“癔症”、“功能性的”还是“心因性的”？一项关于英国神经科医生偏好的调查。
'Hysteria', 'functional' or 'psychogenic'? A survey of British neurologists' preferences.
作者信息
Mace C J, Trimble M R
机构信息
Department of Neuropsychiatry, Institute of Neurology, London.
出版信息
J R Soc Med. 1991 Aug;84(8):471-5. doi: 10.1177/014107689108400808.
Abstract
The diagnostic preferences of British neurologists for patients who lack a physical explanation for their symptoms were assessed by means of a postal questionnaire. Analysis of 168 completed replies showed 'functional', 'psychogenic' and 'hysteria' to be the most popular terms in use. The number of different terms a clinician would use rose in line with the volume of such patients they encountered, but was unrelated to clinician factors such as the extent of their clinical experience in psychiatry. A specific enquiry into these respondents' interpretation of the term 'functional' revealed a clear consensus as to which syndromes it should apply to, although this consensus was not shared by a comparison group of psychiatrists.
摘要
通过邮寄问卷调查的方式，对英国神经科医生针对那些症状缺乏躯体解释的患者的诊断偏好进行了评估。对168份完整回复的分析显示，“功能性”“心因性”和“癔症”是目前最常用的术语。临床医生使用的不同术语数量随着他们遇到的此类患者数量的增加而增加，但与临床医生的因素无关，比如他们在精神病学方面的临床经验程度。对这些受访者对“功能性”一词的解释进行的一项具体调查显示，对于该词应适用于哪些综合征存在明确的共识，尽管一组精神科医生组成的对照组并未达成这一共识。
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