history of CVD), and psychosocial (marital status, education, depression) factors.
After all adjustments, the risk of CVD death was increased by 1.2% for each 1-point increase in Toronto Alexithymia Scale-26 scores.
Alexithymia is associated with increased cardiovascular mortality.
探讨述情障碍与躯体发病率增加之间的关系。然而，这些关联的潜在机制尚不清楚。此外，述情障碍与死亡率之间关系的数据也很有限。
共有 2321 名年龄在 46 至 61 岁的芬兰男性进行了平均 20 年的随访。死亡率从国家登记处获得。在调整年龄和多项行为（吸烟、饮酒、身体活动）、生理（低和高密度脂蛋白胆固醇、体重指数、收缩压、心血管疾病史）和心理社会因素（婚姻状况、教育程度、抑郁）后，研究了基线述情障碍与心血管疾病（CVD）、全因、损伤和癌症死亡之间的关系。
在所有调整后，多伦多述情障碍量表-26 评分每增加 1 分，CVD 死亡的风险增加 1.2%。
述情障碍与心血管死亡率增加有关。
