Chandler J D, Gerndt J
University of Iowa Psychiatric Hospital, Iowa City.
Acta Psychiatr Scand. 1988 Jan;77(1):67-73. doi: 10.1111/j.1600-0447.1988.tb05079.x.
In a study to determine the relationship between somatic symptoms and psychiatric diagnosis, 206 consecutively admitted inpatients at the University of Iowa Psychiatric hospital were given a structured medical history (MH) and physical examination (PE). Depressed patients were significantly older, had an increase in number of medical diagnoses (NDX), and were found to have a significant increase in somatic symptoms in which there was no confirmatory evidence on the PE and in which there was confirmation on the PE. When age, sex, and NDX were controlled for, depressed patients did not have an increase in either of the types of somatic symptoms noted above but did have a slight increase in the vague somatic symptoms in which PE findings would be unlikely. Our results suggest that the majority of the increases in somatic symptoms in depressed patients may not be due to depressive psychopathology but rather to their increased number of medical problems and increased age.
在一项旨在确定躯体症状与精神科诊断之间关系的研究中，爱荷华大学精神病医院连续收治的206名住院患者接受了结构化病史（MH）和体格检查（PE）。抑郁症患者年龄显著更大，医学诊断数量（NDX）增加，并且发现他们在体格检查无确诊证据以及有确诊证据的情况下，躯体症状均显著增加。在对年龄、性别和医学诊断数量进行控制后，抑郁症患者上述两种躯体症状类型均未增加，但在体格检查结果不太可能出现的模糊躯体症状方面略有增加。我们的结果表明，抑郁症患者躯体症状增加的大部分原因可能并非抑郁性精神病理学，而是他们更多的医疗问题和更高的年龄。
