Natural History of Male Psychological Health, IV: What Kinds of Men Do Not Get Psychosomatic Illness
Natural History of Male Psychological Health, IV: What Kinds of Men Do Not Get Psychosomatic Illness
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男性心理健康自然史，IV：什么样的男性不会患心身疾病
作者：
G. Vaillant
&NA;本文报告了95名男性的医疗和情绪健康之间的相互关系，这些男性从18岁到53岁进行了前瞻性随访。这些原本健康的男性中有50人出现了有时被称为心身疾病的疾病模式（溃疡，结肠炎，过敏，高血压，肌肉骨骼疾病）。这些人与其他45名从未患过此类疾病的类似研究人员进行了比较。尽管患有“心身”疾病的男性更有可能寻求医疗或精神治疗，但他们只表现出稍微多一点的精神病理学。无论是作为儿童还是成年人，他们都有更多的各种身体疾病。他们不太可能沉迷于度假和体育运动，更有可能使用镇静剂和过量饮酒。患有“心身”疾病的男性在压力下经历了更多种类的躯体症状，但这些躯体症状的位点随着时间的推移而发生变化，并且与心身疾病的位点没有显着关联。在发病前，20名最终患上任何一种严重的不可逆的身体疾病的人比45名患上心身疾病的人反映出更多的精神病理学。
&NA; This article reports on interrelationships between the medical and emotional health of 95 men who were prospectively followed from age 18 to 53. Fifty of these originally healthy men developed illness patterns sometimes called psychosomatic (ulcer, colitis, allergy, hypertension, musculo‐skeletal disorders). These men were compared with the other 45 similarly studied men who never developed such illnesses. Although men who developed “psychosomatic” illnesses were more likely to seek medical or psychiatric attention, they exhibited only slightly more psychopathology. Both as children and as adults they had more physical illness of all kinds. They were less likely to indulge in vacations and athletics and more likely to use tranquilizers and excessive alcohol. Men with “psychosomatic” illnesses experienced a greater variety of somatic symptoms under stress, but the loci of these somatic symptoms shifted over time and were not significantly associated with the sites of psychosomatic illness. Premorbidly, the 20 men who were eventually to develop serious irreversible physical illness of any kind reflected far more psychopathology than the 45 men who developed psychosomatic illness.