Kellner R, Abbott P, Winslow W W, Pathak D
Psychosomatics. 1989 Winter;30(1):57-64. doi: 10.1016/s0033-3182(89)72318-5.
To assess the severity of distress and of somatization in hypochondriasis, the authors administered several validated self-rating scales of depression, anxiety, somatic symptoms, and anger/hostility to 21 psychiatric outpatients with the DSM-III diagnosis of hypochondriasis and to matched groups of other nonpsychotic psychiatric patients, family practice patients, and employees. Anxiety and somatic symptoms were highest in hypochondriacal patients; depression and anger/hostility did not differ from those of other psychiatric patients but were higher than in the other groups. The findings do not support the theory that hypochondriasis is a defense against anxiety or that it is a masked depression or depressive equivalent. The findings are consistent with the view that the interaction of severe anxiety and severe somatic symptoms is a common feature of the psychopathology of hypochondriasis.
为评估疑病症患者痛苦和躯体化的严重程度，作者对21名被诊断为患有《精神疾病诊断与统计手册》第三版（DSM - III）疑病症的精神科门诊患者以及与之匹配的其他非精神病性精神科患者、家庭医疗患者和企业员工组，使用了几种经验证有效的抑郁、焦虑、躯体症状以及愤怒/敌意自评量表。疑病症患者的焦虑和躯体症状最为严重；抑郁和愤怒/敌意与其他精神科患者并无差异，但高于其他组。这些发现并不支持疑病症是对焦虑的防御，或者它是一种隐匿性抑郁症或等同于抑郁症的理论。这些发现与严重焦虑和严重躯体症状的相互作用是疑病症心理病理学的一个共同特征这一观点相一致。
