Rodic Donja, Meyer Andrea Hans, Lieb Roselind, Meinlschmidt Gunther
Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland.
Faculty of Medicine, Ruhr-University Bochum, Bochum, Germany.
Int J Behav Med. 2016 Feb;23(1):39-48. doi: 10.1007/s12529-015-9483-1.
Somatoform Disorders or Somatic Symptom and Related Disorders are a major public health problem.The pathophysiology underlying these disorders is not yet understood.
The aim of this study was to explore if sensory responsiveness could contribute to a better understanding of pathophysiological mechanisms underlying two key symptoms of Somatoform Disorders, namely somatic symptoms and illness anxiety.
We measured vibrotactile perception thresholds with the HVLab Perception Meter and examined their association with somatic symptoms, illness anxiety and trait anxiety. A sample of 205 volunteers participated in the study.
Sensory responsiveness was neither associated with somatic symptoms (β = -0.01; 95% confidence interval (CI), -0.37, 0.39) nor trait anxiety (β = -0.07; 95% CI, -0.30, 0.07). However, lower vibrotactile perception thresholds were associated with increased scores of the overall illness anxiety scale (β = -0.65; 95% CI, -1.21, -0.14) and its constituent subscale disease conviction (β = -2.07; 95% CI, -3.94, -0.43).
Our results suggest that increased sensory responsiveness is associated with illness anxiety and hence should be examined further as potential target within the etiopathology of somatoform disorders.
躯体形式障碍或躯体症状及相关障碍是一个重大的公共卫生问题。这些障碍背后的病理生理学尚未被理解。
本研究的目的是探讨感觉反应性是否有助于更好地理解躯体形式障碍的两个关键症状,即躯体症状和疾病焦虑背后的病理生理机制。
我们使用HVLab感知仪测量振动触觉感知阈值,并检查它们与躯体症状、疾病焦虑和特质焦虑的关联。205名志愿者参与了该研究。
感觉反应性既与躯体症状(β = -0.01;95%置信区间(CI)为-0.37,0.39)无关,也与特质焦虑(β = -0.07;95%CI为-0.30,0.07)无关。然而,较低的振动触觉感知阈值与总体疾病焦虑量表得分增加(β = -0.65;95%CI为-1.21,-0.14)及其组成子量表疾病确信度(β = -2.07;95%CI为-3.94,-0.43)相关。
我们的结果表明,感觉反应性增加与疾病焦虑相关,因此应作为躯体形式障碍病因学中的潜在靶点进一步研究。