社区中的躯体化：与残疾及服务利用的关系。
Somatization in the community: relationship to disability and use of services.
作者信息
Escobar J I, Golding J M, Hough R L, Karno M, Burnam M A, Wells K B
出版信息
Am J Public Health. 1987 Jul;77(7):837-40. doi: 10.2105/ajph.77.7.837.
Abstract
We tested the hypotheses that an abridged somatization construct that we had developed would be associated with use of health services, preferential use of medical over mental health services, and an index of disability. These hypotheses were tested using structured interview data from 3,132 randomly selected community respondents. We found that: respondents meeting criteria for somatization reported a heavier use of health services than non-somatizers; of those respondents meeting criteria for a psychiatric diagnosis, somatizers preferentially used medical over mental health services whereas non-somatizers reported the opposite trend; and somatizers were more likely than non-somatizers to report recent sick leave or restricted activity.
摘要
我们检验了以下假设
我们所构建的简化躯体化结构与医疗服务的使用、相较于心理健康服务更倾向使用医疗服务以及残疾指数相关。使用来自3132名随机抽取的社区受访者的结构化访谈数据对这些假设进行了检验。我们发现：符合躯体化标准的受访者报告的医疗服务使用量比非躯体化者更多；在那些符合精神科诊断标准的受访者中，躯体化者相较于心理健康服务更倾向使用医疗服务，而非躯体化者则呈现相反趋势；并且相较于非躯体化者，躯体化者更有可能报告近期请病假或活动受限。
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