Fukunishi I
Department of Neuropsychiatry, Kagawa Medical School, Japan.
Psychother Psychosom. 1989;52(1-3):51-7. doi: 10.1159/000288299.
Psychosomatic aspects of aged dialysis patients, who had been on long-term dialysis and started on dialysis at over 65 years old, were examined using various psychological tests such as MMPI Alexithymia Scale and Beth Israel Questionnaire. Alexithymic trait was observed most frequently in aged long-term dialysis patients. This trait has a correlation with physical complications, patients having bone or joint disturbance. From these results, two different alexithymic patterns are inferred: (1) Because of poor awareness concerning control of their own body, physical complications develop in patients with a predisposition for alexithymia, and (2) physical complications inevitably occur during long-term dialysis and patients exhibit secondary alexithymia.
对长期接受透析且65岁以上开始透析的老年透析患者的身心方面进行了研究，采用了多种心理测试，如明尼苏达多项人格调查表述情障碍量表和贝斯以色列问卷。在老年长期透析患者中，述情障碍特质最为常见。这种特质与身体并发症相关，即患有骨骼或关节问题的患者。从这些结果可以推断出两种不同的述情障碍模式：（1）由于对自身身体控制的意识较差，述情障碍倾向的患者会出现身体并发症；（2）长期透析过程中不可避免地会出现身体并发症，患者会表现出继发性述情障碍。
