Westermeyer J
University of Minnesota Hospital and Clinic, Department of Psychiatry, University of Minnesota, Minneapolis 55455.
J Clin Psychiatry. 1989 May;50(5):181-3.
Koro, a folk syndrome involving fear of genital retraction, is known to occur in epidemic fashion and is usually associated with anxiety symptoms. The author describes a sporadic case of koro accompanied by psychotic depression in a refugee. The refugee's wife, who was also suffering a major depression, also believed that the patient was undergoing genital retraction with a potentially fatal outcome. The cultural, familial, and acculturative stresses associated with the syndrome are described. Resolution of the koro syndrome and its associated psychopathology required interventions on biomedical, psychological, familial, and sociocultural levels.
缩阳症是一种涉及害怕生殖器回缩的民间综合征，已知会呈流行形式出现，且通常伴有焦虑症状。作者描述了一名难民中出现的一例伴有精神病性抑郁的散发性缩阳症病例。该难民的妻子也患有重度抑郁症，她同样认为患者的生殖器正在回缩，可能会导致致命后果。文中描述了与该综合征相关的文化、家庭和文化适应压力。缩阳症综合征及其相关精神病理学的解决需要在生物医学、心理、家庭和社会文化层面进行干预。
