Suzuki K, Takei N, Iwata Y, Sekine Y, Toyoda T, Nakamura K, Minabe Y, Kawai M, Iyo M, Mori N
Department of Psychiatry and Neurology, Hamamatsu University School of Medicine, Shizuoka, Japan.
Acta Psychiatr Scand. 2004 Feb;109(2):150-5; discussion 155. doi: 10.1046/j.1600-0447.2003.00195.x.
Olfactory reference syndrome (ORS) in the Western literature is characterized as preoccupation with the idea that the body emits a foul odor. Japanese patients with a feature similar to ORS have long been recognized as jiko-shu-kyofu, which is believed to be a culture-bound syndrome and specific to Japan. The aim of the study was to clarify the relationship between the two separate syndromes that had independently been recognized in culturally different settings.
The phenomenology and treatment of seven patients with jiko-shu-kyofu were described. A feature of jiko-shu-kyofu was then compared with that of ORS.
In our cases, clinical characteristics of jiko-shu-kyofu such as symptomatology, insight, and pharmacotherapy response were found identical to those of ORS except for the onset at relatively younger ages.
Jiko-shu-kyofu and ORS may share a common clinical entity, hence the former is not a culturally distinctive disorder.
西方文献中的嗅觉参考综合征（ORS）的特征是过度担忧身体散发出难闻气味。长期以来，具有与ORS相似特征的日本患者被认为是自我臭恐惧症，这被认为是一种特定于日本的文化束缚综合征。本研究的目的是阐明在文化背景不同的情况下独立识别出的这两种不同综合征之间的关系。
描述了7例自我臭恐惧症患者的现象学和治疗情况。然后将自我臭恐惧症的特征与ORS的特征进行比较。
在我们的病例中，除发病年龄相对较小外，自我臭恐惧症的临床特征，如症状、洞察力和药物治疗反应，与ORS的特征相同。
自我臭恐惧症和ORS可能具有共同的临床实体，因此前者不是一种具有文化独特性的疾病。
