روان رنجوری، آلکسیتیمیا و نشانه غیر قابل توضیح پزشکی
|کد مقاله||سال انتشار||تعداد صفحات مقاله انگلیسی||ترجمه فارسی|
|31162||1997||14 صفحه PDF||سفارش دهید|
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Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Personality and Individual Differences, Volume 22, Issue 4, April 1997, Pages 551–564
The contribution that alexithymia can make to the understanding of medically unexplained physical symptoms (MUS) was studied in 244 subjects drawn from a range of medical and non-medical situations. People's histories of MUS—also called somatisation—were assessed using physical symptom lists derived from the DSM-III-R somatisation criteria. Two subscales from the Toronto Alexithymia Scale-20 had significant correlations with reported MUS, but also with neuroticism, negative emotion health coping, anxiety, depression, general psychological distress and dysphoric mood. Despite there being a large general latent trait (negative affectivity) underlying most of the measured variables, the best model of the data in men and women was a two-factor model that emphasised that alexithymia could make a contribution to MUS variance beyond that made by negative affectivity. It is suggested that, for the purposes of studying MUS, alexithymia might be reconstructed as a single component construct, related to a confusion among feelings and between feelings and bodily symptoms, rather than its present three-component structure. A two parameter model for the occurrence of medically unexplained physical symptoms is proposed in which negative affectivity acts as a threshold factor (influencing symptom detection) and alexithymia acts as an interference factor (influencing symptom discrimination/recognition).