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心身疾病患者群体的皮肤电特性。

Electrodermal characteristics in psychosomatic patient groups.

作者信息

Kopp M S

出版信息

Int J Psychophysiol. 1984 Nov;2(2):73-85. doi: 10.1016/0167-8760(84)90001-1.

Abstract

Specific autonomic reaction patterns in different psychosomatic patient groups have been observed by several authors. In our study 50 male hypertensive patients and 47 male duodenal ulcer patients both in the early mild reversible stage of disease were compared with 65 male control persons to determine distinguishing features of electrodermal activity in response to a sequence of verbal, acoustic and colour stimuli. The two patient groups show opposite characteristics in respect to the initial skin resistance level, response amplitude and non-specific responses. Slower recovery can be seen only in an emotionally disturbing situation in the duodenal ulcer group. On the contrary, in orienting situations the control persons tend to show slower electrodermal recovery. According to the results of factor analysis, the components of electrodermal activity belong to 3 different factors, underlining the relative independence of these parameters. The first factor contains the electrodermal amplitude values. The temporal characteristics of electrodermal responses belong to two different factors, the first being in connection with the orienting situation and the second with the emotionally disturbing situation. The longer recovery in orienting situations is associated positively with facilitating achievement anxiety and negatively with debilitating achievement anxiety. The anxiety and neurosis scores belong to the third factor in connection with the prolonged electrodermal responses in emotionally disturbing situations. Anxiety and depression scores are higher in both patient groups, in accordance with the results of earlier studies. The parameters of electrodermal responses were analyzed as a function of psychological characteristics.

摘要

几位作者观察到不同身心疾病患者群体中特定的自主反应模式。在我们的研究中,将50名处于疾病早期轻度可逆阶段的男性高血压患者和47名男性十二指肠溃疡患者与65名男性对照者进行比较,以确定对一系列言语、听觉和颜色刺激产生的皮肤电活动的区别特征。两个患者组在初始皮肤电阻水平、反应幅度和非特异性反应方面表现出相反的特征。仅在十二指肠溃疡组的情绪困扰情境中可见恢复较慢的情况。相反,在定向情境中,对照者往往表现出较慢的皮肤电恢复。根据因子分析结果,皮肤电活动的成分属于3个不同因子,强调了这些参数的相对独立性。第一个因子包含皮肤电幅度值。皮肤电反应的时间特征属于两个不同因子,第一个与定向情境有关,第二个与情绪困扰情境有关。定向情境中较长的恢复时间与促进性成就焦虑呈正相关,与削弱性成就焦虑呈负相关。焦虑和神经症评分属于与情绪困扰情境中延长的皮肤电反应相关的第三个因子。根据早期研究结果,两个患者组的焦虑和抑郁评分均较高。对皮肤电反应参数作为心理特征的函数进行了分析。

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