Gilanifar Monavar, Delavar Moloud Aghajani
Rom J Intern Med. 2017 Mar 1;55(1):14-18. doi: 10.1515/rjim-2016-0048.
Alexithymia is related to poor emotion regulation strategies as well as higher rates of somatic disorders. The aim of the present study was to assess the relationship between alexithymia and the general symptoms experienced by the pregnant women.
In a cross-sectional study, a total number of 350 pregnant women, attending the antenatal clinics, were randomly selected. A standardized Toronto Alexithymia Scale (TAS-20) was used to elicit responses from participants with alexithymia. The general symptoms scores were measured using the Iranian version of the Symptom Checklist-90-Revised, 90 items. The statistical associations between alexithymia and the general symptoms were then investigated through liner regression.
A total number of 186 of pregnant women with alexithymia were compared with the 164 cases without alexithymia. The high scores on Total Toronto Alexithymia Scale-20 and the difficulties to identify feelings emerged as major predictors for the current psychopathology on all SCL-90-R subscales. The difficulty in describing feelings features of alexithymia is positively associated with interpersonal sensitivity and paranoid ideation, but it is inversely associated with the phobic anxiety dimension.
This study showed that the pregnant women with difficulty in describing feelings features of alexithymia are likely to show a broad range of psychopathology. Therefore, it is necessary to emphasize the benefits of specific psychotherapeutic techniques to improve self-differentiation so that we can reduce the likelihood of mental illnesses in pregnant women.
述情障碍与不良的情绪调节策略以及较高的躯体疾病发生率有关。本研究的目的是评估述情障碍与孕妇所经历的一般症状之间的关系。
在一项横断面研究中,随机选取了350名到产前诊所就诊的孕妇。使用标准化的多伦多述情障碍量表(TAS - 20)来获取有述情障碍的参与者的反应。使用伊朗版的90项症状自评量表(Symptom Checklist - 90 - Revised)来测量一般症状得分。然后通过线性回归研究述情障碍与一般症状之间的统计关联。
将总共186名有述情障碍的孕妇与164名无述情障碍的孕妇进行比较。多伦多述情障碍量表 - 20总分的高分以及难以识别情感成为所有症状自评量表 - 90修订版子量表当前精神病理学的主要预测因素。述情障碍难以描述情感特征与人际敏感性和偏执观念呈正相关,但与恐惧焦虑维度呈负相关。
本研究表明,难以描述述情障碍情感特征的孕妇可能会表现出广泛的精神病理学症状。因此,有必要强调特定心理治疗技术对改善自我分化的益处,以便我们能够降低孕妇患精神疾病的可能性。