社區居民及精神科門診個案的情感表達不能

目的：本研究的目的為瞭解情感表達不能(alexithymia)在一般社區民眾及精神科門診個案的表現。方法：收集台灣中部地區一般社區個案400名，醫學中心精神科門診個案252名，總共652名個案（男性283名，平均年齡30.9±8.8歲；女性369名，平均年齡31.5±9.3歲）。以台灣版多倫多述情量表(Toronto Alexithymia Scale-20)為研究問卷，同時收集個案的個人基本社經資料，以及自填的身體及精神疾病報告，進行統計分析。結果：分析的結果顯示alexithymia和男性、較高年齡、低教育程度和不良經濟狀態、罹患心身症和精神疾病等因素有關。結論：本次研究對於情感表達不能的人格結構在台灣社區及臨床個案的表現有了初步的瞭解，台灣版述情量表應該可良好的運用於台灣族群的研究。

關鍵字

情感表達不能；社區；精神科；身體疾病

並列摘要

Objectives: The aim of this study was to assess the characteristic features of alexithymia in the general population and psychiatric outpatients in middle Taiwan. Methods: Data were collected from a total of 652 subjects (male: 283, 30.9±8.8y/o; female: 369, 31.5±9.1y/o) including 400 from the general community and 252 from psychiatric outpatients living in the Taichung area of Taiwan. Alexithymia was assessed with the Toronto Alexithymia Scale-20, Taiwan version. Data on sociodemographic variables, and self-reported physical and mental illness were also collected. Results: Alexithymia was associated with male gender, older age, low educational level, poor economic status, and the presence of psychosomatic and mental illness. Conclusion: This study has demonstrated the characteristic features of alexithymia in general community residents and psychiatric outpatients in middle Taiwan. The TAS-20, Taiwan version is well suited for alexithymia research applications in the Taiwanese population.

並列關鍵字

Alexithymia ； community ； psychiatric ； somatic

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