Characteristics of alexithymia and social support defects in patients with somatoform disorders
10.3760/cma.j.issn.1006?7884.2019.06.007
- VernacularTitle:躯体形式障碍患者的述情和社会资源使用特征
- Author:
Ningbo YANG
1
;
Jie LI
;
Guoxiu ZHANG
;
Songnian LIU
;
Guangxian WU
;
Aiqin WU
Author Information
1. 河南科技大学第一附属医院精神心理科,洛阳,471003
- Publication Type:Journal Article
- Keywords:
Anxiety;
Depression;
Somatoform disorders;
Social support;
Alexithymia
- From:
Chinese Journal of Psychiatry
2019;52(6):398-402
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the affective and somatic symptoms of patients with somatoform disorders (SFD) and their related factors to their social support and alexithymia. Methods Seventy-one patients with SFD and 75 healthy controls (HC) were recruited. Health Questionnaire?9 (PHQ?9), General Anxiety Scale (GAD?7), Patient Health Questionnaire 15?Item Somatic Symptom Severity Scale (PHQ?15), Toronto Alexithymia Scale (TAS?20) and Social Support Rating Scale (SSRS) were evaluated for all subjects. Results (1) The total scores of all the PHQ?9, GAD?7 and PHQ?15 in patients group were significantly higher than that in HC (t=46.67, 41.24, 49.64, P<0.01). (2) Except the objective social support, subject social support and social support utilization in SFD group were lower than those in HC (36.97±6.74 vs. 40.54±5.47, 19.34±3.17 vs. 23.53±3.62, 6.41±3.13 vs. 8.36±2.43; t=7.46, 4.28, 3.52; P<0.01). There were significant differences in TAS?20 between the two groups (t=8.08, 8.52, 5.54, 7.35, P<0.01). (3) By the correlation analysis in patient group, the sum score of the affective and somatic symptom (PHQ?9+GAD?7+PHQ?15) was significantly correlated to the subjective social support, social support utilization, social support total score, TAS?Ⅰ, TAS?Ⅱ, TAS?Ⅲand TAS?20 total score (r=-0.372,-0.359,-0.426, 0.368, 0.327, 0.306, 0.364, P<0.01). And the numbers of non?mental health clinic visits (χ1), social support utilization (χ2), adverse reactions(χ3), TAS?Ⅱ (χ4) and TAS?Ⅰ (χ5) contributed to the multiple regression equation for the sum of PHQ?9, GAD?7 and PHQ?15 scores. Conclusion The alexithymia and incapability of perceiving and utilizing social support, numbers of visits in non?mental health clinic and the medication adverse reactions that subjectively perceived in the patients with SFD may be the key factors that could impact their affective and somatic symptoms.
