Rasmussen N H, Avant R F
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minn.
Am Fam Physician. 1989 Aug;40(2):206-14.
Although often difficult to recognize, somatization disorder--the presence of multiple physical symptoms but no apparent physical or psychiatric disease--is a common problem in primary care practices. Onset is usually before age 30. The disorder manifests as a myriad of symptoms, including gastrointestinal complaints, various types of pain, cardiopulmonary symptoms, pseudoneurologic complaints, sexual problems and complaints related to the female reproductive system. Vigilance is necessary, because somatization disorder may mimic numerous physical and psychiatric ailments.
虽然躯体化障碍往往难以识别——存在多种躯体症状但无明显躯体或精神疾病——却是基层医疗实践中的常见问题。发病通常在30岁之前。该障碍表现为多种多样的症状,包括胃肠道不适、各种疼痛、心肺症状、假性神经症状、性问题以及与女性生殖系统相关的症状。保持警惕很有必要,因为躯体化障碍可能会模仿众多躯体和精神疾病。