Somatisation disorder in primary care
Somatisation disorder in primary care
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DOI：
10.1192/bjp.173.3.262
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发表时间：
1998-09-01
影响因子：
10.5
通讯作者：
Compton, W
中科院分区：
文献类型：
--
作者：
Escobar, JI;Gara, M;Compton, W
背景：躯体化是初级保健中常见且令人沮丧的临床问题。方法采用结构诊断和功能测量的方法，在使用初级保健服务的受试者中，我们检验了三种现有概念和一种简化结构所定义的躯体化障碍的患病率和相关特征。结果根据标准诊断的躯体化障碍的患病率很低(0.06-0.5%)，而超过五分之一的样本(22%)符合简化诊断标准。在识别躯体化障碍病例方面，DSM系统的后续版本之间的一致性很差，每个系统最终得到了相当不同的个体集合以及不同程度的精神病理和残疾。结论根据这些数据，标准的躯体障碍诊断除了对躯体障碍的简化结构的贡献外，对残疾/精神病理学的预测几乎没有增加。
Background Somatisation is a common and frustrating clinical problem in primary care.Method Using structural diagnoses and functional measures, we examined the prevalence and associated features of somatisation disorder defined by three current nosologies and an abridged construct in subjects using primary care services.Results Somatisation disorder, diagnosed according to the standard criteria, was found to have a very low prevalence (range 0.06-0.5%), while more than one-fifth of the sample (22%) met the criteria for the abridged diagnosis. There was poor agreement between succeeding versions of the DSM system for identifying cases of somatisation disorder, each system ending up with rather disparate sets of individuals as well as variable levels of psychopathology and disability.Conclusions According to these data, standard somatisation disorder diagnoses add little to the prediction of disability/psychopathology beyond the contributions of an abridged construct of somatisation.