社区成年人亚综合征心身概念和人格特征。

Subsyndromal psychosomatic concepts and personality traits in community adults.

机构信息

Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Department of Psychiatry, College of Medicine, National Taiwan University, No.1, Sec. 1, Ren'ai Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.).

Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Institute of Health Policy and Management, College of Public Health, National Taiwan University, Rm. 651, 6F., No.17, Xuzhou Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.).

出版信息

Compr Psychiatry. 2017 May;75:110-116. doi: 10.1016/j.comppsych.2017.03.002. Epub 2017 Mar 15.

DOI:10.1016/j.comppsych.2017.03.002

PMID:28347882

Abstract

OBJECTIVE

To investigate the prevalence of features of the Diagnostic Criteria for Psychosomatic Research (DCPR) in the Taiwanese community and to explore their relationships with psychological states and personality traits.

METHOD

The participants were 153 individuals without a DSM-5 psychiatric diagnosis who were grouped according to whether they had a DCPR diagnosis (at least one DCPR diagnosis, DCPR(+): n=66; no DCPR diagnosis, DCPR(-): n=87). The groups were compared with respect to psychological states (measured with Patient Health Questionnaire-15 [PHQ-15], Health Anxiety Questionnaire [HAQ], Beck Depression Inventory-II [BDI-II], Beck Anxiety Inventory [BAI)]) and personality (measured with Tridimensional Personality Questionnaire). Multiple logistic and linear regressions were used to examine associations among demographic, personality, DCPR, and psychological states.

RESULTS

The DCPR(+) group had higher BDI-II, BAI, PHQ-15 and HAQ scores than the DCPR(-) group and also had a higher anticipatory worry. The most common DCPR diagnoses were health anxiety (42.42%) and alexithymia (37.88%). Anticipatory worry was the variable most closely associated with all the DCPR diagnoses. Health anxiety was related to anticipatory worry and age, whereas alexithymia was associated with dependence and fatiguability. PHQ-15, HAQ, and BDI-II scores were related to health anxiety but not alexithymia.

CONCLUSION

DCPR has clinical utility in the community samples without DSM-5 diagnoses. DCPR may be a valid mediator between psychological trait and state.

摘要

目的

调查《精神医学诊断研究标准》（DCPR）特征在台湾社区的流行情况，并探讨其与心理状态和人格特质的关系。

方法

参与者为 153 名无 DSM-5 精神诊断的个体，根据是否有 DCPR 诊断分为两组（至少有一个 DCPR 诊断，DCPR(+)：n=66；无 DCPR 诊断，DCPR(-)：n=87）。比较两组的心理状态（用 PHQ-15、HAQ、BDI-II、BAI 测量）和人格（用三维人格问卷测量）。采用多元逻辑回归和线性回归分析人口统计学、人格、DCPR 和心理状态之间的关系。

结果

DCPR(+)组的 BDI-II、BAI、PHQ-15 和 HAQ 评分均高于 DCPR(-)组，且预期性担忧程度更高。最常见的 DCPR 诊断是健康焦虑（42.42%）和躯体化（37.88%）。预期性担忧是与所有 DCPR 诊断最密切相关的变量。健康焦虑与预期性担忧和年龄有关，而躯体化与依赖和疲劳有关。PHQ-15、HAQ 和 BDI-II 评分与健康焦虑有关，与躯体化无关。