Lipowski Z J
CMAJ. 1986 Sep 15;135(6):609-14.
Somatization is the tendency to experience and communicate psychologic distress in the form of somatic symptoms that the patient misinterprets as signifying serious physical illness. Patients with persistent somatization relentlessly seek medical diagnosis and treatment despite repeated reassurance that physical illness is either absent or insufficient to account for their symptoms and disability. Such abnormal illness behaviour leads to overuse of health care facilities and contributes to the high cost of health care. Somatization may occur transiently in response to stressful life events or it may be persistent and result in chronic partial or total disability. Diagnostic and therapeutic guidelines that may help physicians identify and manage such patients more effectively are discussed.
躯体化是指患者以躯体症状的形式体验和表达心理困扰，而这些症状被患者误解为严重躯体疾病的迹象。尽管反复得到保证，表明不存在躯体疾病或躯体疾病不足以解释其症状和残疾情况，但持续存在躯体化症状的患者仍不断寻求医学诊断和治疗。这种异常的疾病行为导致医疗保健设施的过度使用，并增加了医疗保健的成本。躯体化可能是对压力性生活事件的短暂反应，也可能持续存在并导致慢性部分或完全残疾。本文讨论了有助于医生更有效地识别和管理此类患者的诊断和治疗指南。
