中国临床心理学杂志

咨询就诊者的自觉躯体症状与述情障碍

作者：江琛唐秋萍管冰清

分类号：R395.6

出版年,卷(期):页码：2009,17(2):234-236

摘要：

目的：探讨综合医院咨询就诊者的自觉躯体症状与述情障碍的关系。方法：对来院就诊的心理咨询患者144人进行多伦多述情障碍量表(TAS-20)、自编症状清单及明尼苏达多项人格调查表(MMPI)中疑病(Hs)、抑郁(D)的测量。结果：①述情障碍组的D分明显高于非述情障碍组，Hs分的差异无统计学意义；②以躯体症状为主伴有心理症状的就诊者，其TAS总分、辨认情感困难(DIF)因子分明显高于心理症状组就诊者；③Hs高分组的DIF因子分明显高于Hs低分组；TAS总分、DIF与Hs的相关具有统计学意义(相关系数分别为0.17、0.22)。结论：述情障碍与个体自觉症状或疑病倾向呈现一定程度的相关；DIF可能是一个较述情障碍总分更为敏感的预示躯体症状的指标。

Objective: To investigate the relationship of somatic symptoms and alexithymia in clients of dept. of clinical psychology. Methods: A cross-sectional study was performed among 144 clients of dept. of clinical psychology. The 20-item Toronto Alexithymia Scale (TAS-20) was used to assess all participants for alexithymia. Additionally, all participants completed a number of symptom questionnaires, Hypochondriasis Scale and Depression Scale in MMPI. Results: ①The score of Depression Scale in high-alexithymia group was significantly higher than that in low-alexithymia group, and the scores of Hypochondriasis Scale between two groups have no significantly difference; ②The group of clients whose main complains were somatic symptoms and psychological symptoms, the TAS total score, DIF-specific facets of alexithymia (difficulty identifying emotions) were significantly higher than that of clients who only had psychological symptoms; ③Only DIF of high-Hs group was significantly higher than that of low-Hs group; the TAS total score, DIF were significantly as-sociated with Hs. Conclusion: Alexithymia was associated with somatic symptoms or Hypochondriasis in counseling clients in some degree. DIF-specific facets of alexithymia (difficulty identifying emotions) may be a more sensitive factor to pre-dict somatic symptoms than the TAS total score.

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参考文献：

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