Lippert G P
Can J Psychiatry. 1986 Feb;31(1):63-5. doi: 10.1177/070674378603100113.
The Acquired Immune Deficiency Syndrome (AIDS) has become an increasingly common cause of severe morbidity and death among homosexual men. As such it has become a major source of concern to this group. In this paper I report the cases of two bisexual men who developed a severe illness characterized by fatigue, malaise and infirmity for which no physical etiology could be determined despite extensive and complete investigations. At psychiatric consultation it became apparent that each man had a mental disorder, one symptom of which was an excessive and groundless concern that he suffered from AIDS. These men both received appropriate psychiatric treatment consisting of psychotropic medication and short-term psychotherapy. This resulted in the remission of the mental disorder, resolution of the overconcern about AIDS and the return to good physical health. Also discussed is the connection between the symptom of overconcern about AIDS and the concept of hypochondriasis.
获得性免疫缺陷综合征（艾滋病）已成为同性恋男性中导致严重发病和死亡的日益常见的原因。因此，它已成为该群体主要关注的问题。在本文中，我报告了两名双性恋男性的病例，他们患上了一种严重疾病，其特征为疲劳、不适和身体虚弱，尽管进行了广泛而全面的检查，但仍无法确定身体病因。在精神科会诊时发现，这两名男性都患有精神障碍，其中一个症状是过度且毫无根据的担心自己感染了艾滋病。这两名男性都接受了适当的精神科治疗，包括使用精神药物和短期心理治疗。这导致了精神障碍的缓解、对艾滋病过度担忧的消除以及身体恢复健康。本文还讨论了对艾滋病过度担忧的症状与疑病症概念之间的联系。
