Looper Karl J, Kirmayer Laurence J
Department of Psychiatry, Sir Mortimer B. Davis-Jewish General Hospital, 3755 Chemin de la Côte-Ste-Catherine, Montreal, PQ, Canada.
J Psychosom Res. 2004 Oct;57(4):373-8. doi: 10.1016/j.jpsychores.2004.03.005.
To determine if patients with functional somatic syndromes (FSS) perceive greater levels of stigma than patients with comparable medical conditions that have a clear medical pathology.
Patients with chronic fatigue syndrome (CFS), fibromyalgia (FM), or irritable bowel syndrome (IBS) were compared to multiple sclerosis (MS), rheumatoid arthritis (RA), and inflammatory bowel disease (IBS), respectively.
There were greater levels of perceived stigma in the combined group of FSS compared to the medical control group. When each FSS was compared to its matched control group, only CFS had a higher level of perceived stigma. These results remained when controlling for other variables relevant to stigma.
The higher level of perceived stigma in CFS may be due to the ambiguity of its status as a medical condition. The absence of this effect in FM and IBS is consistent with a greater level of acceptance of these disorders as medical illnesses.
确定功能性躯体综合征（FSS）患者是否比患有具有明确医学病理的类似医疗状况的患者感受到更高程度的污名化。
分别将慢性疲劳综合征（CFS）、纤维肌痛（FM）或肠易激综合征（IBS）患者与多发性硬化症（MS）、类风湿性关节炎（RA）和炎症性肠病（IBD）患者进行比较。
与医学对照组相比，FSS合并组的污名化感知水平更高。当将每种FSS与其匹配的对照组进行比较时，只有CFS的污名化感知水平更高。在控制了与污名相关的其他变量后，这些结果仍然成立。
CFS中较高的污名化感知水平可能是由于其作为一种疾病状态的不明确性。FM和IBS中不存在这种效应，这与这些疾病作为医学疾病得到更高程度的接受是一致的。
