Kapfhammer H P, Buchheim P, Bove D, Wagner A
Psychiatrische Klinik, Universität München.
Nervenarzt. 1992 Sep;63(9):527-38.
At the consultation-psychiatric service of a large university hospital conversion disorders present ca. 50% of the "somatoform disorders". The rate of incidence of conversion disorders was 4% of all patients seen in the service, i.e. 20-30 referrals per annum. A report on 103 patients referred during 1987-1990 is given concerning basic sociodemographic data, symptom clusters, course of illness, age at onset of the disorder, psychiatric and family history, psychosocial conditions and intrapsychic conflicts, additional affective disorders and psychophysiological symptoms, illness behaviour, cognitive attitudes towards illness. The rate of 35% patients showing an underlying somatic disorder in addition to their conversion symptoms had to be appreciated. Possible relations of conversion disorders to affective illness, somatization disorder and neurologic disease had to be discussed as to course of illness and theoretical concepts.
在一家大型大学医院的咨询精神科，转换障碍约占“躯体形式障碍”的50%。转换障碍的发病率占该科室所有就诊患者的4%，即每年有20 - 30例转诊患者。本文给出了一份关于1987年至1990年间转诊的103例患者的报告，内容涉及基本的社会人口统计学数据、症状群、病程、疾病起病年龄、精神和家族病史、心理社会状况及内心冲突、附加的情感障碍和心理生理症状、患病行为、对疾病的认知态度。必须认识到，35%的患者除了有转换症状外还存在潜在的躯体疾病。就病程和理论概念而言，还必须讨论转换障碍与情感性疾病、躯体化障碍和神经疾病之间可能存在的关系。
