病理学家对躯体形式障碍的观点。
A pathologist's perspective of the somatoform disorders.
作者信息
Bradfield John W B
机构信息
Department of Cellular and Molecular Medicine, University of Bristol, UK.
出版信息
J Psychosom Res. 2006 Apr;60(4):327-30. doi: 10.1016/j.jpsychores.2006.01.019.
OBJECTIVE
The object of this study was to revisit the evidence that somatoform disorders should be classified as mental and not physical disorders, as viewed through the eyes of a pathologist rather than a psychiatrist.
METHODS
An academic clinical pathologist was asked to review recent widening in the concepts of physical disease and to comment on whether these changes made the criteria for designating somatoform disorders as mental disorders more workable or less workable.
RESULTS
The review showed that somatoform disorders share many characteristics with certain types of physical conditions, especially those with multiorgan manifestations and multifactor causes. The criteria used to separate somatoform disorders from physical diseases are now less clear than when this distinction was first proposed.
CONCLUSION
Discussions for reviewing the status of the somatoform disorders for DSM-V need input from a wide range of medical disciplines besides psychiatry.
目的
本研究的目的是从病理学家而非精神科医生的视角，重新审视躯体形式障碍应归类为精神障碍而非躯体障碍的证据。
方法
邀请一位学术临床病理学家回顾近期物理疾病概念的拓宽情况，并就这些变化是否使将躯体形式障碍指定为精神障碍的标准更可行或更不可行发表评论。
结果
综述表明，躯体形式障碍与某些类型的躯体状况有许多共同特征，尤其是那些具有多器官表现和多因素病因的状况。现在，用于区分躯体形式障碍与躯体疾病的标准比最初提出这一区分时更不明确。
结论
除了精神病学之外，对《精神疾病诊断与统计手册》第五版中躯体形式障碍状态进行审查的讨论还需要广泛医学学科的投入。
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