IRCCS San Raffaele Pisana, Direzione Medica Aziendale, Rome, Italy.
Disabil Rehabil. 2010;32(13):1116-21. doi: 10.3109/09638280903410714.
To date, there are no studies that have investigated the role of alexithymia in respiratory rehabilitation. We aimed to observe the prevalence of alexithymia in patients attending respiratory rehabilitation and to verify the presence of a difference between alexithymics and non-alexithymics responsiveness to the respiratory rehabilitation standard protocol.
A prospective cohort study evaluating the influence of alexithymia on functional recovery of in-patients afferent to the Respiratory Rehabilitation Unit of IRCCS San Raffaele Pisana. Sixty patients were consecutively enrolled into the study and evaluated for alexithymia, anxiety and depression. Functional recovery was assessed with the six-minute walking test (6MWT). Prior and post-completion of this test dyspnoea, oxygen saturation and cardiac frequency were recorded.
Alexithymia was not found to be significantly affecting the functional recovery of participants in respiratory rehabilitation. The distance walked at the 6MWT (6MWD) increased in both alexithymics and non-alexithymics (p(alexithymics) = 0.014; p(non-alexithymics) < 0.0001). Dyspnoea strongly improved among non-alexithymics, although a signal for improvement was also found in alexithymics (p(alexithymics) = 0.046; p(non-alexithymics) = 0.0001).
These findings suggest that alexithymia did not have a significant impact on functional recovery of patients in respiratory rehabilitation.
迄今为止，尚无研究探讨述情障碍在呼吸康复中的作用。我们旨在观察参加呼吸康复的患者中述情障碍的患病率，并验证述情障碍者和非述情障碍者对呼吸康复标准方案的反应是否存在差异。
这是一项前瞻性队列研究，评估述情障碍对 IRCCS San Raffaele Pisana 呼吸康复科住院患者功能恢复的影响。连续纳入 60 例患者进行述情障碍、焦虑和抑郁评估。采用 6 分钟步行试验（6MWT）评估功能恢复。在完成该测试之前和之后，记录呼吸困难、血氧饱和度和心率。
述情障碍并未显著影响呼吸康复患者的功能恢复。6MWT 的步行距离（6MWD）在述情障碍者和非述情障碍者中均增加（p（述情障碍者）= 0.014；p（非述情障碍者）<0.0001）。非述情障碍者的呼吸困难明显改善，尽管述情障碍者也有改善的迹象（p（述情障碍者）= 0.046；p（非述情障碍者）= 0.0001）。
这些发现表明，述情障碍对呼吸康复患者的功能恢复没有显著影响。
