Wise T N, Mann L S, Puscheck E, Dove H, Kiernan K
Int J Psychiatry Med. 1985;15(2):177-84. doi: 10.2190/ny79-fjfr-y1ty-r0hg.
Factors that contribute to dysphoric affects in patients seen on a consultation-liaison service were investigated. Eighty-five subjects were studied to assess the role of character style, locus of control and seriousness of medical illness upon the magnitude of depression and anxiety each patient experienced. Results indicated that the obsessoid individual as well as individuals in pain reported significantly more depression and anxiety than their hysteroid counterparts. The severity of illness did not correlate with greater dysphoria. Those individuals who were more externally located were found to be in greater subjective pain. Furthermore, psychiatric consultants significantly tended to ignore the issue of the pain more often than anxiety and depression. The implications of these findings are discussed as they relate to a patient's personality style and the experience of illness and hospitalization.
对在会诊-联络服务中就诊的患者出现烦躁情绪的影响因素进行了调查。对85名受试者进行了研究，以评估性格类型、控制点和疾病严重程度对每位患者所经历的抑郁和焦虑程度的作用。结果表明，强迫型个体以及处于疼痛中的个体报告的抑郁和焦虑明显多于癔症型个体。疾病的严重程度与更严重的烦躁情绪并无关联。那些更倾向于外部控制点的个体被发现主观疼痛感更强。此外，与焦虑和抑郁相比，精神科会诊医生明显更倾向于经常忽略疼痛问题。讨论了这些发现与患者人格类型以及疾病和住院体验相关的意义。
