气质和性格对述情障碍的直接和间接影响：一项伴有情绪和焦虑的途径分析。

Direct and indirect effects of the temperament and character on alexithymia: a pathway analysis with mood and anxiety.

机构信息

Department of Psychiatry, Gachon University of Medicine and Science, 405-760, Incheon, South Korea.

出版信息

Compr Psychiatry. 2010 Mar-Apr;51(2):201-6. doi: 10.1016/j.comppsych.2009.06.001. Epub 2009 Jul 10.

DOI:10.1016/j.comppsych.2009.06.001

PMID:20152303

Abstract

OBJECTIVE

We aimed to assess the pathway from personality to alexithymia through mood and anxiety as mediators.

METHOD

Three hundred thirty-four subjects (130 male), whose psychiatric health was verified by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Axis I disorders, completed the Toronto Alexithymia Scale-20 (TAS-20), the Temperament and Character Inventory, the State-Trait Anxiety Inventory (STAI), and the Center for Epidemiological Studies-Depression scale (CES-D). The schematic models for the pathway analysis from Temperament and Character Inventory (TCI) to TAS-20 scores were made.

RESULTS

Low reward dependence (RD), low self-directedness (S-D), and high cooperativeness (CO) had paths to TAS-20 total (P = .000, P = .000, and P = .042, respectively). S-D had also an indirect path via STAI-state to TAS total. On TAS-20 factor 1, low RD, low S-D, and high self-transcendence (ST) had direct effects (P = .004, P = .000, and P = .000, respectively). S-D had also an indirect path via STAI-state and (CES-D) on TAS-20 factor 1. On TAS factor 2, low novelty seeking (NS), high harm avoidance (HA), low RD, low S-D, and high cooperativeness (CO) had direct effects (P = .005, P = .011, P = .000, P = .000, and P = .004, respectively). On TAS-20 factor 3, low RD and S-D had direct effects (P = .002 and P = .000, respectively).

CONCLUSION

Current results suggest that although alexithymia is affected by the personality, state-dependent mood and anxiety may mediate the relationship between alexithymia and personality.

摘要

目的

我们旨在评估通过情绪和焦虑作为中介的人格与述情障碍之间的途径。

方法

334 名受试者（男性 130 名），其精神健康通过结构临床访谈诊断和精神障碍统计手册，第四版，轴 I 障碍进行了验证，完成了多伦多述情障碍量表-20（TAS-20），气质和性格问卷，状态特质焦虑问卷（STAI）和流行病学研究中心抑郁量表（CES-D）。制作了从气质和性格问卷（TCI）到 TAS-20 评分的途径分析示意图模型。

结果

低奖励依赖性（RD），低自我导向（S-D）和高合作性（CO）有通往 TAS-20 总分的途径（P =.000，P =.000 和 P =.042，分别）。S-D 也通过 STAI 状态有间接途径通向 TAS 总分。在 TAS-20 因子 1 上，低 RD，低 S-D 和高自我超越（ST）有直接影响（P =.004，P =.000 和 P =.000，分别）。S-D 也通过 STAI 状态和（CES-D）对 TAS-20 因子 1 有间接途径。在 TAS 因子 2 上，低新奇寻求（NS），高回避（HA），低 RD，低 S-D 和高合作性（CO）有直接影响（P =.005，P =.011，P =.000，P =.000 和 P =.004，分别）。在 TAS-20 因子 3 上，低 RD 和 S-D 有直接影响（P =.002 和 P =.000，分别）。