THE USE OF HOSPITALIZATIONS BY PERSISTENT SOMATIZING PATIENTS
THE USE OF HOSPITALIZATIONS BY PERSISTENT SOMATIZING PATIENTS
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DOI：
10.1017/s0033291700032827
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发表时间：
1992-02-01
影响因子：
6.9
通讯作者：
FINK, P
中科院分区：
文献类型：
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作者：
FINK, P
医疗记录选自丹麦国家患者登记册，旨在研究普通人群中年龄在 17 岁至 49 岁之间的个体，这些个体在 8 年期间至少入院 10 次（N = 282）。 56 名受试者（19%）被发现为持续性躯体化者，即他们因没有器质性基础的身体症状而多次被送往综合医院。 这相当于人口中持续躯体化的频率为每1000名男性0.6人，每1000名女性3.2人。75%的受试者发病时年龄在25岁以下，而且全部年龄在35岁以下。他们的疾病是长期的，三分之一的人在医院“工作”超过20年。 他们一生中平均接受过 22 次医疗服务，并使用了总人口中 3% 的非精神科就诊次数。这项调查表明，持续性躯体化并非罕见现象，考虑到医疗保健资源的大量使用，这对医疗保健系统构成了相当大的问题。 长期的医院生涯和某些受试者较早开始躯体化强调了早期识别病情并努力防止其持续存在的重要性。
Medical records were selected from the Danish National Patient Register in order to study individuals between the ages of 17 and 49 years in the general population who, during an 8-year period, were admitted at least 10 times to a general hospital (N = 282). Fifty-six subjects (19 %) were found to be persistent somatizers, i.e. they were admitted repeatedly to general hospitals for physical symptoms without an organic basis. This corresponded to a frequency of persistent somatization in the population 0.6 per 1000 men and 3.2 per 1000 women.Seventy-five per cent of the subjects were under 25 years old at the onset of their disorder, and all were under 35. Their illnesses were long-lasting, with one-third having a hospital 'career' of more than 20 years. They had a lifetime median of 22 medical admissions, and had utilized 3 % of the general population's admissions to non-psychiatric departments.This investigation shows that persistent somatization is not a rare phenomenon, and that taking the heavy utilization of health-care resources into account it constitutes a considerable problem for the health-care system. The long hospital career and the relatively early start of somatization in some subjects emphasize the importance of an early identification of the condition, and of efforts to try to prevent its persistence.