TRANSCULTURAL ASPECTS OF DISSOCIATIVE AND SOMATOFORM DISORDERS
TRANSCULTURAL ASPECTS OF DISSOCIATIVE AND SOMATOFORM DISORDERS
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DOI：
10.1016/s0193-953x(18)30040-6
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发表时间：
1995-09-01
影响因子：
1.7
通讯作者：
ESCOBAR, JI
中科院分区：
文献类型：
--
作者：
ESCOBAR, JI
身体上的表现和担忧构成了普遍的“痛苦习惯用语”。精神病学通过组成疾病分类学的躯体形式障碍和分离性障碍来处理躯体化者的困境。躯体形式障碍在初级保健环境中被忽视的诊断，但当前的成本控制时代已经在卫生专业人员中产生了新的认识。提出了一个可操作的定义不明原因的躯体症状。此外，必须区分痛苦的表达和正式的精神病理状态。继发性躯体形式障碍是情感和焦虑综合征的常见表现，而原发性躯体形式综合征的核心是假性神经泌尿系统症状。本文分析了两项研究，以记录在美国的少数民族群体的躯体化研究，重点是西班牙裔人口。未来的研究应包括国家和国际研究，以制定一个更符合文化的体化症状和综合征的清单，以及阐明在其临床表现的国际分布和机制。
Somatic manifestations and concerns constitute universal ''idioms of distress.'' Psychiatry has dealt with the somatizer's plight by composing nosologic categories known as somatoform and dissociative disorders. Somatoform disorders are neglected diagnoses in primary care settings but the current era of cost containment has generated new awareness among health professionals. An operational definition of unexplained somatic symptoms is proposed. In addition, a distinction must be made between expressions of distress and formal psychopathologic states. Secondary somatoform disorders are common presentations in affective and anxiety syndromes, whereas primary somatoform syndromes have pseudoneurologic symptoms at their core. This article analyzes two studies to document somatization studies of minority groups in the United States with an emphasis on the Hispanic population. Future research should encompass both national and international studies in order to elaborate a more culturally congruent list of somatizing symptoms and syndromes as well as to shed new light on the international distribution and mechanisms at play in their clinical presentation.