Jackson Jeffrey L, Chamberlin Judith, Kroenke Kurt
Walter Reed Army Medical Center, Washington, D.C., USA.
Psychosomatics. 2003 Sep-Oct;44(5):359-66. doi: 10.1176/appi.psy.44.5.359.
The authors sought to explore gender differences among patients with physical symptoms who came to see internists. The women were younger, more likely to report stress, endorsed more "other, currently bothersome" symptoms, were more likely to have a mental disorder, and were less likely to be satisfied with their care. The men were slower to improve, but there was no difference between the sexes after 3 months. There were no differences in the number, type, duration, or severity of symptoms or in the expectation of care, costs of visits, intervention received, use of health care services, or likelihood of being considered difficult by their physician. The gender of the clinician had no effect on any outcome.
作者试图探究前来内科就诊的有身体症状患者中的性别差异。女性患者更年轻,更有可能报告压力,认可更多“其他当前令人烦恼的”症状,更有可能患有精神障碍,并且对医疗护理的满意度更低。男性患者康复较慢,但3个月后两性之间没有差异。在症状的数量、类型、持续时间或严重程度、护理期望、就诊费用、接受的干预、医疗服务的使用,或被医生认为难相处的可能性方面没有差异。临床医生的性别对任何结果均无影响。