Fink Per, Steen Hansen Morten, Søndergaard Lene
Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Noerrebrogade 44, 8000 Aarhus C, Denmark.
Psychosomatics. 2005 Nov-Dec;46(6):540-8. doi: 10.1176/appi.psy.46.6.540.
Consecutive new neurology inpatients and outpatients (N=198) were assessed for somatoform disorders by using the Schedules for Clinical Assessment in Neuropsychiatry. Sixty-one percent of the patients (59% of the female patients and 63% of the male patients) had at least one medically unexplained symptom, and 34.9% fulfilled the diagnostic criteria for an ICD-10 somatoform disorder (27.7% of the male patients, 41.3% of the female patients, 20.5% of the inpatients, and 43.2% of the outpatients). The prevalence figures were about the same when DSM-IV criteria for somatoform disorders were used. Of the patients with a somatoform disorder, 60.5% also had another mental disorder. Somatization disorder, somatoform autonomic dysfunction, pain disorder, and neurasthenia were equally prevalent (6%-7%); dissociative (conversion) disorders and undifferentiated somatoform disorders were found in 2-3% of the patients. Fifty percent of the patients with somatoform disorders were identified by the neurologists.
连续纳入198例神经科新住院患者和门诊患者，使用神经精神病学临床评估量表对其进行躯体形式障碍评估。61%的患者（女性患者占59%，男性患者占63%）至少有一种医学上无法解释的症状，34.9%的患者符合ICD - 10躯体形式障碍的诊断标准（男性患者占27.7%，女性患者占41.3%，住院患者占20.5%，门诊患者占43.2%）。使用DSM - IV躯体形式障碍标准时，患病率数据大致相同。在患有躯体形式障碍的患者中，60.5%还患有另一种精神障碍。躯体化障碍、躯体形式自主神经功能紊乱、疼痛障碍和神经衰弱的患病率相当（6% - 7%）；分离（转换）障碍和未分化躯体形式障碍在2% - 3%的患者中出现。50%的躯体形式障碍患者是由神经科医生识别出来的。
