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[神经症性障碍的循环基本结构问题]

[The problem of cyclic basic structure of neurotic disorders].

作者信息

Güttel B, Schubert H, Zapotoczky H G

出版信息

Psychiatr Clin (Basel). 1974;7(6):365-74.

PMID:4469914
Abstract

The working hypothesis could be confirmed that a nuclear syndrome (Basis-syndrom) consisting of alterations in drive and mood as well as in autonomic activation, possibly contributing to neurotic disorders, is independent of such factors as sex, education, premorbid personality, duration of illness, age at onset of the illness, social mobility during the illness, number of pregnancies, family history, occupation, marital state, social class compared with that of parents, social contacts, or past physical illnesses. It was shown in a sample of 50 neurotic outpatients that the factor 'past illnesses' influenced the number of vegetative sumptoms prior to therapy. The effect of psychotherapy on psychic and vegetative disturbances was greater in women with children, i.e., not in occupations. In patients whose social class was not changed during the illness, the number of vegetative symptoms diminished more than in the others. In all the other cases, improvement was not related to the factors mentioned. This can be interpreted as supporting the hypothesis.

摘要

工作假设可以得到证实,即一种由驱力、情绪以及自主神经激活改变组成的核心综合征(基础综合征),可能导致神经症性障碍,它独立于性别、教育程度、病前人格、病程、发病年龄、患病期间的社会流动性、妊娠次数、家族史、职业、婚姻状况、与父母相比的社会阶层、社会交往或既往躯体疾病等因素。在50例神经症门诊患者的样本中发现,“既往疾病”这一因素影响治疗前植物神经症状的数量。心理治疗对有孩子的女性(即非在职女性)的心理和植物神经障碍的效果更大。在患病期间社会阶层未发生变化的患者中,植物神经症状的数量比其他患者减少得更多。在所有其他情况下,改善情况与上述因素无关。这可以被解释为支持该假设。

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