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疑病症的功能分类及具体治疗建议。

A functional classification of hypochondriasis with specific recommendations for treatment.

作者信息

Idzorek S

出版信息

South Med J. 1975 Nov;68(11):1326-32. doi: 10.1097/00007611-197511000-00003.

Abstract

A review of both past and present psychiatric literature reveals that the concept of hypochondriasis is inexact and confusing. In an attempt to make hypochondriasis a meaningful and useful concept for practicing clinicans, a functional classification is presented that views hypochondriasis from four aspects--(1) as a "warning signal," (2) as a symptom of psychosis, (3) as a symptom of depressive illness, and (4) as a syndrome labelled "true hypochondriasis." Each of these aspects is discussed, with emphasis placed on specific and practical recommendations for treatment.

摘要

对过去和现在的精神病学文献进行回顾后发现,疑病症的概念并不精确且令人困惑。为了使疑病症成为临床医生在实践中一个有意义且有用的概念,本文提出了一种功能分类法,该分类法从四个方面看待疑病症——(1)作为一种“警示信号”,(2)作为精神病的一种症状,(3)作为抑郁性疾病的一种症状,以及(4)作为一种被称为“真性疑病症”的综合征。对上述每个方面都进行了讨论,并着重给出了具体且实用的治疗建议。

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