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身体语言:述情障碍对精神科门诊患者躯体抱怨影响的性别差异。

Body talk: Sex differences in the influence of alexithymia on physical complaints among psychiatric outpatients.

机构信息

Department of Psychiatry, University of British Columbia, Vancouver, Canada.

Department of Psychiatry, University of British Columbia, Vancouver, Canada.

出版信息

Psychiatry Res. 2018 Mar;261:168-172. doi: 10.1016/j.psychres.2017.12.072. Epub 2018 Jan 2.

Abstract

This study investigated the relationship between alexithymia and physical complaints among psychiatric outpatients, and whether sex moderated this relationship. Participants (N = 185) completed measures of physical complaints (bodily symptom burden, pain severity, pain interference), alexithymia, current symptom (depression, anxiety) distress, and somatosensory amplification (i.e., a person's tendency to be bothered by physical sensations). Hierarchical regression analyses were conducted, controlling for the influence of current psychiatric symptom distress and somatosensory amplification. Findings revealed differential relationships between alexithymia and physical complaints (pain interference) for women and men, in addition to main effects for sex and alexithymia. The findings suggest that the negative influence of alexithymia on bodily-related problems may not be universal.

摘要

本研究调查了心身症门诊患者的述情障碍与躯体抱怨之间的关系,以及性别是否调节了这种关系。参与者(N=185)完成了躯体抱怨(躯体症状负担、疼痛严重程度、疼痛干扰)、述情障碍、当前症状(抑郁、焦虑)困扰和躯体感觉放大(即一个人对身体感觉感到困扰的倾向)的测量。在控制当前精神症状困扰和躯体感觉放大的影响后,进行了层次回归分析。研究结果表明,述情障碍与女性和男性的躯体抱怨(疼痛干扰)之间存在不同的关系,此外还有性别和述情障碍的主要影响。这些发现表明,述情障碍对与身体相关问题的负面影响可能不是普遍存在的。

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