Alexithymia and Somatosensory Amplification Link Perceived Psychosocial Stress and Somatic Symptoms in Outpatients with Psychosomatic Illness.
Alexithymia and Somatosensory Amplification Link Perceived Psychosocial Stress and Somatic Symptoms in Outpatients with Psychosomatic Illness.
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DOI：
10.3390/jcm7050112
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发表时间：
2018-05-10
影响因子：
3.9
通讯作者：
Takeuchi T
中科院分区：
文献类型：
--
作者：
Nakao M;Takeuchi T
背景：心身疾病患者经常主诉各种躯体症状。我们试图澄清躯体症状主诉的临床预测因子的作用。方法：我们招募了604名来心身门诊就诊的患者。结果是躯体症状的总数，候选的临床预测因子是感知的心理社会压力、述情障碍、躯体感觉放大、适应、焦虑和抑郁。所有参与者都完成了评估结果和预测因素的问卷。结果：平均报告的躯体症状数为4.8个，最常见的躯体症状是乏力(75.3%)，其次是失眠(56.1%)、腰痛(49.5%)、头痛(44.7%)和心悸(43.1%)。多元回归分析显示，躯体症状总数与心理社会压力、述情障碍、躯体感觉增强和抑郁的程度显著相关。此外，结构方程模型表明过度适应(通过感知的心理社会压力、述情障碍和躯体感觉放大)与躯体症状的总数之间存在联系。结论：本研究结果提示心身疾病患者的述情障碍和躯体感觉增强与心理社会应激之间存在关联。
Background: Psychosomatic patients often complain of a variety of somatic symptoms. We sought to clarify the role of clinical predictors of complaints of somatic symptoms. Methods: We enrolled 604 patients visiting a psychosomatic outpatient clinic. The outcome was the total number of somatic symptoms, and the candidate clinical predictors were perceived psychosocial stress, alexithymia, somatosensory amplification, adaptation, anxiety, and depression. All participants completed questionnaires assessing the outcome and the predictors. Results: The average number of reported somatic symptoms was 4.8; the most frequent was fatigue (75.3%), followed by insomnia (56.1%), low-back pain (49.5%), headache (44.7%), and palpitations (43.1%). Multiple regression analysis showed that the total number of somatic symptoms was significantly associated with the degree of perceived psychosocial stress, alexithymia, somatosensory amplification, and depression. Also, structural equation models indicated links between excessive adaptation (via perceived psychosocial stress, alexithymia, and somatosensory amplification) and the total number of somatic symptoms. Conclusion: The results suggested that the association between psychosocial stress and reported somatic symptoms is mediated by alexithymia and somatosensory amplification in psychosomatic patients.
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影响因子：
2.1
作者：
Murakami M;Nakai Y
通讯作者：
Nakai Y
影响因子：
6.7
作者：
Fava, Giovanni Andrea;Belaise, Carlotta;Sonino, Nicoletta
通讯作者：
Sonino, Nicoletta
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Nakao, M;Myers, P;Benson, H
通讯作者：
Benson, H
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Nakao, Mutsuhiro;Takeuchi, Takeaki
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通讯作者：
KLERMAN, GL