Barsky A J, Wyshak G, Klerman G L
Arch Gen Psychiatry. 1986 May;43(5):493-500. doi: 10.1001/archpsyc.1986.01800050099013.
We attempted to integrate the DSM-III criteria for hypochondriasis with the clinical literature and derived six positive and two negative diagnostic criteria. Seven of these were assessed in a random sample of 92 medical outpatients by means of a self-report questionnaire, structured interview, and medical record audit. The results are in accord with previous work: there appears to be considerable internal validity and consistency in the syndrome in that disease conviction, disease fear, bodily preoccupation, and somatic symptoms are significantly intercorrelated. The three hypochondriacal attitudes (conviction, fear, and preoccupation) were not statistically related to the number of medical diagnoses in the patients' medical records. Depressive symptoms, as measured by the Beck Depression Inventory, were highly correlated with the other hypochondriacal symptoms. The hypochondriacal syndrome in these patients appears to be consistent with the clinical disorder described in DSM-III.
我们试图将《精神疾病诊断与统计手册》第三版（DSM - III）中关于疑病症的诊断标准与临床文献相结合，得出了六项阳性诊断标准和两项阴性诊断标准。通过一份自填式问卷、结构化访谈以及病历审核，对92名内科门诊患者的随机样本进行了其中七项标准的评估。结果与先前的研究一致：该综合征似乎具有相当程度的内部效度和一致性，因为疾病确信、疾病恐惧、身体关注及躯体症状之间存在显著的相互关联。三种疑病态度（确信、恐惧和关注）与患者病历中的医学诊断数量并无统计学关联。用贝克抑郁量表测量的抑郁症状与其他疑病症状高度相关。这些患者的疑病综合征似乎与DSM - III中描述的临床病症相符。
