早年经历和性格对全科医疗中社会心理困扰报告的影响。一项初步调查。
Effect of early life experiences and personality on the reporting of psychosocial distress in general practice. A preliminary investigation.
作者信息
Weich S, Lewis G, Mann A
机构信息
London School of Hygiene & Tropical Medicine.
出版信息
Br J Psychiatry. 1996 Jan;168(1):116-20. doi: 10.1192/bjp.168.1.116.
BACKGROUND
About 25% of primary care attenders are 'somatic presenters'; individuals consulting for physically-attributed somatic symptoms in the presence of psychiatric morbidity. We tested the hypothesis that somatic presenters differed from psychological presenters on measures of personality ad childhood experience.
METHOD
Case-control study of 'psychological presenter' and 'somatic presenters'.
RESULTS
Psychological presenter reported significantly greater insecurity in intimate relationships, and recalled their fathers as significantly less caring and more over-protective, than somatic presenters. These difference remained after adjusting for differences in the severity and duration of psychiatric symptoms.
CONCLUSIONS
Personality and childhood experiences may be associated with specific types of adult illness behaviour, independent of associations with the prevalence of psychiatric disorder.
背景
约25%的基层医疗就诊者为“躯体症状表现者”，即在存在精神疾病的情况下因身体归因的躯体症状前来咨询的个体。我们检验了这样一个假设，即躯体症状表现者在人格和童年经历方面与心理症状表现者存在差异。
方法
对“心理症状表现者”和“躯体症状表现者”进行病例对照研究。
结果
与躯体症状表现者相比，心理症状表现者报告在亲密关系中明显更缺乏安全感，且回忆起他们的父亲明显更缺乏关爱、过度保护。在调整了精神症状的严重程度和持续时间差异后，这些差异仍然存在。
结论
人格和童年经历可能与特定类型的成人疾病行为有关，独立于与精神障碍患病率的关联。
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