Kosturek A, Gregory R J, Sousou A J, Trief P
Department of Psychiatry, State University of New York (SUNY) Health Science Center, Syracuse 13210, USA.
Psychosomatics. 1998 Sep-Oct;39(5):399-404. doi: 10.1016/S0033-3182(98)71298-8.
A controlled study was undertaken to assess alexithymia and somatic amplification among 50 medical outpatients with chronic pain referred for psychiatric consultation. Data were collected on demographics; DSM-IV diagnoses; and measures of anxiety, depression, and alexithymia, assessed with the Toronto Alexithymia Scale (TAS-20), as well as somatic amplification, assessed with the Somatosensory Amplification Scale (SAS). Data analysis revealed low scores on the TAS-20 and SAS for the pain patients, compared with a control group without pain. In this sample, depression and anxiety were the primary determinants of alexithymia and somatic amplification, rather than pain. These findings suggest that psychological markers for chronic pain may be different from those for other somatoform disorders.
开展了一项对照研究，以评估50名因慢性疼痛前来精神科咨询的门诊患者的述情障碍和躯体放大现象。收集了人口统计学数据、DSM-IV诊断结果，以及用多伦多述情障碍量表（TAS-20）评估的焦虑、抑郁和述情障碍指标，还有用体感放大量表（SAS）评估的躯体放大指标。数据分析显示，与无疼痛的对照组相比，疼痛患者的TAS-20和SAS得分较低。在这个样本中，抑郁和焦虑是述情障碍和躯体放大的主要决定因素，而非疼痛。这些发现表明，慢性疼痛的心理标志物可能与其他躯体形式障碍的标志物不同。
