精神科门诊患者躯体症状的归因

The attribution of somatic symptoms in psychiatric outpatients.

作者信息

Wise T N, Mann L S

机构信息

Department of Psychiatry, Fairfax Hospital, Falls Church, VA, USA.

出版信息

Compr Psychiatry. 1995 Nov-Dec;36(6):407-10. doi: 10.1016/s0010-440x(95)90247-3.

DOI:10.1016/s0010-440x(95)90247-3

PMID:8565444

Abstract

The attribution of common somatic symptoms was investigated in 100 psychiatric outpatients. Subjects who were more depressed and alexithymic as measured by the Toronto Alexithymia Scale (TAS) tended to endorse a psychological attribution for somatic complaints. Somatosensory amplification, anxiety, and inability to express and report specific feelings predicted psychological attribution. The data support the role of alexithymia in somatization and further explain a possible role of psychological attribution of somatic symptoms in the underrecognition of physical disorders in psychiatric patients.

摘要

对100名精神科门诊患者的常见躯体症状归因进行了调查。根据多伦多述情障碍量表（TAS）测量，抑郁程度更高且述情障碍更严重的受试者倾向于将躯体不适归因于心理因素。躯体感觉放大、焦虑以及无法表达和报告特定感受可预测心理归因。这些数据支持了述情障碍在躯体化中的作用，并进一步解释了躯体症状的心理归因在精神科患者躯体疾病识别不足中可能发挥的作用。