Golding J M, Smith G R, Kashner T M
Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock.
Arch Gen Psychiatry. 1991 Mar;48(3):231-5. doi: 10.1001/archpsyc.1991.01810270043006.
Somatization disorder is thought to be rare or nonexistent in men. We examined this hypothesis by assessing gender differences in DSM-III-R diagnostic status, demographic and clinical characteristics, functional limitations, self-reported health status, and psychiatric comorbidity in 30 men and 117 women who were referred for multiple unexplained somatic complaints. Twelve men and 68 women met DSM-III-R criteria for somatization disorder. Among those meeting criteria, there were few differences on any of the dimensions that were assessed. Different referral sources for women and men suggested differences in physicians' perceptions of somatic symptoms in men and women. We concluded that somatization disorder exists in men, and that women and men with somatization disorder show similar clinical characteristics.
躯体化障碍被认为在男性中罕见或不存在。我们通过评估30名男性和117名女性的性别差异来检验这一假设，这些男女因多种不明原因的躯体不适前来就诊，评估内容包括DSM-III-R诊断状况、人口统计学和临床特征、功能受限情况、自我报告的健康状况以及精神疾病共病情况。12名男性和68名女性符合躯体化障碍的DSM-III-R标准。在符合标准的人群中，所评估的任何维度上几乎没有差异。男女不同的转诊来源表明医生对男女躯体症状的认知存在差异。我们得出结论，男性中存在躯体化障碍，且患有躯体化障碍的男性和女性表现出相似的临床特征。
