Alexithymia and Personality Disorder Functioning Styles in Paranoid Schizophrenia
Alexithymia and Personality Disorder Functioning Styles in Paranoid Schizophrenia
复制标题
偏执型精神分裂症的述情障碍和人格障碍功能风格
DOI：
10.1159/000325168
复制
发表时间：
2011-08
期刊：
影响因子：
3.6
通讯作者：
Lu, Yunrong
中科院分区：
文献类型：
--
作者：
Yu, Shaohua;Pan, Bing;Wang, Wei;Li, Huichun;Liu, Weibo;Zheng, Leilei;Ma, Ying;Chen, Qiaozhen;Chen, Yiping;Yu, Hualiang;Lu, Yunrong
目的：人格障碍的功能类型可能导致精神分裂症述情障碍特征的不确定性。因此，我们研究了偏执型精神分裂症患者述情障碍与人格风格之间的关系。研究方法：采用中文版的多伦多述情障碍量表（TAS-20）、帕克人格量表（PERM）、阳性和阴性症状量表以及汉密尔顿焦虑抑郁量表对60例偏执型精神分裂症患者和60例健康对照者进行测试。结果如下：患者在阳性和阴性症状量表、TAS“难以识别感觉”和“难以描述感觉”、汉密尔顿抑郁量表和大多数PERM量表上的得分显著较高。在健康的受试者中，识别感觉的困难预测了PERM的“依赖”风格，汉密尔顿焦虑量表预测了识别感觉的困难和描述感觉的困难。在患者中，识别感觉的困难非特异性地预测了所有的PERM量表;相比之下，PERM“反社会”风格预测识别感觉的困难，“回避”风格预测描述感觉的困难，“表演型”和“偏执型（-）”风格预测“外部导向思维”。结论：人格障碍的功能风格-而不是焦虑，抑郁，精神病症状或疾病持续时间-特别与述情障碍量表在我们的病人，揭示了偏执型精神分裂症的认知人格学基础，一方面，并呼吁纵向设计，以发现如何发病前或急性后残留的人格风格有助于迟缓的障碍。
Objectives: Personality disorder functioning styles might contribute to the inconclusive findings about alexithymic features in schizophrenia. We therefore studied the relationship between alexithymia and personality styles in paranoid schizophrenia. Methods: We administered the Chinese versions of the Toronto Alexithymia Scale (TAS-20), the Parker Personality Measure (PERM), the Positive and Negative Syndrome Scale as well as the Hamilton Anxiety and Depression Scales to 60 paranoid schizophrenia patients and 60 healthy control subjects. Results: Patients scored significantly higher on the Positive and Negative Syndrome Scale, TAS ‘difficulty identifying feelings’ and ‘difficulty describing feelings’, Hamilton Depression Scale and most PERM scales. In healthy subjects, difficulty identifying feelings predicted the PERM ‘dependent’ style, and the Hamilton Anxiety Scale predicted difficulty identifying feelings and difficulty describing feelings. In patients, difficulty identifying feelings nonspecifically predicted all the PERM scales; by contrast, the PERM ‘antisocial’ style predicted difficulty identifying feelings, the ‘avoidant’ style predicted difficulty describing feelings, and the ‘histrionic’ and ‘paranoid (–)’ styles predicted ‘externally oriented thinking’. Conclusions: Personality disorder functioning styles – instead of anxiety, depression, psychotic symptoms or disease duration – were specifically associated with alexithymia scales in our patients, which sheds light on a cognitive-personological substrate in paranoid schizophrenia on the one hand, and calls for a longitudinal design to discover how premorbid or postacute residual personality styles contribute to the sluggish disorder on the other.
登录
查看更多内容
影响因子：
4.3
作者：
Vorst, HCM;Bermond, B
通讯作者：
Bermond, B
DOI：
--
发表时间：
2001
期刊：
Alcohol Research & Health
影响因子：
--
作者：
F. Moeller;D. Dougherty
通讯作者：
F. Moeller;D. Dougherty
影响因子：
4.8
作者：
K. Subotnik;K. Nuechterlein;M. Green
通讯作者：
K. Subotnik;K. Nuechterlein;M. Green
影响因子：
11.2
作者：
J. Isnard;M. Guenot;K. Ostrowsky;M. Sindou;F. Mauguière
通讯作者：
J. Isnard;M. Guenot;K. Ostrowsky;M. Sindou;F. Mauguière
影响因子：
3.6
作者：
O. Todarello;P. Porcelli;F. Grilletti;A. Bellomo
通讯作者：
O. Todarello;P. Porcelli;F. Grilletti;A. Bellomo