Department of Psychiatry, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, 671 Hoes Lane, Piscataway, NJ 08854, USA.
Psychiatr Clin North Am. 2010 Sep;33(3):579-93. doi: 10.1016/j.psc.2010.04.014.
Patients presenting with somatoform disorders often incur excessive health care charges and fail to respond to standard treatment. The purpose of this article is to provide an overview of the diagnostic criteria and demographic and clinical characteristics of each somatoform disorder and to examine the research assessing the efficacy of cognitive behavioral therapy (CBT) for each disorder. The review shows that CBT has received some empirical support for somatization, hypochondriasis, and body dysmorphic disorder. However, there are few data on the impact of treatment on health care use, especially when the cost of CBT is factored into the equation. Too few methodologically sound studies have been published on the treatment of conversion disorder or of pain disorder to make any conclusions.
患有躯体形式障碍的患者通常会产生过多的医疗费用，并且对标准治疗没有反应。本文旨在概述每种躯体形式障碍的诊断标准、人口统计学和临床特征，并研究评估认知行为疗法（CBT）对每种障碍的疗效。综述表明，CBT 对躯体化障碍、疑病症和躯体变形障碍已得到一些实证支持。然而，关于治疗对医疗保健使用的影响的数据很少，尤其是当将 CBT 的成本纳入方程时。关于转换障碍或疼痛障碍的治疗，发表的方法学上合理的研究太少，无法得出任何结论。
