The prevalence of somatoform disorders among internal medical inpatients
The prevalence of somatoform disorders among internal medical inpatients
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DOI：
10.1016/s0022-3999(03)00624-x
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发表时间：
2004-04-01
影响因子：
4.7
通讯作者：
Oxhoj, ML
中科院分区：
文献类型：
--
作者：
Fink, P;Hansen, MS;Oxhoj, ML
目的：了解内科住院患者躯体形式障碍（SD）的患病率，并研究其与其他精神疾病的合并症。方法：在 392 名符合资格的连续内科住院患者中，294 名 (75%) 接受参与，并采用两阶段设计，评估 ICD 和 DSM-IV 躯体形式诊断以及 ICD-10 精神科诊断。结果：共有 18.1%（95% CI：12.8-24.9%）的患者符合 ICD-10 疾病的诊断标准，20.2%（95% CI：14.7-27.2%）的患者符合 DSM-IV SD 的诊断标准。特定疾病的患病率揭示了两个诊断系统之间的显着差异，例如躯体化障碍 (SD)，其在 ICD-10 中 (5%) 比在 DSM-IV (1.5%) 同等中更为普遍。在未分化的 SD 中发现恰恰相反（ICD-10 中为 0.7%，DSM-IV 中为 10%）。根据ICD-10标准，3.5%患有疑病症，2.6%患有分离性障碍，3.2%患有躯体形式自主神经功能障碍，1.5%患有神经衰弱或持续性躯体形式疼痛障碍，5%患有未明确的SD。 SD 在年轻女性中更为普遍。 36% 的 SD 患者还患有另一种精神疾病，其中 11% 患有抑郁症，25% 患有焦虑症。医生发现了大约1/3的病例。结论：躯体形式障碍在内科住院患者中普遍存在，尤其是年轻女性。 (C) 2004 Elsevier Inc. 保留所有权利。
Objective: To find the prevalence of somatoform disorders (SDs) among internal medical inpatients and to study the comorbidity with other psychiatric disorders. Methods: Of 392 eligible consecutive medical inpatients, 294 (75%) accepted to participate and, using a two-phase design, were assessed for ICD and DSM-IV somatoform diagnoses and for ICD-10 psychiatric diagnoses. Results: A total of 18.1% (95% CI: 12.8-24.9%) of the patients fulfilled the diagnostic criteria for an ICD-10 disorder, and 20.2% (95% CI:14.7-27.2%) for a DSM-IV SD. The prevalence of specified disorders revealed marked differences between the two diagnostic systems, e.g., concerning somatisation disorder (SD), which was more prevalent in the ICD-10 (5%) than in the DSM-IV (1.5%) equivalent. Quite the contrary was found in undifferentiated SD (0.7% in ICD-10 and 10% in DSM-IV). According to ICD-10 criteria, 3.5% had hypochondriasis, 2.6% a dissociative disorder, 3.2% a somatoform autonomic dysfunction, 1.5% had neurasthenia or persistent somatoform pain disorder, and 5% had an SD, unspecified. SDs were more prevalent among younger females. Thirty-six percent of the patients with SDs also had another psychiatric disorder, 11% a depression, and 25% an anxiety disorder. The physicians detected about 1/3 of the cases. Conclusion: Somatoform disorders were prevalent among internal medical inpatients especially among younger women. (C) 2004 Elsevier Inc. All rights reserved.