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躯体化障碍女性的过度医疗护理。

Excess medical care of women with somatization disorder.

作者信息

Zoccolillo M S, Cloninger C R

出版信息

South Med J. 1986 May;79(5):532-5. doi: 10.1097/00007611-198605000-00004.

DOI:10.1097/00007611-198605000-00004
PMID:2939563
Abstract

We compared 50 women with somatization disorder to 25 women with major depression. The somatizers had three times as many operations and hospitalizations as the depressed women. Hospitalizations for headache and backache, abdominal and pelvic operations, and radiologic studies for abdominal complaints occurred frequently in the somatizers. Important factors in the excess medical care of these women were the difficulty in diagnosis and the unwillingness of physicians to use the diagnosis of somatization disorder to limit medical care. Even though somatization disorder has been well described in the medical literature for 30 years, somatizers still receive excess medical care.

摘要

我们将50名患有躯体化障碍的女性与25名患有重度抑郁症的女性进行了比较。患有躯体化障碍的女性接受的手术和住院治疗次数是抑郁症女性的三倍。患有躯体化障碍的女性经常因头痛、背痛、腹部和盆腔手术以及针对腹部不适的放射学检查而住院。这些女性接受过度医疗护理的重要因素是诊断困难以及医生不愿使用躯体化障碍的诊断来限制医疗护理。尽管躯体化障碍在医学文献中已有30年的详细描述,但患有躯体化障碍的女性仍然接受过度医疗护理。

相似文献

1
Excess medical care of women with somatization disorder.躯体化障碍女性的过度医疗护理。
South Med J. 1986 May;79(5):532-5. doi: 10.1097/00007611-198605000-00004.
2
An adoption study of somatoform disorders. II. Identification of two discrete somatoform disorders.
Arch Gen Psychiatry. 1984 Sep;41(9):863-71. doi: 10.1001/archpsyc.1984.01790200045006.
3
Somatization disorder in a family practice.家庭医疗中的躯体化障碍
J Fam Pract. 1987 Jul;25(1):45-51.
4
Symptom patterns and causes of somatization in men: I. Differentiation of two discrete disorders.
Genet Epidemiol. 1986;3(3):153-69. doi: 10.1002/gepi.1370030303.
5
The somatizing patient.
Prim Care. 1999 Jun;26(2):225-42. doi: 10.1016/s0095-4543(08)70004-6.
6
Screening for high utilizing somatizing patients using a prediction rule derived from the management information system of an HMO: a preliminary study.使用从健康维护组织(HMO)管理信息系统得出的预测规则筛查高利用度的躯体化患者:一项初步研究。
Med Care. 2001 Sep;39(9):968-78. doi: 10.1097/00005650-200109000-00007.
7
An adoption study of somatoform disorders. I. The relationship of somatization to psychiatric disability.
Arch Gen Psychiatry. 1984 Sep;41(9):853-9. doi: 10.1001/archpsyc.1984.01790200035005.
8
Families who somatize.表现出躯体化症状的家庭。
J Dev Behav Pediatr. 1995 Feb;16(1):42-6.
9
Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity.躯体化增加了医疗利用率和费用,且与精神疾病和躯体疾病共病无关。
Arch Gen Psychiatry. 2005 Aug;62(8):903-10. doi: 10.1001/archpsyc.62.8.903.
10
Resource utilization of patients with hypochondriacal health anxiety and somatization.疑病性健康焦虑和躯体化患者的资源利用情况。
Med Care. 2001 Jul;39(7):705-15. doi: 10.1097/00005650-200107000-00007.

引用本文的文献

1
Frequent attenders in general medical practice in Italy: a preliminary report on clinical variables related to low functioning.意大利普通医疗实践中的频繁就诊者:关于与低功能相关临床变量的初步报告。
Neuropsychiatr Dis Treat. 2018 Dec 24;15:115-125. doi: 10.2147/NDT.S179013. eCollection 2019.
2
Lifetime diagnoses in patients with somatoform disorders: which came first?躯体形式障碍患者的终生诊断:哪个先出现?
Eur Arch Psychiatry Clin Neurosci. 1992;241(4):236-40. doi: 10.1007/BF02190259.