Acklin M W, Bernat E
Department of Psychology, Loyola University of Chicago, IL 60626.
J Pers Assess. 1987 Fall;51(3):462-79. doi: 10.1207/s15327752jpa5103_13.
The relationship between depression and chronic low back pain (LBP) is controversial. Theorists differ in the emphasis they place on predisposing versus reactive factors in LBP disability and depression. Alexithymia has been suggested as a predisposing factor in psychosomatic disorders, including chronic LBP. This study addresses the association between depression, alexithymia, and LBP using the Rorschach comprehensive system. LBP patients were hypothesized to be distinguishable from Research Diagnostic Criteria-diagnosed inpatient depressives, to exhibit features of alexithymia, and to resemble a group of DSM-III personality disorders. Subjects were 33 chronic LBP patients. Results supported the hypotheses. On depression measures, LBP patients differed significantly from depressives (p less than .001). LBP patients exhibited Rorschach features consistent with alexithymia. They also exhibited a number of similarities to the personality disorders group. The role of alexithymia as a cognitive-mediating factor in coping and adaptation is discussed.
抑郁症与慢性下腰痛（LBP）之间的关系存在争议。理论家们在对LBP残疾和抑郁症中易感因素与反应性因素的重视程度上存在差异。述情障碍被认为是心身疾病（包括慢性LBP）的一个易感因素。本研究使用罗夏综合系统探讨抑郁症、述情障碍与LBP之间的关联。研究假设LBP患者与经研究诊断标准诊断的住院抑郁症患者不同，具有述情障碍的特征，并且类似于一组DSM-III人格障碍患者。研究对象为33名慢性LBP患者。结果支持了这些假设。在抑郁测量方面，LBP患者与抑郁症患者有显著差异（p小于0.001）。LBP患者表现出与述情障碍一致的罗夏特征。他们还表现出与人格障碍组的一些相似之处。文中讨论了述情障碍作为应对和适应中的认知中介因素的作用。
