Simanenkov V I, Poroshina E G, Makiyenko V V
Ter Arkh. 2012;84(11):89-93.
Asthenia serves as a symptom of many both organic and mental diseases. 16-64% of patients with this diagnosis visit a polyclinic therapist. Asthenia is an obligate symptom of a number of mental illnesses, including stress-related neurotic disorders, and somatoform disorders (panic attacks, generalized anxiety disorders, somatoform autonomic disorders, adjustment disorders), as well as nonpsychotic petit mal depressions. Patients with these disorders generally see therapists or general practitioners, rather than psychiatrists. The paper reflects the classification, differential diagnosis, and treatment of asthenia. A clinical case is described; its therapy is warranted.
虚弱是许多器质性疾病和精神疾病的一种症状。有此诊断的患者中有16 - 64%会去看综合门诊治疗师。虚弱是一些精神疾病的必然症状，包括与压力相关的神经症性障碍、躯体形式障碍（惊恐发作、广泛性焦虑症、躯体形式自主神经紊乱、适应障碍）以及非精神病性小发作性抑郁症。患有这些疾病的患者通常会去看治疗师或全科医生，而不是精神科医生。本文阐述了虚弱的分类、鉴别诊断和治疗。描述了一个临床病例，并对其治疗进行了论证。
