Patterns of interpersonal problems in irritable bowel syndrome patients: a circumplex analysis.
Patterns of interpersonal problems in irritable bowel syndrome patients: a circumplex analysis.
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肠易激综合征患者的人际关系问题模式：环线分析。
DOI：
10.1016/j.jpsychores.2005.02.015
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Gurtman,MichaelB
中科院分区：
文献类型：
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作者：
Lackner,JeffreyM;Gurtman,MichaelB
目的利用人际关系环量表（人际关系环量表）探讨肠易激综合征患者人际关系问题的本质。代理和共融作为理解和衡量人际行为的概念坐标。在Ciccetti D，编辑。清晰地思考心理学，第2卷。明尼阿波利斯，明尼苏达州：明尼苏达大学出版社，1991。89-113页)作为组织框架。基于肠易激综合征患者人际行为概念的研究（Toner BB, Segal ZV, Emmott S, Myran D.）纽约：吉尔福德出版社，2000)，我们预测他们的人际关系问题将在周围的友好顺从区域达到顶峰。方法59例健康对照和174例IBS患者分别完成人际问题量表（IIP）和简短症状量表（BSI）。结果肠易激综合征患者的人际关系特征是难以自信，在较小程度上存在社交抑制。性别控制的分析并没有减弱两组在不自信方面的差异，在某些情况下，还会加剧这种差异。以腹泻为主要亚型或症状持续时间较长的患者，其人际关系问题比相应亚型的患者更为明显。结论IBS患者具有独特的以顺从性为特征的人际关系风格，这一主要发现说明了该研究对增加我们对IBS的理解的潜在价值。
OBJECTIVEThis study explored the nature of interpersonal problems in IBS patients using the interpersonal circumplex (Wiggins JS. Agency and communion as conceptual coordinates for the understanding and measurement of interpersonal behavior. In Ciccetti D, editors. Thinking clearly about psychology, Vol. 2. Minneapolis, MN: University of Minnesota Press, 1991. pp. 89–113) as an organizing framework. Based on conceptualizations of interpersonal behavior of IBS patients (Toner BB, Segal ZV, Emmott S, Myran D. Cognitive–behavioral treatment of irritable bowel syndrome. New York: Guilford Press, 2000), we predicted that their interpersonal problems would peak in the friendly submissive regions of the circumplex.METHODFifty-nine healthy controls and 174 IBS patients completed the Inventory of Interpersonal Problems (IIP) and Brief Symptom Inventory (BSI).RESULTSThe interpersonal profile of IBS patients was characterized by difficulties with assertiveness and, to a lesser extent, social inhibition. Gender-controlled analyses did not attenuate between group differences on nonassertiveness and, in some cases, sharpened them. Patients with diarrhea-predominant subtype or longer symptom duration had more pronounced interpersonal problems than did their respective counterparts.CONCLUSIONThe main finding that IBS patients have a distinctive interpersonal style characterized by aspects of submissiveness speaks to the potential value of the circumplex for increasing our understanding of IBS.