Cloninger C R, Martin R L, Guze S B, Clayton P J
Am J Psychiatry. 1986 Jul;143(7):873-8. doi: 10.1176/ajp.143.7.873.
The authors evaluated alternative criteria for somatization disorder in 277 female and 129 male psychiatric outpatients. In women, the diagnosis of somatization disorder based on DSM-III criteria was highly concordant with the diagnosis of Briquet's syndrome based on Guze's original criteria. There was familial aggregation for Briquet's syndrome in women but none among individuals of either sex who had somatization disorder without the full Briquet's syndrome. In men, the diagnosis of somatization disorder was rarer and less stable than in women. The findings show that somatization usually has a different clinical picture and different familial antecedents in men than in women.
作者对277名女性和129名男性精神科门诊患者的躯体化障碍替代标准进行了评估。在女性中，基于《精神疾病诊断与统计手册》第三版（DSM - III）标准诊断的躯体化障碍与基于古兹原始标准诊断的布里凯综合征高度一致。女性中布里凯综合征存在家族聚集性，但在患有躯体化障碍但未达到完全布里凯综合征的男女个体中均无家族聚集性。在男性中，躯体化障碍的诊断比女性更罕见且更不稳定。研究结果表明，男性的躯体化障碍通常与女性具有不同的临床表现和不同的家族病史。
