Jenkins P L
Department of Psychological Medicine, University of Wales College of Medicine, Cardiff, United Kingdom.
Gen Hosp Psychiatry. 1991 Jan;13(1):27-30. doi: 10.1016/0163-8343(91)90006-i.
A series of 25 patients referred for psychiatric consultation with nonspecific abdominal pain (NSAP) are compared with a prospectively admitted series who were not referred. The referred patients had a longer duration of pain and also had high levels of psychiatric illness. The referred patients had more life events associated with the onset of their pain than controls. Inquiry about previous psychiatric history, childhood abuse, and a symptom model would increase the detection of NSAP patients who require psychiatric evaluation. Outcome after recommended treatment is also addressed.
将25例因非特异性腹痛（NSAP）前来精神科会诊的患者与一组未经会诊而前瞻性收治的患者进行比较。会诊患者的疼痛持续时间更长，精神疾病水平也更高。与对照组相比，会诊患者与疼痛发作相关的生活事件更多。询问既往精神病史、童年期受虐情况以及症状模型，将增加对需要精神科评估的NSAP患者的检出率。文中还讨论了推荐治疗后的结果。
