Oxman T E, Barrett J
Gen Hosp Psychiatry. 1985 Oct;7(4):321-9. doi: 10.1016/0163-8343(85)90045-3.
The relationships specified in DSM-III between somatization disorder and depression, and somatization disorder and hypochondriasis require further validation and easier methods of detection for use by primary care physicians. The authors investigated hypochondriacal and depressive symptoms in 13 family practice outpatients with somatization disorder. Pain complaints and depressive symptomatology were present in over 75% of this group, while hypochondriacal symptoms were present in 38%. The mean score on the somatization scale of the Hopkins Symptom Check List (HSCL-90) was greater than that reported for any other group. These findings support the separation of somatization disorder and hypochondriasis and suggest the need for better delineation of depressive subtypes in somatization disorder. The somatization scale of the HSCL-90 should be a useful screen for somatization disorder in future research.
《精神疾病诊断与统计手册第三版》（DSM - III）中所规定的躯体化障碍与抑郁症之间的关系，以及躯体化障碍与疑病症之间的关系，需要进一步验证，并且需要更简便的检测方法以供初级保健医生使用。作者对13名患有躯体化障碍的家庭医疗门诊患者的疑病症状和抑郁症状进行了调查。该组中超过75%的患者存在疼痛主诉和抑郁症状，而疑病症状的出现率为38%。霍普金斯症状清单（HSCL - 90）躯体化量表的平均得分高于报道的其他任何群体。这些发现支持了躯体化障碍和疑病症的区分，并表明需要更好地界定躯体化障碍中的抑郁亚型。HSCL - 90的躯体化量表在未来研究中应是筛查躯体化障碍的有用工具。
