Lieb Roselind, Meinlschmidt Gunther, Araya Ricardo
Epidemiology and Health Psychology, Institute of Psychology, University of Basel, Missionsstrasse 60-62, 4055 Basel, Switzerland.
Psychosom Med. 2007 Dec;69(9):860-3. doi: 10.1097/PSY.0b013e31815b0103.
To review the available epidemiological evidence on associations between somatoform disorders with anxiety and depressive disorders.
Clinical and population-based studies have found that the co-occurrence of some types of somatoform disorders (e.g., somatization disorder, somatic-symptom-index (SSI)4,6, and pain disorder) and anxiety and depressive disorders is common. These findings may suggest either a causal relationship between these disorders or that they share some common etiological factors. For other forms of somatoform disorders, empirical evidence about co-occurrence is even thinner or not available at all, especially from non-western settings.
Some implications of how these findings, or the absence of them, can help us understand better the etiology of somatoform disorders and improve the classification of mental disorders as a whole are discussed.
回顾关于躯体形式障碍与焦虑症和抑郁症之间关联的现有流行病学证据。
临床研究和基于人群的研究发现，某些类型的躯体形式障碍（如躯体化障碍、躯体症状指数（SSI）4、6和疼痛障碍）与焦虑症和抑郁症共病很常见。这些发现可能表明这些疾病之间存在因果关系，或者它们有一些共同的病因因素。对于其他形式的躯体形式障碍，关于共病的实证证据甚至更少或根本没有，尤其是来自非西方背景的证据。
讨论了这些发现（或缺乏这些发现）如何有助于我们更好地理解躯体形式障碍的病因，并改进整个精神障碍分类的一些启示。
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