Sachdev P S
Aust N Z J Psychiatry. 1985 Dec;19(4):433-8. doi: 10.1080/00048678509158852.
Koro is an unusual psychogenic syndrome reported, until recently, predominantly in men of the Chinese race who live in southern China and south-east Asia. Issues concerning its phenomenology, diagnosis and nosology are still controversial. This paper describes an epidemic of koro in north-east India. A psychiatric analysis of thirty-one cases is presented. Probable reasons for the rapid spread of the illness are discussed. The majority of the individuals affected were from the lower socio-economic strata, were poorly educated and in the age group of 20-40 years. Many women were affected. There was no evidence of significant premorbid or sexual psychopathology in most cases. Some patients had a number of episodes but with only minor residual symptoms. The author compares these findings with earlier reports and discusses the implications for its nosology and psychodynamics.
缩阳症是一种罕见的心因性综合征，直到最近，主要报告于居住在中国南方和东南亚的华裔男性中。关于其现象学、诊断和疾病分类学的问题仍存在争议。本文描述了印度东北部的一次缩阳症流行。对31例病例进行了精神分析。讨论了该疾病迅速传播的可能原因。受影响的大多数个体来自社会经济地位较低的阶层，教育程度低，年龄在20至40岁之间。许多女性也受到了影响。大多数病例没有明显的病前或性心理病理学证据。一些患者有多次发作，但只有轻微的残留症状。作者将这些发现与早期报告进行了比较，并讨论了其疾病分类学和心理动力学的意义。
