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家庭医疗及精神科患者中的疑病观念和态度

Hypochondriacal beliefs and attitudes in family practice and psychiatric patients.

作者信息

Kellner R, Abbott P, Pathak D, Winslow W W, Umland B E

出版信息

Int J Psychiatry Med. 1983;13(2):127-39. doi: 10.2190/9jpt-a66k-72bh-c3my.

Abstract

Beliefs and attitudes which can be responsible for hypochondriacal behavior were explored by administering the Illness Attitude Scales and two distress scales to patients attending a family practice clinic, nonpsychotic psychiatric outpatients and a random group of employees. Family practice patients were more distressed, had more hypochondriacal concerns and had more bodily preoccupations than employees and took more precautions about their health. Psychiatric patients were more distressed and had more fears about illness and death than family practice patients, yet took fewer precautions about their health. The findings appear to have implications for treatment.

摘要

通过对一家家庭诊所的患者、非精神病性精神科门诊患者以及一组随机抽取的员工进行疾病态度量表和两个痛苦量表的测试,探究了可能导致疑病行为的信念和态度。与员工相比,家庭诊所的患者更痛苦,有更多的疑病担忧和身体关注,并且对自己的健康采取了更多的预防措施。精神科患者比家庭诊所的患者更痛苦,对疾病和死亡有更多的恐惧,但对自己的健康采取的预防措施更少。这些发现似乎对治疗有启示意义。

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