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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Emotional awareness deficits in inpatients of a psychosomatic ward: a comparison of two different measures of alexithymia.
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Emotional awareness deficits in inpatients of a psychosomatic ward: a comparison of two different measures of alexithymia.

机译：心身病房住院病人的情绪意识缺陷：两种不同的运动障碍测量方法的比较。

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OBJECTIVE: The TAS 20 has demonstrated strong psychometric properties in a broad variety of studies in healthy populations. Much less work has been done in clinical contexts exploring the validity of the TAS 20 as a measure of the cognitive processing of emotions. The TAS 20, a self-report scale, tends to correlate with self-reported negative affect, but in a clinical context it is important to be able to differentiate between negative affect and the cognitive processing of emotion. We therefore used the TAS 20 and a performance measure, the Levels of Emotional Awareness Scale (LEAS), which in previous studies demonstrated no overlap with measures of negative affect, to explore the ability of the two measures to detect deficits in emotional awareness in a clinical sample. METHODS: Data from inpatients of a psychosomatic ward were collected at onset (N = 394) and at the end of multimodal psychodynamic treatment (N = 249). The sample consisted of six diagnostic groups (depression; anxiety and compulsive-obsessive disorders, adjustment disorders, somatoform disorders, psychological factors related to somatic disorders, eating disorders). Changes in the TAS 20 and LEAS were compared at the two time points controlling for the effects of gender, age, educational level, and associations with self-reported negative affect. RESULTS: In contrast to the LEAS, the TAS 20 correlated with negative affect at the onset and the end of treatment. The scores of the TAS 20 decreased with treatment in all diagnostic groups but the change in the TAS 20 was not statistically significant when negative affect was controlled. In contrast, LEAS scores increased with treatment in the groups with somatoform disorders and psychological factors related to somatic disorders, and this change was independent of negative affect. CONCLUSION: The LEAS captured a change in emotional awareness due to treatment, whereas the TAS 20 captured a change in negative affect. The LEAS appears to be a more specific measure of change in emotional awareness in clinical contexts than the TAS 20.
机译：目的：TAS 20已在健康人群的各种研究中显示出强大的心理测量特性。在探索TAS 20作为情感认知过程度量的有效性的临床环境中，开展的工作很少。 TAS 20是一种自我报告量表，倾向于与自我报告的负面影响相关联，但是在临床背景下，重要的是要能够区分负面影响和情绪的认知过程。因此，我们使用了TAS 20和一项绩效指标“情绪意识等级量表（LEAS）”（以前的研究表明该指标与负面影响的指标没有重叠），以探索这两种指标在能力障碍中检测情绪意识缺陷的能力。临床样品。方法：在发作期（N = 394）和多模式心理动力学治疗结束时（N = 249）收集心身病房住院患者的数据。样本包括六个诊断组（抑郁症;焦虑症和强迫症，适应症，躯体形式障碍，与躯体障碍有关的心理因素，进食障碍）。在两个时间点比较了TAS 20和LEAS的变化，以控制性别，年龄，文化程度以及与自我报告的负面影响的关联。结果：与LEAS相比，TAS 20与治疗开始和结束时的负面影响相关。在所有诊断组中，TAS 20的得分均随治疗而降低，但在控制负面影响后，TAS 20的变化在统计学上并不显着。相比之下，躯体形式障碍和与躯体障碍相关的心理因素治疗组的LEAS评分随治疗而增加，并且这种变化与负面影响无关。结论：LEAS捕获了由于治疗引起的情绪意识变化，而TAS 20捕获了负面影响的变化。与TAS 20相比，LEAS似乎是临床情况下情感意识变化的一种更具体的度量。

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