Essau Cecilia A
School of Human and Life Sciences, Roehampton University, Whitelands College, London, UK.
Psychosomatics. 2007 Nov-Dec;48(6):502-9. doi: 10.1176/appi.psy.48.6.502.
The author examined the course of somatoform disorders in non-referred adolescents. Somatoform disorders were coded from DSM-IV criteria, using the computerized Munich (Germany) version of the Composite International Diagnostic Interview. About 35.9% of the adolescents with somatoform disorders at the index investigation continued to have the same disorders at the follow-up investigation: 26.7% had anxiety, 17.1% had depression, 22% had substance-use disorders, and 53.7% had no psychiatric disorders. Factors related to the chronicity of somatoform disorders included gender, comorbid depressive disorders, parental psychiatric disorders, and negative life events. Somatoform disorders showed a heterogeneous pattern of course.
作者研究了非转诊青少年中躯体形式障碍的病程。躯体形式障碍根据《精神疾病诊断与统计手册》第四版标准进行编码，使用德国慕尼黑版计算机化综合国际诊断访谈。在首次调查中患有躯体形式障碍的青少年中，约35.9%在随访调查中仍患有相同疾病：26.7%患有焦虑症，17.1%患有抑郁症，22%患有物质使用障碍，53.7%没有精神疾病。与躯体形式障碍慢性化相关的因素包括性别、共病抑郁障碍、父母精神疾病和负面生活事件。躯体形式障碍呈现出异质性的病程模式。
