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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 between conscious somatic symptoms and alexithymia in general hospital counselors. Methods: A total of 144 psychosocial counselors from the hospital were enrolled in the Toronto Symptom Check-up (TAS-20), self-made Symptom Checklist and Hypothyria (D) in the Minnesota Multiple Personality Inventory (MMPI) measuring. Results: ① D-score of the group of alexithymia was significantly higher than that of the group of non-cardiochronism, and there was no significant difference in Hs between the two groups. ② The total TAS scores of the patients who were mainly somatic symptoms with psychological symptoms were higher than those of the non- (DIF) were significantly higher than those in psychological symptom group; (3) The DIF factor scores of Hs high-grade group were significantly higher than those of Hs low-level group; The correlation between TAS score, DIF and Hs was statistically significant (correlation coefficient was 0.17,0.22, . CONCLUSIONS: The relationship between affective disorder and individual subjective symptoms or suspicion tendencies showed a certain degree of correlation. DIF may be an indicator of somatic symptoms that is more sensitive than the total score of the affective disorder.