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[心身特异性——精神分析流行病学的新体现]

[Psychosomatic specificity--newly reflected by psychoanalytic epidemiology].

作者信息

Reitter T, Tress W

机构信息

Psychosomatischen Klinik des Zentralinstituts für Seelische Gesundheit, Fakultät für Klinische Medizin Mannheim, Universität Heidelberg.

出版信息

Z Psychosom Med Psychoanal. 1991;37(1):89-100.

PMID:2024550
Abstract

The issue of whether there are specific constellations of intrapsychic conflicts, personality structures and symptom patterns within the general population is investigated by means of a representative epidemiological field cohort study. Out of a population of 600 adults three groups are compared: probands who are suffering from functional cardiac symptoms, those who are suffering from headaches and a sample of 'healthy' probands. The interview protocols of these probands were examined to identify typical conflict patterns. Finally the raters had to give a 'blind' overall diagnosis. Six criteria differentiating the 3 samples were identified and the 'blind' overall ratings were compared with the actual diagnosis. The results are discussed with regard to a hypothesis from the literature.

摘要

通过一项具有代表性的流行病学现场队列研究,调查了普通人群中是否存在特定的内心冲突、人格结构和症状模式组合的问题。在600名成年人中,比较了三组人群:患有功能性心脏症状的先证者、患有头痛的先证者以及“健康”先证者样本。检查这些先证者的访谈记录,以确定典型的冲突模式。最后,评估者必须给出“盲法”总体诊断。确定了区分这三个样本的六个标准,并将“盲法”总体评分与实际诊断进行了比较。根据文献中的一个假设对结果进行了讨论。

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