Translated Titles

Alexithymia in Non-psychiatric Outpatients of a General Hospital




林育臣(Yu-Chen Lin);陳展航(Chin-Hong Chan)

Key Words

情感表達不能 ; 健康 ; 身體的 ; 門診病患 ; alexithymia ; health ; somatic ; outpatient



Volume or Term/Year and Month of Publication

20卷4期(2006 / 12 / 01)

Page #

272 - 278

Content Language


Chinese Abstract

目的:本研究目的在探討綜合醫院中的非精神科門診病患,情感表達不能的表現情形,並評估其對於個案自我感受的身心健康狀態的影響。方法:以台灣版多倫多述情量表(Toronto Alexithymia scale-20)作為評估情感表達不能的研究工具,和以中國人健康量表(Chinese Health Questionnaire-12)作為評估自我感受的身心健康狀態的研究工具。研究對象為台中榮民總醫院18-60歲非精神科門診個案,總數403人(男性147名,女性256名)。收集個案的基本資料以及上述兩個問卷的分數進行統計分析。結果:自認為較差的經濟狀況和可能罹患輕型精神疾患的個案有較高的比例有顯著情感表達不能的特質;外在導向型思考的因素則與較低的教育程度有關。結論:門診非精神科個案的情感表達不能與自我感受到的身心健康狀態有顯著的相關性。有顯著情緒表達不能特質的個案在面對身體問題時,有較高的危險性會罹患輕型精神疾病。

English Abstract

Objectives: The aim of this study was to investigate the alexithymic features of non-psychiatric outpatients in a general hospital, and to evaluate the influence of alexithymia on their self-perceived health status. Methods: Alexithymia was assessed with the Toronto Alexithymia Scale, Taiwan version. Self-perceived health status was assessed with the Chinese Health Questionnaire. Data were collected from a total of 403 non-psychiatric outpatients of aged from 18 to 60 years old. Scores of the two questionnaires and data on sociodemographic variables were analyzed. Results: Subjects with subjectively poor economic status and risk of minor psychiatric morbidity (CHQ≧4) had a higher ratio of alexithymics (TAS≧61). Outside-oriented thinking was correlated with lower educational level. Conclusion: Alexithymia was correlated with self-perceived health status in non-psychiatric outpatients. Subjects with significant alexithymia were at high risk of minor psychiatric disorders when facing somatic problems.

Topic Category 醫藥衛生 > 社會醫學
  1. Bach M,Bach D(1996).Alexithymia in somatoform disorder and somatic disease: a comparative study.Psychother Psychosom,65,150-152.
  2. Bankier B,Aigner M,Bach M(2001).Alexithymia in DSM-IV disorder: comparative evaluation of somatoform disorder, panic disorder, obsessive-compulsive disorder and depression.Psychosomatics,42,235-240.
  3. farges F,Corcos M,Speranza M,Loas G,PerezDiaz F,Venisse JL(2004).Alexithymia, depression and drug addiction.Encephale (Paris),30,201-211.
  4. Guttman H,Laporte L(2002).Alexithymia, empathy, and psychological symptoms in a family context.Compr Psychiatry,43,448-455.
  5. Honkalampi K,Hintikka J,Tanskanen A,Lehtonen J,Viinamaki H(2000).Depression is strongly associated with alexithymia in the general population.J Psychosom Res,48,99-104.
  6. IM L(1985).Current concepts in psychiatry: alexithymia.N Engl J Med,312,690-692.
  7. Kojima M,Frasure-Smith N,Lesperance F(2001).Alexithymia following myocardial infarction: psycho- metric properties and correlates of the Toronto Alexithymia Scale.J Psychosom Res,51,487-495.
  8. Kokkonen P,Karvonen JT,Veijola J,Laksy K,Jokelainen J,Jarvelin MR(2001).Prevalence and sociodemographic correlates of alexithymia in a population sample of young adults.Compr Psychiatry,42,471-476.
  9. Kosturek A,Gregory RJ,Sousou AJ,Trief P(1998).Alexithymia and somatic amplification in chronic pain.Psychosomatics,39,399-404.
  10. Lane RD,Sechrest L,Riedel R(1998).Sociodemographic correlates of alexithymia.Compr Psychiatry,39,377-385.
  11. Le HN,Berenhaum H,Raghavan C(2002).Culture and alexithymia: mean levels, correlates, and the role of parental socialization of emotions.Emotion,2,341-360.
  12. Loas G,Fremaux D,Otmani O,Verrier A(1995).Prevalence of alexithymia in a general population: study in 183 "normal" subjects and in 263 students.Ann Med Psychol (Paris),153,355-357.
  13. Niemi PM,Portin R,Aalto S,Hakala M,Karlsson H(2002).Cognitive functioning in severe somatization: a pilot study.Acta Psychiatr Scand,106,461-463.
  14. Parker JD,Shaughnessy PA,Wood LM,Majeski SA,Eastahrook JM(2005).Cross-cultural alexithymia: validity of the 20-item Toronto Alexithymia Scale in North American aboriginal populations.J Psychosom Res,58,83-88.
  15. Porcelli P,Taylor GJ,Bagby RM,De Carne M(1999).Alexithymia and functional gastrointestinal disorders: A comparison with inflammatory bowel disease.Psychother Psychosom,68,263-269.
  16. Porcelli P,Zaka S,Leoci C,Centonze S,Taylor GJ(1995).Alexithymia in inflammatory bowel disease. A case-control study.Psychother Psychosom,64,49-53.
  17. Richards HL,Fortune DG,Griffiths CE,Main CJ(2005).Alexithymia in patients with psoriasis: clinical correlates and psychometric properties of the Toronto Alexithymia Scale-20.J Psychosom Res,58,89-96.
  18. Saarijarvi S,Salminen JK,Toikka TB(2001).Alexithymia and depression: a 1-year follow-up study in outpatients with major depression.J Psychosom Res,51,729-733.
  19. Salminen JK,Saarijarvi S,Aarela E,Toikica T,Kauhanen J(1999).Prevalence of alexithymia and its association with sociodemographic variables in the general population of Finland.J Psychosom Res,46,75-82.
  20. Sifneos P(1996).Alexithymia: Past and present.Am J Psychiatry,supp(153),7.
  21. Sondergaard HP,Theorell T(2004).Alexithymia, emotions and PTSD; findings from a longitudinal study of refugees.Nord J Psychiatry,58,185-191.
  22. Taylor GJ BR,Parker JDA(1991).The alexithymia construct: A potential paradigm for psychosomatic medicine.Psychosomatics,32,153-164.
  23. Uzun O,Ates A,Cansever A,Ozsahin A(2003).Alexithymia in male alcoholics: study in a Turkish sample.Compr Psychiatry,44,349-352.
  24. Valkamo M,Hintikka J,Honkalampi K,Niskanen L,Koivumaa-Honkanen H,Viinamaki H(2001).Alexithymia in patients with coronary heart disease.J Psychosom Res,50,125-130.
  25. Waller E,Scheidt CE(2004).Somatoform disorders as disorders of affect regulation: a study comparing the TAS-20 with non-self-report measures of alexithymia.J Psychosom Res,57,239-247.
  26. Zeitlin SB MR(1993).Alexithymia and anxiety sensitivity in panic disorder and obsessive-compulsive disorder.Am J Psychiatry,150,658-660.
  27. 李朝雄、楊宜青(1997)。「中國人健康量表」在社區精神疾患篩檢中的應用。台灣精神醫學,11,368-378。
  28. 林育臣、陳展航(2003)。台灣版多倫多述情量表之因素分析。台灣精神醫學,17,276-282。
  29. 林育臣、陳展航(2006)。情感表達不能在中台灣社區及精神科門診個案的表現。台灣精神醫學,20,32-43。
Times Cited
  1. 詹淑芬(2009)。述情障礙與創傷後壓力症狀對受虐青少年自傷行為預測效果之探討。中原大學心理學研究所學位論文。2009。1-97。 
  2. 曾逸涵(2012)。探究述情障礙在創傷後壓力症狀對人際互動的影響途徑之調節角色。臺灣大學心理學研究所學位論文。2012。1-108。