Alexithymie und Somatisierung bei infertilen Männern
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Zusammenfassung
Hintergrund und Fragestellung.
In einer vorangegangenen Untersuchung konnten wir nachweisen, dass bei männlicher Infertilität ein höheres Ausmaß an Alexithymie und eine höhere Somatisierung bestehen. In dieser Replikationsstudie werden diese Ergebnisse überprüft.
Patienten/Methodik.
Es wurden 88 infertile Männer (48 mit idiopathischer Infertilität, 40 mit somatisch begründbarer Infertilität) konsekutiv in die Untersuchung einbezogen. Als Vergleichsgruppe dienten 44 gesunde, alters- und bildungsmäßig vergleichbare Männer. Als Messinstrumente wurden die 20-Item-Toronto-Alexithymie-Skala und die Symptom-Checkliste-90-R eingesetzt.
Ergebnisse.
Es ergaben sich keine Unterschiede zwischen den Untergruppen infertiler Männer hinsichtlich Alexithymie und Somatisierung. Bei der Gesamtgruppe infertiler Männern zeigte sich im Vergleich zur Kontrollgruppe ein signifikant höherer Gesamtwert auf der Toronto-Alexithymie-Skala (p<0,01) sowie ein höherer Wert auf der Skala Somatisierung in der Symptom-Checkliste-90-R (p<0,05).
Schlussfolgerungen
In der Untersuchung konnten die Befunde der vorangegangenen Studie repliziert werden. Alexithymie und Somatisierung werden als Folgen der schwierigen Bewältigung männlicher Infertilität diskutiert.
Schlüsselwörter
Somatisierung Männliche Infertilität Alexithymie Idiopathische InfertilitätAbstract
Background and Objective
In a previous study, we found a higher degree of alexithymia and somatization in infertile men (Hum Reprod 2001 Vol.16(3),587–592). This study was designed to confirm the findings of the former study
Patients/Methods
88 infertile men (48 idiopathic infertility, 40 somatic infertility) were consecutively enrolled in the study. The control group consisted of 44 healthy men. Alexithymia was measured by the 20-item-Toronto-Alexithymia-Scale;somatization was measured by the Symptom Checklist-90-R.
Results
There were no differences between the subgroups of infertile men. The study group showed a significantly higher sum score in the TAS-20 (p<0.01) and a higher score on the scale somatization in the Symptom Checklist-90-R (p<0.05) compared to the control group.
Conclusions
Our study replicated the findings of the previous investigation. Alexithymia and somatization are discussed as consequences of coping with male infertility.
Keywords
Somatization Male infertility Alexithymia Idiopathic infertilityLiteratur
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