Hypochondriacal patients' beliefs about good health.
Hypochondriacal patients' beliefs about good health.
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疑病症患者对健康的信念。
DOI：
10.1176/ajp.150.7.1085
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Cleary,PD
中科院分区：
文献类型：
--
作者：
Barsky,AJ;Coeytaux,RR;Sarnie,MK;Cleary,PD
作者假设，hypoproteinacalpatients错误地认为良好的健康是一个无症状的状态，他们认为更多的症状是疾病的指标比nonhypoproteinacal patients.MethodThe健康规范排序任务的开发，以评估用于决定是否生病或健康的标准，受访者必须分类为“健康”或“不健康”的24个常见和模棱两可的症状。“该仪器表现出良好的重测信度和尺度内一致性。然后，它被管理到60例DSM-III-R hypoglycaisis和60 nonhypoglycaal患者随机选择从同一个普通medicinclinic. ResultsHypoglycaal患者认为显着更多的症状，以指示疾病比对照组。健康标准分类测试分数与抑郁症状、躯体化和自我报告的身体放大（对身体感觉的敏感性）相关。测试分数是不相关的总医疗发病率，医疗保健利用率，或sociodemographic characteristics.ConclusionsThese数据是兼容的假设，DSM-III-R hypoglycaisis患者认为良好的健康是相对的症状自由，并考虑更多的症状指示疾病。这可能导致疑病症的一些临床特征，包括众多的躯体症状、身体专注、拒绝安慰和寻求医疗护理。
ObjectiveThe authors hypothesized that hypochondriacalpatients mistakenly believe good health to be a symptom-free state and that they consider more symptoms to be indicative of disease than do nonhypochondriacal patients.MethodThe Health Norms Sorting Task was developed to assess the standard used to decide whether one is sick or healthy; the respondent must classify 24 common and ambiguous symptoms as “healthy” or “not healthy.“This instrument demonstrated good test-retest reliability and intrascale consistency. It was then administered to 60 patients with DSM-III-R hypochondriasis and 60 nonhypochondriacal patients randomly selected from the same general medicine clinic.ResultsHypochondriacal patients considered significantly more symptoms to be indicative ofdisease than did the comparison group. Health Norms Sorting Test scores were correlated with hypochondriacal symptoms, somatization, and self-reported bodily amplification(sensitivity to bodily sensation). Test scores were not related to aggregate medical morbidity, medical care utilization, or sociodemographic characteristics.ConclusionsThese data are compatible with the hypothesis that patients with DSM-III-R hypochondriasis believe good health to be relatively symptom f ree and consider more symptoms indicative of sickness. This may contribute to some of the clinical features of hypochondriasis, including the numerous somatic symptoms, bodily preoccupation, resistance to reassurance, and pursuit of medical care.