SOCIAL PSYCHOLOGIC FACTORS AFFECTING PRESENTATION OF BODILY COMPLAINTS
SOCIAL PSYCHOLOGIC FACTORS AFFECTING PRESENTATION OF BODILY COMPLAINTS
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DOI：
10.1056/nejm197205252862105
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发表时间：
1972-01-01
影响因子：
158.5
通讯作者：
MECHANIC, D
中科院分区：
文献类型：
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作者：
MECHANIC, D
患者通常会意识到他们寻求医疗帮助的症状，但是，根据病史、身体和实验室检查，医生无法获得证据来解释或证明患者的投诉。1这些患者部分符合吉莱斯皮的低血糖概念，他认为低血糖是“对身体健康的持续关注，与任何现有的正当理由不成比例，并带有疾病的信念。“2然而，对于疑病症的适当正式定义存在相当大的分歧，3并且将相同的名称应用于与精神病相关的严重和持续的疑病症可能是不正确的.
PATIENTS often recognize symptoms for which they seek medical assistance, but, on the basis of a history and physical and laboratory examination, the physician cannot obtain evidence to account for or justify the patients' complaints.1Such patients conform in part to Gillespie's concept of hypochondria, which he viewed as "a persistent preoccupation with the bodily health, out of proportion to any existing justification and with a conviction of disease."2There is considerable disagreement, however, on the appropriate formal definition of hypochondria,3and it may be incorrect to apply the same designation to profound and persistent hypochondrical syndromes associated with psychiatric . . .