Wise T N, Mann L S
Department of Psychiatry, Fairfax Hospital, Falls Church, VA 22046.
J Psychosom Res. 1994 Aug;38(6):515-21. doi: 10.1016/0022-3999(94)90048-5.
Both amplification of normal visceral phenomena and the personality trait of alexithymia are factors in the process of somatization, whereby somatic symptoms become metaphors for emotional distress. The relationship between these two variables was investigated in 101 psychiatric out-patients. Each subject was administered the Somatosensory Amplification Scale (SSA); the Toronto Alexithymia Scale (TAS); the NEO-FFI, which measures five personality factors; and the health locus of control (HLC). In addition, anxiety and depression were quantitatively measured. SSA and TAS significantly correlated only in the female subjects. A regression model found neuroticism to contribute the most variance in predicting SSA while TAS did not fit into the model. Amplification is a perceptual element in potentiating somatization, whereas alexithymia contributes to the cognitive aspects of the process. The role of neuroticism is discussed as a mediating factor.
正常内脏现象的放大以及述情障碍这一个性特质都是躯体化过程中的因素，在此过程中躯体症状成为情绪困扰的隐喻。在101名精神科门诊患者中对这两个变量之间的关系进行了调查。每位受试者都接受了体感放大量表（SSA）、多伦多述情障碍量表（TAS）、测量五个人格因素的大五人格量表（NEO-FFI）以及健康控制点量表（HLC）。此外，还对焦虑和抑郁进行了定量测量。仅在女性受试者中，SSA与TAS显著相关。一个回归模型发现，在预测SSA时，神经质贡献的方差最大，而TAS不适合该模型。放大是增强躯体化的一个感知因素，而述情障碍则促成了该过程的认知方面。讨论了神经质作为中介因素的作用。
