Henningsen Peter, Herzog Wolfgang
Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universität, Munich, Germany.
J Psychosom Res. 2008 Jun;64(6):625-9. doi: 10.1016/j.jpsychores.2008.02.015.
This article aims to review the conceptual and empirical relation of irritable bowel syndrome (IBS) and somatoform disorders (SFDs).
The method used is a narrative review that is partially based on discussions held at a symposium with the same topic in March 2007.
The conceptual distance between IBS and SFDs has diminished due to developments of both concepts. There is widespread agreement about the existence of syndrome patterns restricted to core IBS and also characterized by multiple unexplained symptoms and additional psychobehavioral features. Current concepts for etiology, pathophysiology, and management reflect the usefulness, the common ground, and the need for differentiation between these two prototypes. An umbrella category such as "interface disorders" between general medicine and psychiatry and wider descriptive frameworks like somatization and medically unexplained symptoms might be useful.
Further elaboration with an aim of abolishing counterproductive double perspectives on the same group of patients seems warranted.
本文旨在综述肠易激综合征（IBS）与躯体形式障碍（SFDs）的概念及实证关系。
采用的方法是叙述性综述，部分基于2007年3月举行的关于同一主题的研讨会中的讨论。
由于这两个概念的发展，IBS与SFDs之间的概念差距已经缩小。对于仅限于核心IBS且还具有多种无法解释的症状以及其他心理行为特征的综合征模式的存在，存在广泛共识。当前的病因学、病理生理学和管理概念反映了这两种原型的实用性、共同点以及区分的必要性。诸如普通医学与精神病学之间的“界面障碍”这样的总括类别以及诸如躯体化和医学上无法解释的症状等更广泛的描述框架可能会有所帮助。
进一步阐述以消除对同一组患者的适得其反的双重观点似乎是有必要的。
