Majohr Karl-Ludwig, Leenen Katrin, Grabe Hans Jörgen, Jenewein Josef, Nuñez David Garcia, Rufer Michael
Praxis Hegibach, Zürich, Switzerland.
J Nerv Ment Dis. 2011 Oct;199(10):773-7. doi: 10.1097/NMD.0b013e31822fcbfb.
Conditions that impede the regulation of emotional arousal, such as alexithymia and dissociation, may underlie panic attacks. This study aimed to evaluate the relationship between alexithymia and dissociation in patients with panic disorder (PD). We assessed 95 PD outpatients with regard to alexithymia (20-item Toronto Alexithymia Scale), dissociation (Dissociation Experience Scale), and overall psychological distress (Symptom Checklist 90-Revised, Global Severity Index). Regression analyses revealed a positive correlation between alexithymia and dissociation, even when the Global Severity Index was controlled for. A specific link was observed between "difficulty in identifying feelings" and "depersonalization/derealization." Patients who showed the pathological form of dissociation had higher levels of alexithymia, with particular regard to "difficulty in identifying feelings" and, to a smaller extent, "difficulty in describing feelings." These results support a strong relationship between alexithymia and dissociation in patients with PD. Assessing alexithymia and dissociation at the outset of therapy may be helpful for individualized therapy planning.
诸如述情障碍和分离性障碍等妨碍情绪唤起调节的状况可能是惊恐发作的潜在原因。本研究旨在评估惊恐障碍（PD）患者中述情障碍与分离性障碍之间的关系。我们使用述情障碍（20项多伦多述情障碍量表）、分离性障碍（分离体验量表）以及总体心理困扰（症状自评量表90修订版，总体严重程度指数）对95名PD门诊患者进行了评估。回归分析显示，即使控制了总体严重程度指数，述情障碍与分离性障碍之间仍呈正相关。在“识别情感困难”和“人格解体/现实解体”之间观察到了特定联系。表现出病理性分离形式的患者述情障碍水平更高，尤其是在“识别情感困难”方面，在较小程度上也体现在“描述情感困难”方面。这些结果支持了PD患者中述情障碍与分离性障碍之间的密切关系。在治疗开始时评估述情障碍和分离性障碍可能有助于制定个性化的治疗方案。
