Hilty Donald M., Bourgeois James A., Chang Celia H., Servis Mark E.
Department of Psychiatry, University of California, Davis, 2230 Stockton Boulevard, Sacramento, CA 95817, USA.
Curr Treat Options Neurol. 2001 Jul;3(4):305-320. doi: 10.1007/s11940-001-0036-3.
There are many new developments regarding somatization disorder, which is among the most difficult and cumbersome of the psychiatric disorders encountered in neurology practice. Diagnostic criteria have been revised to facilitate clinical care and research. The differential diagnosis includes neurologic disorders (eg, multiple sclerosis, epilepsy), systemic medical disorders, and other psychiatric disorders (eg, mood and anxiety disorders, conversion disorder, malingering, and factitious disorder). Many patients have one or more of these illnesses comorbid with somatization disorder. Finally, somatization disorder demands creative biopsychosocial treatment planning by the neurologist, psychiatrist, and other health professionals.
关于躯体化障碍有许多新进展,它是神经科临床实践中最难处理且最棘手的精神障碍之一。诊断标准已被修订以促进临床护理和研究。鉴别诊断包括神经系统疾病(如多发性硬化症、癫痫)、全身性内科疾病以及其他精神障碍(如心境和焦虑障碍、转换障碍、诈病和做作性障碍)。许多患者患有这些疾病中的一种或多种并伴有躯体化障碍。最后,躯体化障碍需要神经科医生、精神科医生和其他健康专业人员制定富有创造性的生物心理社会治疗方案。