Köteles Ferenc, Witthöft Michael
Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Bogdánfy Ödön u. 10, H-1117 Budapest, Hungary.
University of Mainz, Germany.
J Psychosom Res. 2017 Oct;101:1-9. doi: 10.1016/j.jpsychores.2017.07.011. Epub 2017 Jul 27.
The paper reviews and summarizes the history and the development of somatosensory amplification, a construct that plays a substantial role in symptom reports. Although the association with negative affect has been supported by empirical findings, another key elements of the original concept (i.e. body hypervigilance and the tendency of focusing on mild body sensations) have never been appropriately addressed. Recent findings indicate that somatosensory amplification is connected with phenomena that do not necessarily include symptoms (e.g. modern health worries, or expectations of symptoms and medication side effects), and also with the perception of external threats. In conclusion, somatosensory amplification appears to refer to the intensification of perceived external and internal threats to the integrity of the body ("somatic threat amplification") rather than amplification of perceived or actual bodily events only. Practical implications of this new approach are also discussed.
本文回顾并总结了体感放大的历史与发展，这一概念在症状报告中起着重要作用。尽管实证研究结果支持了其与消极情绪的关联，但原始概念的其他关键要素（即身体过度警觉以及关注轻微身体感觉的倾向）从未得到恰当探讨。近期研究结果表明，体感放大与不一定包含症状的现象（如现代健康担忧、对症状和药物副作用的预期）相关，也与对外部威胁的感知有关。总之，体感放大似乎指的是对身体完整性的外部和内部威胁感知的强化（“躯体威胁放大”），而非仅指对感知到的或实际身体事件的放大。本文还讨论了这一新方法的实际意义。
