Lipowski Z J
Department of Psychiatry, University of Toronto School of Medicine, Canada.
Am J Psychiatry. 1988 Nov;145(11):1358-68. doi: 10.1176/ajp.145.11.1358.
Somatization, a tendency to experience and communicate somatic distress in response to psychosocial stress and to seek medical help for it, poses a major medical, social, and economic problem. It is most often associated with depressive and anxiety disorders and constitutes the core of somatoform disorders. Its persistent form is especially costly and difficult to prevent and manage. The author discusses the prevalence, clinical manifestations, etiology, and treatment of somatization and presents a critical review of somatoform disorders.
躯体化是一种倾向，即个体在面对心理社会压力时体验并表达躯体痛苦，并为此寻求医疗帮助，它构成了一个重大的医学、社会和经济问题。它最常与抑郁和焦虑障碍相关联，是躯体形式障碍的核心。其持续性形式尤其代价高昂，且难以预防和管理。作者讨论了躯体化的患病率、临床表现、病因和治疗方法，并对躯体形式障碍进行了批判性综述。
