Krystal J H, Giller E L, Cicchetti D V
Psychosom Med. 1986 Jan-Feb;48(1-2):84-94. doi: 10.1097/00006842-198601000-00007.
The authors examined ratings on four scales of alexithymia in 45 patients in four groups: Vietnam veterans in inpatient (Inpt-PTSD) or outpatient (Outpt-PTSD) treatment for posttraumatic stress disorder (PTSD), patients on a medical service with somatic illnesses that have been the subject of psychosomatic research (Somatic), and a comparison group of psychiatric inpatients with a diagnosis of affective disorder (Affective). The data suggest a greater degree of alexithymia in the Inpt-PTSD and Somatic samples than in the Affective patients. In addition, the Inpt-PTSD and Somatic groups exhibited a similar degree of alexithymia. This study also introduces a novel measure of alexithymia, the Alexithymia Provoked Response Questionnaire (APRQ), which showed a high degree of interrater reliability and a greater degree of correlation with the Beth Israel Psychosomatic Questionnaire (BIPQ) than a MMPI subscale or the Schalling-Sifneos scale.
作者对四组45名患者的四种述情障碍量表评分进行了研究：因创伤后应激障碍（PTSD）接受住院（Inpt-PTSD）或门诊（Outpt-PTSD）治疗的越南退伍军人、患有心身研究中作为研究对象的躯体疾病的内科患者（躯体组），以及诊断为情感障碍的精神科住院患者对照组（情感组）。数据表明，Inpt-PTSD组和躯体组的述情障碍程度高于情感组患者。此外，Inpt-PTSD组和躯体组表现出相似程度的述情障碍。本研究还引入了一种新的述情障碍测量方法，即述情障碍激发反应问卷（APRQ），该问卷显示出高度的评分者间信度，并且与贝斯以色列心身问卷（BIPQ）的相关性高于明尼苏达多相人格调查表（MMPI）分量表或沙林-西夫neos量表。
