功能性腹部主诉诊断与预后中的既往史及心理特征：一项前瞻性研究。
Anamnestic and psychological features in diagnosis and prognosis of functional abdominal complaints: a prospective study.
作者信息
Bleijenberg G, Fennis J F
机构信息
Department of Medical Psychology, University Hospital, Nijmegen, The Netherlands.
出版信息
Gut. 1989 Aug;30(8):1076-81. doi: 10.1136/gut.30.8.1076.
Abstract
Psychological and anamnestic data from 308 patients were collected to investigate whether patients with abdominal complaints from organic causes could be distinguished psychologically or by their case histories from patients with functional abdominal complaints. Two years later the same patients took part in a follow up study. Only 9% of the patients with functional abdominal complaints became symptom free. Most variables showed no significant difference between the organic and the functional group. The most important variables with predictive value were psychological factors, factors associated with the severity and factors associated with the duration of the complaints.
摘要
收集了308名患者的心理和既往病史数据，以调查有器质性病因的腹部不适患者是否能在心理上或通过其病历与功能性腹部不适患者区分开来。两年后，相同的患者参与了一项随访研究。只有9%的功能性腹部不适患者症状消失。大多数变量在器质性和功能性两组之间没有显著差异。具有预测价值的最重要变量是心理因素、与严重程度相关的因素以及与不适持续时间相关的因素。
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