Reid S, Crayford T, Patel A, Wessely S, Hotopf M
Academic Department of Psychological Medicine, GKT School of Medicine, and Institute of Psychiatry, London.
Psychol Med. 2003 Apr;33(3):519-24. doi: 10.1017/s003329170200658x.
There are few longitudinal studies of patients with medically unexplained symptoms. The aim of this study was to investigate outcome in frequent attenders in secondary care who present repeatedly with medically unexplained symptoms.
Forty-eight patients presenting with medically unexplained symptoms, from a sample of 61, participated in a 3-year follow-up study. Psychiatric morbidity, functional impairment and use of services were evaluated.
At follow-up there was a high prevalence of psychiatric morbidity with 69% having at least one psychiatric diagnosis. The sample continued to be high users of a range of health services and substantial functional impairment was reported.
In this group of frequent attenders with medically unexplained symptoms outcome as measured by psychiatric morbidity, service use and functional impairment remained poor after 3 years.
针对医学上无法解释症状患者的纵向研究较少。本研究旨在调查二级医疗中反复出现医学上无法解释症状的频繁就诊者的结局。
从61名患者样本中选取48名出现医学上无法解释症状的患者，参与一项为期3年的随访研究。对精神疾病发病率、功能损害及服务利用情况进行评估。
随访时精神疾病发病率很高，69%的患者至少有一种精神疾病诊断。该样本仍然大量使用一系列医疗服务，且报告有严重的功能损害。
在这组有医学上无法解释症状的频繁就诊者中，以精神疾病发病率、服务利用和功能损害衡量的结局在3年后仍然较差。
