"这让你有什么感觉?" - 重复的症状查询加剧了由负面影响引起的症状报告
Tara M Petzke1, Lina Elspaß1, Ferenc Köteles2
1Department of Clinical Psychology, Psychotherapy, or Experimental Psychopathology, Johannes-Gutenberg University Mainz, Mainz, Germany.
Journal of psychosomatic research
|March 7, 2024
概括
频繁的症状查询会放大症状的感知,特别是在健康焦虑较高的人群中. 这突出了内部信念如何与外部刺激相互作用来塑造症状体验.
科学领域:
- 心理学 心理学 心理学
- 精神病体医学是一种精神病体医学.
背景情况:
- 负面影响,alexithymia和健康焦虑影响症状感知.
- 情感图像范式 (APP) 可以使用情感刺激诱导症状.
研究的目的:
- 调查高频与低频症状查询对症状感知的影响.
- 在APP中分析症状报告的时间进程.
- 检查健康焦虑,身体症状困扰和症状查询之间的相互作用.
主要方法:
- 124名参与者完成了一个修改后的APP随机条件:高频 (18个检查清单) 或低频 (6个检查清单) 症状查询.
- 使用ANOVA,交叉滞后面板模型,调节模型和多层模型分析的数据.
主要成果:
- 在高频查询组中,与低频查询组相比,报告了更高的症状水平 (p < .001).
- 症状水平保持稳定,并由早期症状报告预测 (p < .001).
- 健康焦虑显著预测了症状水平 (p = .002) 并缓和了疾病对症状的影响 (p < .001).
结论:
- 在负面情感线索之后重复的症状查询可能会激活症状信念.
- 这种激活可以导致症状报告增加,特别是当与健康焦虑相互作用时.
- 这些发现与症状感知预测处理模型一致.
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