期刊
JOURNAL OF PSYCHOSOMATIC RESEARCH
卷 57, 期 3, 页码 239-247出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/S0022-3999(03)00613-5
关键词
affect regulation; alexithymia; negative affectivity; somatoform disorders
类别
Objective: To determine the role of undifferentiated and dysregulated affects in somatoform disorders by using a multimethod assessment approach of alexithymia. Methods: Forty patients with ICD-10 somatoform disorders (SoD) and 20 healthy controls. matched for age, education and sex, were included in the study. Alexithymia was assessed using the Toronto Alexithymia Scale (TAS-20), the Affect Consciousness Interview (ACI), and the Levels of Emotional Awareness Scale (LEAS). All classifications were made blinded with regard to clinical status. Results: Scores of the ACI and the TAS-20 showed that alexithymia is higher in SoD than in healthy controls. No differences were found on the LEAS. In terms of the multidimensionality of the alexithymia construct, our results indicate a specific positive association between SoD and a proneness to experience undifferentiated affects. The three subfactors of the TAS-20 were differentially related to non-self-report measures of alexithymia and to negative affectivity (NA). Only the cognitive facet of the TAS-20 (externally oriented thinking [EOT]) was related to the LEAS and the ACI. In contrast, the affective facets of the TAS-20-difficulties identifying feelings (DIF) and difficulties describing feelings (DDF)-were substantially related to NA. Conclusion: The findings highlight the important role of impaired affect regulation and NA in the process of somatization.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据