Ross M W
AIDS Programme, South Australian Health Commission, Adelaide.
Sex Transm Dis. 1987 Jul-Sep;14(3):174-9. doi: 10.1097/00007435-198707000-00010.
A questionnaire on illness behavior was administered to a consecutive sample of 90 men and 47 women attending a public clinic for sexually transmitted diseases. Abnormal illness behavior (particularly general hypochondriasis, degree of psychologic perception of illness, and denial of stresses apart from the illness) increased with the number of previous infections. Those with no previous infections saw sexually transmitted disease as an illness significantly less often than those with previous infections. First attenders have a higher risk of noncompliance with treatment, and illness behavior may develop by association with repeated infections and the increasingly apparent connection between behavior and illness. These findings applied to homosexual as well as to heterosexual men, although responses to the questionnaire showed that homosexual men were significantly less hypochondriacal. It is concluded that there is greater evidence of psychologic maladjustment among this clinic population than among that attending general practices and that illness behavior is related to established risk factors such as more partners and previous infections.
一份关于疾病行为的问卷被发放给了连续抽取的90名男性和47名女性样本，这些人在一家治疗性传播疾病的公共诊所就诊。异常的疾病行为（特别是一般性疑病症、对疾病的心理感知程度以及对除疾病之外压力的否认）随着既往感染次数的增加而增多。没有既往感染史的人将性传播疾病视为疾病的频率明显低于有既往感染史的人。首次就诊者不遵医嘱治疗的风险更高，并且疾病行为可能会通过与反复感染以及行为与疾病之间日益明显的联系而产生。这些发现适用于同性恋男性以及异性恋男性，尽管对问卷的回答显示同性恋男性的疑病倾向明显较低。研究得出结论，与在普通诊所就诊的人群相比，该诊所人群中存在心理失调的证据更多，并且疾病行为与诸如更多性伴侣和既往感染等既定风险因素有关。
