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Association of attachment style to lifetime medically unexplained symptoms in patients with hepatitis C.

机译:依恋风格与丙型肝炎患者终生医学上无法解释的症状的关联。

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摘要

In this study, we sought to establish whether there was an association between adult attachment style and number of medically unexplained physical symptoms in patients with hepatitis C. Thirty-two patients with hepatitis C were assessed with regard to attachment style classification, number of lifetime medically unexplained symptoms, lifetime psychiatric diagnoses, medical comorbidity, disease severity, use of interferon, and demographic characteristics. Analysis of covariance was used to compare the four attachment groups on number of lifetime medically unexplained symptoms, and Pearson correlations were used to assess the association of continuous ratings of attachment style with lifetime medically unexplained symptoms. Number of lifetime medically unexplained symptoms varied significantly as a function of attachment style group, with patients with fearful attachment reporting significantly more medically unexplained symptoms than patients with secure attachment (P < 0.01). Number of lifetime medically unexplained symptoms was positively correlated with continuous ratings of fearful attachment (r = 0.53, P < 0.01) and preoccupied attachment (r = 0.46, P < 0.01). Implications for treatment are discussed.
机译:在这项研究中,我们试图确定丙型肝炎患者的成人依恋方式与医学上无法解释的身体症状数量之间是否存在关联。对三十二名丙型肝炎患者进行了依恋类型分类,终生医疗次数的评估无法解释的症状,终生精神病学诊断,合并症,疾病严重程度,干扰素的使用和人口统计学特征。协方差分析用于比较四个依恋组在终生医学上无法解释的症状的数量,而皮尔森相关性用于评估依恋方式的持续评分与一生无法解释医学上的症状的关联。终生医学上无法解释的症状数量随依恋类型组的变化而显着变化,具有恐惧依恋的患者报告的医学上无法解释的症状明显多于有安全依恋的患者(P <0.01)。终生医学上无法解释的症状的数量与恐惧依恋的持续评定(r = 0.53,P <0.01)和注意力过度依恋(r = 0.46,P <0.01)呈正相关。讨论对治疗的意义。

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