Ding Juen Mei, Kanaan Richard Antony Alexander
University of Melbourne, Department of Psychiatry, Austin Health, Heidelberg, VIC 3084, Australia.
University of Melbourne, Department of Psychiatry, Austin Health, Heidelberg, VIC 3084, Australia; King's College London, Department of Psychological Medicine, Institute of Psychiatry, Weston Education Centre, Denmark Hill, London SE5 9RJ, UK.
Gen Hosp Psychiatry. 2017 Mar-Apr;45:51-55. doi: 10.1016/j.genhosppsych.2016.12.009. Epub 2016 Dec 24.
It has been argued that the label given to unexplained neurological symptoms is an important contributor to their often poor acceptance, and there has been recent debate on proposals to change the name from conversion disorder. There have been multiple studies of layperson and clinician preference and this article aimed to review these.
Multiple databases were searched using terms including "conversion disorder" and "terminology", and relative preferences for the terms extracted.
Seven articles were found which looked at clinician or layperson preferences for terminology for unexplained neurological symptoms. Most neurologists favoured terms such as "functional" and "psychogenic", while laypeople were comfortable with "functional" but viewed "psychogenic" as more offensive; "non-epileptic/organic" was relatively popular with both groups.
"Functional" is a term that is relatively popular with both clinicians and the public. It also meets more of the other criteria proposed for an acceptable label than other popular terms - however the views of neither psychiatrists nor actual patients with the disorder were considered.
有人认为，赋予不明原因神经症状的标签是导致其常常难以被接受的一个重要因素，近期针对将该疾病名称从“转换障碍”更改的提议展开了辩论。已有多项关于外行和临床医生偏好的研究，本文旨在对此进行综述。
使用包括“转换障碍”和“术语”等术语检索多个数据库，并提取对这些术语的相对偏好。
发现七篇文章探讨了临床医生或外行对不明原因神经症状术语的偏好。大多数神经科医生倾向于使用“功能性”和“心因性”等术语，而行外人员对“功能性”一词感到满意，但认为“心因性”更具冒犯性；“非癫痫性/非器质性”在两组中相对都较受欢迎。
“功能性”是一个在临床医生和公众中都相对受欢迎的术语。与其他常用术语相比，它也更符合为一个可接受的标签所提出的其他标准——然而，既未考虑精神科医生的观点，也未考虑该疾病实际患者的观点。
