摘要
目的:探究躯体形式障碍患者注意偏向与被束缚程度和躯体不适症状有何关联。方法:选择36例躯体形式障碍患者(研究组)和32例健康志愿者(对照组)作为研究对象,90项症状清单(SCL-90)、躯体化症状自评量表(SSS)、中文版被束缚自评量表(SSTN)评估心理症状严重程度,点探测检测注意偏向,分析其与症状量表和因子分的相关性。结果:(1)研究组SSS-S(躯体化)因子、SSTN、SCL-90量表和因子分均大于对照组;(2)研究组负性注意偏向分和负性脱离指数>0;(3)研究组负性脱离指数与SSTN总分和SSS-S、SCL-90的躯体化因子分呈显著正相关(r=0.39,0.36,0.37);SSTN总分与SSS-S、SCL-90躯体化因子分有显著正相关。结论:躯体形式障碍患者负性注意解除困难与被束缚状态的交互作用是躯体不适症状发生发展的重要原因。
Objective: To investigate the relationship between attentional bias and the TORAWARE State and physical symptoms in somatoform disorder. Methods: 36 patients with somatoform disorder(study group) and 32 healthy volunteers(control group) as study subjects.Symptom Check List-90(SCL-90), Self-rating Somatization symptom Scale(SSS), and Chinese Version of Self-rating Scale for the TORAWARE State of Neurosis(SSTN) were selected to assess the severity of psychological symptoms. Dot-probe tasks were used to detect attentional bias, and then analyzing its correlation with the total and factor scores of symptom scale in the study group. Results: ①The total and factor scores of each scale in the study group were greater than the control group;②The study group had difficulty in removing attention from negative stimuli;③In the study group,the negative disengaging index was positively correlated with the scores of SSTN and SSS-S、SCL-90 S(r=0.39, 0.36, 0.37);SSTN scores was positively correlated with the SSS-S、SCL-90 S scores(r=0.57, 0.49). Conclusion: The binding interaction between the difficulties moving attention from negative information and TORAWARE State is an important reason for the occurrence and development of somatic discomfort symptoms of somatoform disorder.
作者
王芸
王高华
王惠玲
李江波
戎伟
WANG Yun;WANG Gao-hua;WANG Hui-ling;LI Jiang-bo;RONG Wei(Department of Psychiatry,People's Hospital of Wuhan University,Wuhan 430060,China;Clinical Psyehology Department,Wuhu City Second People's Hospital,Wuhu 340202,China)
出处
《中国临床心理学杂志》
CSSCI
CSCD
北大核心
2019年第1期14-17,共4页
Chinese Journal of Clinical Psychology
基金
日本心理卫生冈本纪念财团研究助成项目
平成29年研8
关键词
躯体形式障碍
注意偏向
被束缚状态
躯体症状
躯体不适
Somatoform disorder
Attentional bias
TORAWARE State
Somatic sympotom
Somatic discomfort
