MacLeod A K, Haynes C, Sensky T
Department of Psychology, Royal Holloway University of London, Egham, Surrey.
Psychol Med. 1998 Jan;28(1):225-8. doi: 10.1017/s0033291797005849.
Causal attributions about bodily sensations may determine help-seeking and influence patients' demands for medical treatment. The present study aimed to differentiate the causal attributions associated with health-related and non-health-related anxiety.
Anxious hypochondriacal, generally anxious, and non-anxious general practice attenders were compared on their propensity to give somatic, psychological or normalizing attributions for common bodily sensations, measured by number of each type of attribution in a given time period and the frequency of first response of each type.
The groups differed in all three types of attributions. Giving more psychological and fewer normalizing attributions was related to general anxiety whereas giving more somatic attributions was related specifically to hypochondriasis.
Anxiety and hypochondriasis can be distinguished in terms of their associated patterns of attributions for bodily sensations, reinforcing the importance of attributional processes and interventions which use reattributional training.
对身体感觉的因果归因可能会决定求助行为，并影响患者对医疗治疗的需求。本研究旨在区分与健康相关和非健康相关焦虑相关的因果归因。
比较了患有焦虑性疑病症、一般性焦虑症和无焦虑症的全科门诊患者，观察他们对常见身体感觉进行躯体、心理或正常化归因的倾向，通过在给定时间段内每种归因类型的数量以及每种类型首次反应的频率来衡量。
三组在所有三种归因类型上均存在差异。做出更多心理归因和更少正常化归因与一般性焦虑有关，而做出更多躯体归因则与疑病症密切相关。
焦虑症和疑病症可以根据其对身体感觉的相关归因模式进行区分，这强化了归因过程以及使用重新归因训练的干预措施的重要性。
