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多伦多述情障碍量表(TAS-20)在心血管疾病患者及健康社区人群中的生物学关联

Biological correlates of the Toronto Alexithymia Scale (TAS-20) in cardiovascular disease and healthy community subjects.

作者信息

Aluja Anton, Malas Olga, Urieta Patricia, Worner Fernando, Balada Ferran

机构信息

University of Lleida, Catalonia, Spain; Institute of Biomedical Research, Lleida, Catalonia, Spain.

Institute of Biomedical Research, Lleida, Catalonia, Spain.

出版信息

Physiol Behav. 2020 Dec 1;227:113151. doi: 10.1016/j.physbeh.2020.113151. Epub 2020 Aug 23.

DOI:10.1016/j.physbeh.2020.113151
PMID:32841673
Abstract

This research studies the relationship between Alexithymia, behavioural, biometric, biochemical and cardiovascular risk in clinical and healthy samples. There were 602 participants (mean age of 52.82 ± 10.59) divided into two groups. The first was made up of 202 patients (165 males and 37 females) who had suffered a cardiovascular disease (CVD), while the second was composed of 400 (285 males and 115 females) healthy volunteers without CVD diagnosis. A cardiovascular risk index (CRI) was developed with the high factorial loading of the following variables: systolic and diastolic blood pressure, total cholesterol/HDL, triglycerides, body mass index, glucose and alcohol and tobacco consumption. The results showed a significant correlation between Alexithymia and the CRI. After controlling for age, sex, occupation, alcohol and tobacco consumption, this correlation decreased, but remained significant for most values. Alexithymia predicted 6% of CRI in the entire sample, once age and sex effect were discounted. Alexithymic subjects with scores above a cut-off point set at higher than 60 had higher levels of glucose, systolic, diastolic, cholesterol/HDL and cardiovascular risk. We discuss that Alexithymia scores contribute to cardiovascular risk, supporting previous findings.

摘要

本研究探讨了述情障碍与临床样本及健康样本中的行为、生物特征、生化指标和心血管风险之间的关系。共有602名参与者(平均年龄52.82±10.59岁)被分为两组。第一组由202名患有心血管疾病(CVD)的患者组成(165名男性和37名女性),第二组由400名无CVD诊断的健康志愿者组成(285名男性和115名女性)。通过以下变量的高因子负荷制定了心血管风险指数(CRI):收缩压和舒张压、总胆固醇/高密度脂蛋白、甘油三酯、体重指数、血糖以及酒精和烟草消费。结果显示述情障碍与CRI之间存在显著相关性。在控制年龄、性别、职业、酒精和烟草消费后,这种相关性有所降低,但对大多数值而言仍具有显著性。一旦排除年龄和性别影响,述情障碍在整个样本中预测了6%的CRI。述情障碍得分高于设定为60以上的临界点的受试者,其血糖、收缩压、舒张压、胆固醇/高密度脂蛋白水平及心血管风险更高。我们讨论了述情障碍得分会导致心血管风险,这支持了先前的研究结果。

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