Wang Yufei, Cao Jinya, Wei Jing
Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
4+4 Medical Doctor Program, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Front Psychiatry. 2024 Apr 15;15:1342398. doi: 10.3389/fpsyt.2024.1342398. eCollection 2024.
Alexithymia is common among patients with generalized anxiety disorder (GAD) and may negatively affect the efficacy of treatment. This case report described a sole short-term psychotherapy focusing on alexithymia for a GAD patient. The intervention extends over 3 weekly 50-minute sessions and incorporates components of: (a) understanding the basic categories of emotions and the importance of processing them consciously and building one's own vocabulary of emotions; (b) developing skills in identifying and labeling emotions and learning to register both positive and negative emotions in daily life; (c) observing and interpreting emotion-related body sensations and learning to get in touch with, be empathetic to, and take care of one's own inner feelings in daily life. The Hamilton Rating Scale for Depression (HRSD), Hamilton Anxiety Rating Scale (HAMA), and Toronto Alexithymia Scale (TAS) were used to evaluate depression, anxiety, and alexithymia before and after the sessions. The results suggested that the treatment was not only effective in reducing alexithymia helping the patient to clarify, identify and describe her feelings, but also effective in reducing anxiety and depression.
述情障碍在广泛性焦虑症（GAD）患者中很常见，可能会对治疗效果产生负面影响。本病例报告描述了针对一名广泛性焦虑症患者进行的唯一一次以述情障碍为重点的短期心理治疗。干预持续3周，每周进行一次，每次50分钟，包括以下内容：（a）了解情绪的基本类别以及有意识地处理情绪并建立自己的情绪词汇表的重要性；（b）培养识别和标记情绪的技能，并学会在日常生活中记录积极和消极情绪；（c）观察和解释与情绪相关的身体感觉，并学会在日常生活中接触、同情和照顾自己的内心感受。使用汉密尔顿抑郁评定量表（HRSD）、汉密尔顿焦虑评定量表（HAMA）和多伦多述情障碍量表（TAS）在治疗前后评估抑郁、焦虑和述情障碍。结果表明，该治疗不仅有效减轻了述情障碍，帮助患者澄清、识别和描述自己的感受，还有效减轻了焦虑和抑郁。
