De Gucht Véronique, Fischler Benjamin
Faculty of Medicine, Catholic University Leuven, University Hospital of Gasthuisberg, Leuven, Belgium.
Psychosomatics. 2002 Jan-Feb;43(1):1-9. doi: 10.1176/appi.psy.43.1.1.
Despite its apparent clinical importance and the extensive research that has been conducted in the past decades, somatization remains a complex concept. Two distinct ways of looking at somatization can be distinguished: somatization as a phenomenon that is secondary to psychological distress (presenting somatization) and somatization as a primary phenomenon characterized by medically unexplained symptoms (functional somatization). The literature was analyzed in terms of this distinction and a selective review was conducted, focusing on a critical analysis of conceptual and methodological issues related to presenting and functional somatization. A number of measurement issues related to somatization in general were also highlighted. On the basis of the available data, the strengths and weaknesses of different concepts are pointed out. Conclusions are formulated regarding which concepts or approaches might be useful both clinically and from a research perspective. Finally, a number of suggestions for future research are offered.
尽管躯体化在临床上具有明显的重要性，且在过去几十年中已经开展了广泛的研究，但它仍然是一个复杂的概念。看待躯体化有两种不同的方式：躯体化作为心理困扰的继发现象（表现性躯体化），以及躯体化作为以医学无法解释的症状为特征的原发性现象（功能性躯体化）。根据这种区分对文献进行了分析，并进行了选择性综述，重点是对与表现性和功能性躯体化相关的概念和方法问题进行批判性分析。还强调了一些与躯体化总体相关的测量问题。根据现有数据，指出了不同概念的优缺点。就哪些概念或方法在临床和研究角度可能有用提出了结论。最后，提供了一些未来研究的建议。
