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心身体验背景下患者人格的神经心理学方面

Neuropsychological aspects of the patient's personality in the context of psychosomatic experience.

作者信息

Krause Robert, Forgon Tomáš

机构信息

Constantine The Philosopher University in Nitra, Slovakia Constantine The Philosopher University in Nitra, Nitra, Slovakia.

出版信息

Front Psychiatry. 2025 Jul 2;16:1596321. doi: 10.3389/fpsyt.2025.1596321. eCollection 2025.

Abstract

The primary objective of this study was to examine the relationship between personal variables, as measured by the NEO-PI-R, and psychosomatic symptoms, assessed through the PSS, from a neuropsychological perspective. The secondary aim was to evaluate the frequency of various psychosomatic symptoms and assess the extent to which participants experience these symptoms. This online study included participants from across Slovakia (n = 222, M = 34.0, SD = 9.49). Participants completed the Big Five personality questionnaire (NEO-PI-R) and the Scale of Psychosomatic Symptoms (PSS). Analysis revealed significant relationships between conscientiousness and overall health perception (β=-1.19∗∗), with conscientiousness positively correlating with the intensity of pseudoneurological (β=.21∗∗), cardiovascular (β=.15∗), and musculoskeletal symptoms (β=.15∗). Neuroticism was significantly related to overall health perception (β=.19∗∗), problem frequency (β=-.19∗∗), and the extent of health-related suffering (β=-.15∗), as well as the frequency of respiratory (β=-.14∗) and gastrointestinal issues (β=-.16∗), pain-related problems (β=-.18∗∗), and the intensity of gastrointestinal symptoms (β=-.14∗). Extraversion, openness, and agreeableness did not show significant relationships with psychosomatic symptoms (p>0.05). The majority of participants (56%) did not seek medical attention, while 44% did. Seventy percent had no medical diagnosis, while 30% reported a diagnosis from a healthcare professional. The most frequently reported symptoms were fatigue (M=2.69,SD=0.835) and back pain (M=2.32,SD=0.950).

摘要

本研究的主要目的是从神经心理学角度考察由NEO-PI-R测量的个人变量与通过PSS评估的身心症状之间的关系。次要目的是评估各种身心症状的发生频率,并评估参与者经历这些症状的程度。这项在线研究包括来自斯洛伐克各地的参与者(n = 222,M = 34.0,SD = 9.49)。参与者完成了大五人格问卷(NEO-PI-R)和身心症状量表(PSS)。分析显示,尽责性与总体健康感知之间存在显著关系(β=-1.19∗∗),尽责性与假性神经症状(β=.21∗∗)、心血管症状(β=.15∗)和肌肉骨骼症状(β=.15∗)的强度呈正相关。神经质与总体健康感知(β=.19∗∗)、问题频率(β=-.19∗∗)、与健康相关的痛苦程度(β=-.15∗)以及呼吸问题(β=-.14∗)、胃肠道问题(β=-.16∗)、疼痛相关问题(β=-.18∗∗)的频率和胃肠道症状的强度(β=-.14∗)显著相关。外向性、开放性和宜人性与身心症状之间未显示出显著关系(p>0.05)。大多数参与者(56%)未寻求医疗帮助,而44%的人寻求了医疗帮助。70%的人没有医学诊断,而30%的人报告有医疗专业人员的诊断。最常报告的症状是疲劳(M=2.69,SD=0.835)和背痛(M=2.32,SD=0.950)。

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本文引用的文献

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Psychosomatics: past, present and future.心身医学:过去、现在与未来。
Psychother Psychosom. 2014;83(2):65-9. doi: 10.1159/000356518. Epub 2014 Jan 22.

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