Colgan S, Creed F, Klass H
Department of Psychiatry, Manchester Royal Infirmary.
Psychol Med. 1988 Nov;18(4):887-92. doi: 10.1017/s003329170000982x.
Seventy patients presenting to the gastroenterologist with upper abdominal pain were examined by a psychiatrist to establish the presence of psychiatric disorder, illness behaviour and to record in detail their symptom pattern. The 37 patients who had no organic cause for their abdominal complaints were subdivided into those with and without psychiatric disorder. The former (21 patients) demonstrated more illness behaviour, they complained of more abdominal symptoms and their pain was both more severe and more persistent than in the patients with organic disease and those with non-organic illness who did not have psychiatric disorder. The latter group reported no symptoms of 'psychoneurosis' and should probably be regarded as a separate group if the aetiology of functional abdominal pain is to be clarified. Those with non-organic abdominal complaints who had psychiatric illness could be distinguished by the presence of three symptoms, namely depression, anxiety and fatigue. Detection and treatment of their psychiatric disorder might lead to a decrease in their symptomatic complaints and illness behaviour.
70名因上腹部疼痛就诊于胃肠病专家的患者接受了精神科医生的检查，以确定是否存在精神障碍、疾病行为，并详细记录他们的症状模式。37名腹部不适无器质性病因的患者被细分为有精神障碍和无精神障碍两组。前者（21名患者）表现出更多的疾病行为，他们主诉更多的腹部症状，并且他们的疼痛比患有器质性疾病的患者以及无精神障碍的非器质性疾病患者更严重、更持久。后一组未报告“精神神经症”症状，如果要阐明功能性腹痛的病因，可能应将其视为一个单独的组。有精神疾病的非器质性腹部不适患者可通过存在抑郁、焦虑和疲劳这三种症状来区分。对他们的精神障碍进行检测和治疗可能会减少他们的症状主诉和疾病行为。
