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疾病行为与全科医疗利用:一项前瞻性研究。

Illness behaviour and general practice utilisation: a prospective study.

作者信息

Pilowsky I, Smith Q P, Katsikitis M

出版信息

J Psychosom Res. 1987;31(2):177-83. doi: 10.1016/0022-3999(87)90074-2.

DOI:10.1016/0022-3999(87)90074-2
PMID:3585819
Abstract

The Illness Behaviour Questionnaire (IBQ) was used to compare general practice patients who presented physical complaints in the absence of objective pathology, with those in whom the presence of pathology was established. Patients without pathology showed a greater conviction as to the presence of disease, and greater degrees of anxiety, depression and irritability. Males and females differed on their IBQ scores: males showing more disease conviction, somatic focusing and hypochondriasis. Utilisation of general practitioner services (as indicated by the number of visits in the six months subsequent to completing the IBQ) was associated with greater age, and for the group as a whole, utilisation was predicted by higher scores on the following IBQ scales: disease conviction, affective disturbance and disease affirmation. This was also the case for males, but in females only affective disturbance correlated with a greater number of visits. Four patterns were delineated in the relationship between age, illness behaviour variables, the presence or absence of objective pathology, and G.P. contacts.

摘要

疾病行为问卷(IBQ)被用于比较那些虽有身体不适但无客观病理依据的全科医疗患者,以及那些已确诊有病理病变的患者。没有病理病变的患者对疾病存在的坚信程度更高,焦虑、抑郁和易怒程度也更高。男性和女性在IBQ得分上存在差异:男性表现出更强的疾病坚信度、躯体关注和疑病症倾向。全科医生服务的利用率(以完成IBQ后六个月内的就诊次数表示)与年龄较大有关,对于整个群体而言,以下IBQ量表得分较高可预测利用率:疾病坚信度、情感障碍和疾病确认。男性也是如此,但在女性中只有情感障碍与就诊次数较多相关。在年龄、疾病行为变量、有无客观病理以及与全科医生的接触之间的关系中,描绘出了四种模式。

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Somatization disorder: defining its role in clinical medicine.躯体化障碍:界定其在临床医学中的作用。
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