Afyonkarahisar Health Sciences University, Faculty of Medicine, Department of Psychiatry, Afyonkarahisar, Turkey.
Eur Rev Med Pharmacol Sci. 2021 Nov;25(22):7127-7134. doi: 10.26355/eurrev_202111_27266.
The anxiety of life that comes with the pandemic process increases the health anxiety and the level of perceived stress. However, there are uncertainties about which individuals are more sensitive. This study aims to investigate the effects of alexithymic characteristics on health anxiety and perceived stress.
The authors invited the participants to study via social media and e-mail. The data of 793 individuals, aged 18-65, collected over the internet (Google Forms) between November and December 2020 were statistically evaluated. Evaluations were made with the sociodemographic data form, the General Health Questionnaire-12 (GHQ-12), the Health Anxiety Scale (HAS), the Toronto Alexithymia Scale (TAS-20), and the Perceived Stress Scale (PSS).
In mediation analyzes between TAS subscales and HAS, Difficulty in Identifying Feelings (DIF) most strongly predicted HAS (B=0.469, p<0.001) and indirectly affected HAS only through GHQ (CS: 0.08, B=0.108, SE:0.021, CI: 0.070, 0.153). However, both PSS (CS: 0.0128, B=0.084, SE:0.027, CI: 0.032, 0.139) and GHQ (CS: 0.02, B=0.139, SE:0.028, CI: 0.090, 0.198) played a mediating role between Difficulty Describing Feelings (DDF) and HAS.
The present study suggests that individuals with alexithymic features are more sensitive to stress during periods of health-related increased stress, such as pandemics, and that individuals with alexithymic features should be given priority in psychotherapeutic interventions.
疫情过程带来的生活焦虑会增加健康焦虑和感知压力水平。然而，哪些个体更敏感还存在不确定性。本研究旨在调查述情障碍特征对健康焦虑和感知压力的影响。
作者通过社交媒体和电子邮件邀请参与者参与研究。于 2020 年 11 月至 12 月在互联网上（Google 表单）收集了 793 名年龄在 18-65 岁之间的个体的数据，并进行了统计学评估。评估采用社会人口统计学数据表格、一般健康问卷-12（GHQ-12）、健康焦虑量表（HAS）、多伦多述情障碍量表（TAS-20）和感知压力量表（PSS）进行。
在 TAS 分量表和 HAS 之间的中介分析中，识别困难（DIF）最强烈地预测 HAS（B=0.469，p<0.001），并且仅通过 GHQ 间接影响 HAS（CS：0.08，B=0.108，SE：0.021，CI：0.070，0.153）。然而，PSS（CS：0.0128，B=0.084，SE：0.027，CI：0.032，0.139）和 GHQ（CS：0.02，B=0.139，SE：0.028，CI：0.090，0.198）均在 Difficulty Describing Feelings（DDF）和 HAS 之间发挥了中介作用。
本研究表明，在与健康相关的压力增加（如大流行期间）时期，具有述情障碍特征的个体对压力更为敏感，具有述情障碍特征的个体应在心理治疗干预中优先考虑。
