Fukunishi I
Department of Neuropsychiatry, Kagawa Medical School, Japan.
Psychother Psychosom. 1989;52(1-3):58-65. doi: 10.1159/000288300.
Psychosomatic aspects of dialysis patients with diabetic nephropathy were examined using various psychological tests such as the MMPI Alexithymia Scale. Alexithymic traits were observed in 83% of dialysis patients with diabetic nephropathy. Moreover, positive correlations between alexithymia and self-control were found suggesting that alexithymic trait, the lack of awareness of one's own body, results in sluggish self-control, and affects prognosis of dialysis patients seriously. Especially, visual disturbance complications such as severe retinopathy are likely to further accelerate this condition. Therefore, it is essential for dialysis patients with alexithymic trait to acquire body awareness.
使用诸如明尼苏达多相人格调查表述情障碍量表等各种心理测试，对糖尿病肾病透析患者的心身方面进行了检查。在83%的糖尿病肾病透析患者中观察到了述情障碍特征。此外，还发现述情障碍与自我控制之间存在正相关，这表明述情障碍特征，即对自身身体缺乏认知，会导致自我控制迟缓，并严重影响透析患者的预后。特别是，诸如严重视网膜病变等视觉障碍并发症可能会进一步加速这种情况。因此，对于有述情障碍特征的透析患者来说，获得身体认知至关重要。
