Stone A A, Neale J M
Br J Med Psychol. 1981 Mar;54(Pt 1):75-81. doi: 10.1111/j.2044-8341.1981.tb01472.x.
The relationship between measures of hypochondriasis and the tendency to adopt a sick role, life-events and somatic symptomatology was explored. A sample of 85 married couples drawn from the community (n = 170) completed mailed questionnaires about the past year's events and symptoms and about hypochondriasis and sick-role tendency. Life-events were related to symptoms (r = 0.17) as were hypochondriasis, sick-role tendency, and subjects' sex (rs = 0.23, 0.16, 0.22, respectively). Hierarchical multiple regression analyses demonstrated that hypochondriasis and sick-role tendency were also related to the association between events and symptoms, such that subjects with high scores on the former measures showed a reduced event-symptoms correlation compared with low and moderate scorers. Low scorers on hypochondriasis and sick-role tendency had a considerably stronger relationship between events and symptoms compared to those typically reported in the literature. It was suggested that hypochondriasis and sick-role tendency may be moderators of the life-event-symptom relationship and as such deserve more widespread use in life-events research.
研究了疑病症测量指标与扮演病人角色的倾向、生活事件及躯体症状学之间的关系。从社区抽取85对已婚夫妇（n = 170）作为样本，他们通过邮寄问卷的方式完成了关于过去一年的事件、症状、疑病症及扮演病人角色倾向的调查。生活事件与症状相关（r = 0.17），疑病症、扮演病人角色的倾向以及受试者的性别也与症状相关（相关系数分别为0.23、0.16、0.22）。分层多元回归分析表明，疑病症和扮演病人角色的倾向还与事件和症状之间的关联有关，即在前述测量指标上得分高的受试者与得分低和中等的受试者相比，事件-症状相关性降低。疑病症和扮演病人角色倾向得分低的受试者，其事件与症状之间的关系比文献中通常报道的要强得多。研究表明，疑病症和扮演病人角色的倾向可能是生活事件-症状关系的调节因素，因此在生活事件研究中值得更广泛地应用。
