Bass C, Peveler R, House A
Department of Psychological Medicine, John Radcliffe Hospital, Oxford, UK.
Br J Psychiatry. 2001 Jul;179:11-4. doi: 10.1192/bjp.179.1.11.
Somatoform disorders have few peers in terms of personal morbidity and cost to the health service, yet many psychiatrists train without any experience of them.
To review the prevalence, disability and economic burden of somatoform disorders, and to explore the reasons why they are neglected by psychiatrists.
A selective review of the key literature.
Psychiatrists' current preoccupation with so-called 'serious mental illness' gives somatoform disorders low priority. Some health planners have erroneously equated severity with diagnosis rather than level of need and disability. As a consequence the development of psychiatric services has been neglected.
Greater recognition of the importance of somatoform disorders will only occur if high quality research and teaching receive priority, and if the Royal Colleges continue to press for increasing public awareness of their importance. Services should be driven by clinical need rather than diagnosis.
就个人发病率和医疗服务成本而言，躯体形式障碍几乎没有同类情况，但许多精神科医生在培训期间却没有接触过这类疾病的经验。
回顾躯体形式障碍的患病率、残疾情况和经济负担，并探究精神科医生忽视它们的原因。
对关键文献进行选择性综述。
精神科医生目前专注于所谓的“严重精神疾病”，使得躯体形式障碍未得到足够重视。一些卫生规划者错误地将严重程度等同于诊断，而不是需求水平和残疾程度。结果，精神科服务的发展被忽视了。
只有高质量的研究和教学得到优先重视，并且皇家医学院继续推动提高公众对其重要性的认识，躯体形式障碍的重要性才会得到更大程度的认可。服务应基于临床需求而非诊断来推动。
