心身疾病与神经症患者的述情障碍

Alexithymia in the psychosomatic and neurotic patients.

“述情障碍”(Alexithymia)在国外已有不少报告,国内则较少见。本文观察各种心身疾病86例,神经症121例,以117例正常人为对照,以多伦多述情障碍量表(TAS)评定,结果发现心身疾病及神经症患者的TAS平均总分皆较对照组显著为高。因子分Ⅲ(缺乏幻想)均未见增加,男性神经症组较对照组显著为低。

There were many reports about alexithymia in the foreign countries,but few in China.We observed 86 cases of psychosomatic diseases and 121 cases of neurosis as well as 117 cases of normal subjects (as controled group).They were examined by Toronto alexithymia scale (TAS).The results showed that the average total scores of TAS were higher in psychosomatic and neurotic patients than the controled group The differences were statistical significant.The two patients'group didn't increase in factor 3 of TAS.The average scores of this factor in the male neurotic patients weres signi-ficatly lower than controls.Some discussions about appearance and etiology of alexithymia,application of scales,its possible relative factors and treatment have been made.