Frost D P
Genitourin Med. 1985 Apr;61(2):133-7. doi: 10.1136/sti.61.2.133.
A descriptive study of 100 consecutive patients referred for psychiatric assessment from a clinic for sexually transmitted disease (STD) is reported. Thirty six patients presented with physical symptoms for which no organic cause could be found. Various physical and psychological features of the overall presentation of this "somatic" group were identified. These are discussed in terms of diagnostic categories, aetiological mechanisms, and theories of illness behaviour. The importance of directly observable aspects of the patients' consultation behaviour is stressed over and above deep psychological constructs. The diagnosis of hypochondriasis is seen as essentially a medical one, which entails the doctor making a set of judgements that require a broad clinical perspective.
本文报告了一项针对100例从性传播疾病（STD）诊所转介来进行精神评估的连续患者的描述性研究。36例患者出现了无法找到器质性病因的身体症状。确定了该“躯体”组整体表现的各种身体和心理特征。从诊断类别、病因机制和疾病行为理论方面对这些特征进行了讨论。强调了患者咨询行为中直接可观察到的方面比深层心理结构更为重要。疑病症的诊断本质上是一种医学诊断，这需要医生做出一系列需要广泛临床视角的判断。
