THE SOMATOSENSORY AMPLIFICATION SCALE AND ITS RELATIONSHIP TO HYPOCHONDRIASIS
THE SOMATOSENSORY AMPLIFICATION SCALE AND ITS RELATIONSHIP TO HYPOCHONDRIASIS
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DOI：
10.1016/0022-3956(90)90004-a
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发表时间：
1990-01-01
影响因子：
4.8
通讯作者：
KLERMAN, GL
中科院分区：
文献类型：
--
作者：
BARSKY, AJ;WYSHAK, G;KLERMAN, GL
选取41名DSM-III-R版疑病症患者和75名随机抽取的门诊患者，完成精神病学诊断访谈和躯体感觉放大量表（SSAS）自述问卷；SSAS询问被访者对各种不舒服的内脏和身体感觉的困扰程度，其中大多数不是严重疾病的病理症状。SSAS分数呈正态分布，具有可接受的重测信度和内部一致性。它们与社会人口学特征或总体医疗发病率无关。与比较样本相比，DSM-III-R型疑病症患者的扩增率明显更高，且与每个样本中疑病症的程度显著相关。在比较样本中，它也与抑郁症和焦虑症显著相关，但与反社会人格或药物滥用无关。在控制了这些并发精神疾病后，放大量表与DSM-III-R疑病症之间的关联仍然非常显著。
Forty-one DSM-III-R hypochondriacs and seventy-five randomly chosen patients were obtained from a medical outpatient clinic, and completed a psychiatric diagnostic interview and a ten-item self-report questionnaire, the Somatosensory Amplification Scale (SSAS); The SSAS asks the respondent how much s/he is bothered by various uncomfortable visceral and somatic sensations, most of which are not the pathological symptoms of serious diseases. SSAS scores were normally distributed, and had acceptable test-retest reliability and internal consistency. They were not related to sociodemographic characteristics, or to aggregate medical morbidity. Amplification was significantly higher in the DSM-III-R hypochondriacs than in the comparison sample, and was significantly correlated with the degree of hypochondriacal symptomatology within each sample. In the comparison sample, it was also significantly associated with depressive and anxiety disorders, but not with antisocial personality or substance abuse. The association between the amplification scale and DSM-III-R hypochondriasis remained highly significant after controlling for these concurrent psychiatric disorders.