Mangelli Lara, Bravi Alessandra, Fava Giovanni A, Ottolini Fedra, Porcelli Piero, Rafanelli Chiara, Rigatelli Marco, Sonino Nicoletta
Department of Psychology, University of Bologna, Bologna, Italy.
Psychosomatics. 2009 Jan-Feb;50(1):38-41. doi: 10.1176/appi.psy.50.1.38.
Somatization is a widespread clinical phenomenon that cuts across diagnostic categories, both psychiatric and medical.
This study investigates whether somatization can be assessed with a comprehensive diagnostic system, the Diagnostic Criteria for Psychosomatic Research (DCPR) in gastroenterology and cardiology (myocardial infarction) patients.
Authors assessed a group of 343 outpatients, 190 gastroenterology and 153 cardiology outpatients, with functional gastrointestinal disorders and recent first myocardial infarction.
A total of 146 patients were diagnosed by the DCPR Somatization cluster and 106 by the DCPR Abnormal Illness Behavior cluster; 27 patients who met DSM-IV criteria for somatoform disorders were not classified with any DCPR somatization syndromes, whereas 120 with DCPR Somatization cluster did not satisfy the criteria for DSM-IV somatoform disorders.
Findings suggest that the DCPR is able to identify clinical and subthreshold psychosomatic syndromes and that it can used jointly with the DSM-IV.
躯体化是一种广泛存在的临床现象，跨越了精神科和内科的诊断类别。
本研究调查躯体化是否可以通过一种综合诊断系统，即心身研究诊断标准（DCPR），在胃肠病学和心脏病学（心肌梗死）患者中进行评估。
作者评估了一组343名门诊患者，其中190名胃肠病学门诊患者和153名心脏病学门诊患者，分别患有功能性胃肠疾病和近期首次心肌梗死。
共有146名患者被DCPR躯体化集群诊断出来，106名被DCPR异常疾病行为集群诊断出来；27名符合DSM-IV躯体形式障碍标准的患者未被归类为任何DCPR躯体化综合征，而120名属于DCPR躯体化集群的患者不符合DSM-IV躯体形式障碍的标准。
研究结果表明，DCPR能够识别临床和阈下的心身综合征，并且可以与DSM-IV联合使用。
