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[健康述情障碍受试者的平行视觉处理特征。多伦多述情障碍量表及平行视觉信息测试的应用]

[Parallel visual processing characteristics in healthy alexithymic subjects. Administration of the Toronto Alexithymia Scale and the parallel visual information test].

作者信息

Montreuil M, Pedinielli J L

机构信息

Groupe Hospitalier Pitié-Salpêtrière, Paris.

出版信息

Encephale. 1995 Sep-Oct;21(5):589-95.

PMID:8529569
Abstract

Alexithymia is a concept created by Sifneos and characterized by an inability to find words to describe feelings or emotions. The phenomenon seems to be also related to a poverty of cognitive and symbolic processes (de Bonis, 1986). Alexithymia was first studied in psychosomatic disorders, then in several other somatic disorders as chronic bronchitis, chronic pain, obesity, abuse disorders. It also appears in non medically ill subjects. The french validation of the Toronto alexithymia Scale (TAS) in general population (n = 786) has shown 8.14% alexithymia frequency. The TAS is a 26-items self-report measure rated on a five-point likert scale. In the study we use the TAS and we refer to a visual test: the Parallel Visual Information Processing Test (PVIPT), involving the connexionist theory in the neuropsychological approach of alexithymia. The neuropsychological model is based on cerebral hemispheric specialization: emotions are localized in the right hemisphere and verbal expression depends on the left hemisphere in right-handed persons. The model posits that alexithymia is related to a lack of connection between the two cerebral hemispheres. It explains the deficit to verbally articulate emotions. The aim of our study is to compare the quality of cognitive and symbolic process (PVIPT) in alexithymic and non alexithymic subjects in general population. 773 students are tested with the TAS. We find 47 alexithymic subjects (6.08%). 22 alexithymic subjects and the control group (35 non alexithymic subjects) are evaluated with the PVIPT. Results are coherent with our previous studies on alexithymia in somatic disorders on one hand and alexithymia in neurological disease on the other hand. Theorical model, clinical observation and experimental results tend to define congruent hypothesis relative to the anxious pathology, supporting the reflexion and the research in the domain of the emotional disorders.

摘要

述情障碍是由西夫neos提出的一个概念,其特征是无法找到合适的词语来描述感受或情绪。这种现象似乎还与认知和符号处理能力的匮乏有关(德博尼斯,1986年)。述情障碍最初是在身心疾病中进行研究的,随后又在其他几种躯体疾病中得到研究,如慢性支气管炎、慢性疼痛、肥胖症、滥用障碍等。它也出现在非医学疾病患者身上。对多伦多述情障碍量表(TAS)在普通人群(n = 786)中的法语验证显示,述情障碍的发生率为8.14%。TAS是一种26项的自我报告量表,采用五点李克特量表进行评分。在本研究中,我们使用了TAS,并参考了一项视觉测试:平行视觉信息处理测试(PVIPT),该测试在述情障碍的神经心理学研究方法中涉及联结主义理论。神经心理学模型基于大脑半球的特化:情绪位于右半球,而语言表达在右利手个体中依赖于左半球。该模型认为述情障碍与两个大脑半球之间缺乏连接有关。它解释了在言语上表达情绪的缺陷。我们研究的目的是比较普通人群中述情障碍者和非述情障碍者的认知和符号处理能力(PVIPT)的质量。773名学生接受了TAS测试。我们发现了47名述情障碍受试者(6.08%)。22名述情障碍受试者和对照组(35名非述情障碍受试者)接受了PVIPT评估。结果一方面与我们之前关于躯体疾病中述情障碍的研究一致,另一方面也与神经疾病中述情障碍的研究一致。理论模型、临床观察和实验结果倾向于定义与焦虑病理相关的一致假设,支持了情绪障碍领域的思考和研究。

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