Conte C, Corradi M, Gaston A
Istituto di Psichiatria, Università degli Studi di Roma La Sapienza, Roma.
Minerva Psichiatr. 1992 Jan-Mar;33(1):11-22.
The aim of this study was to examine the vast field of hypochondriac symptoms and to put forward diagnostic criteria following the analysis of recent studies on this topic. The "descriptions" based on DSM III trace a partial and selective picture of hypochondriac disorders which is only applicable to a small group of patients in which "somatic complaints" are emphasised in comparison to other less evident psychological variables. The symptom therefore becomes a sign of a pathology which is not defined according to the same complex of symptoms from which it arose. There is in fact no nosological model of hypochondria: we are only likely to meet a "potential hypochondriac" whose pathological expression is limited to part of the population.
本研究的目的是审视疑病症症状这一广阔领域，并在分析近期关于该主题的研究后提出诊断标准。基于《精神疾病诊断与统计手册》第三版（DSM III）的“描述”描绘了疑病症的部分且具选择性的图景，该图景仅适用于一小部分患者，与其他不太明显的心理变量相比，这些患者更强调“躯体主诉”。因此，该症状成为一种病理的标志，而这种病理并非根据产生它的相同症状复合体来定义。事实上，不存在疑病症的疾病分类模型：我们仅可能遇到“潜在疑病症患者”，其病理表现局限于部分人群。
