Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Asian J Psychiatr. 2014 Feb;7(1):77-9. doi: 10.1016/j.ajp.2013.11.014. Epub 2013 Dec 1.
Somatic manifestation is common in the Asian population. The frequent occurrence of somatic symptom and related disorders among Asians could well be explained by an overt emphasis on 'somatic' idioms of distress on the one hand, and unacceptability and stigma attached to psychological expression of distress on the other. Assessment and diagnosis of somatoform disorders is complicated by the scarcity of cross-culturally validated instruments. Likewise, management is also based on Western literature in which psychological interventions override pharmacological treatment. DSM-5 has broadened the scope of somatoform disorders and emphasizes the concept rather than simply counting symptoms. These changes are expected to have a positive impact cross-culturally.
躯体化表现较为常见于亚洲人群。亚洲人群中躯体症状及相关障碍的高发情况，可以很好地用一方面明显强调“躯体”的痛苦表达，另一方面又对心理痛苦的表达难以接受和带有耻辱感来解释。躯体形式障碍的评估和诊断因缺乏跨文化验证的工具而变得复杂。同样，管理也是基于西方文献，其中心理干预优先于药物治疗。DSM-5 扩大了躯体形式障碍的范围，并强调了概念而不仅仅是单纯计数症状。这些变化有望在跨文化层面产生积极影响。
