Chaturvedi S K, Bhandari S
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
J Psychosom Res. 1989;33(2):147-53. doi: 10.1016/0022-3999(89)90041-x.
Illness behaviour patterns were evaluated in 31 psychiatric patients, who had predominant somatic complaints to which there were no organic basis, using the Illness Behaviour Assessment Schedule. Psychiatric examination was also done and diagnosis given according to ICD-9. The relationship between abnormal illness behaviour and certain socio-demographic variables was examined. Younger patients more often had disease phobia (p = 0.05) and pre-occupation with disease (p = 0.003). Interesting trends were observed in different religious groups, as regards their beliefs about the 'cause' of somatic symptoms. Patients diagnosed as neurotic (anxiety or depression) significantly more often (p = 0.024) regarded their illnesses to be somatic in origin. The relationship between somatisation and abnormal illness behaviour is found to be complex, and the cause-effect relationship is not fully understood.
使用疾病行为评估量表对31名主要有躯体主诉但无器质性基础的精神科患者的疾病行为模式进行了评估。同时进行了精神检查，并根据国际疾病分类第九版（ICD - 9）做出诊断。研究了异常疾病行为与某些社会人口统计学变量之间的关系。较年轻的患者更常出现疾病恐惧症（p = 0.05）和对疾病的过度关注（p = 0.003）。在不同宗教群体中，就他们对躯体症状“病因”的信仰而言，观察到了有趣的趋势。被诊断为神经症（焦虑或抑郁）的患者更常（p = 0.024）认为他们的疾病起源于躯体。发现躯体化与异常疾病行为之间的关系很复杂，因果关系尚未完全明了。
