Vaillant G E
Psychosom Med. 1978 Aug;40(5):420-31. doi: 10.1097/00006842-197808000-00006.
This article reports on interrelationships between the medical and emotional health of 95 men who were prospectively followed from age 18 to 53. Fifty of these originally healthy men developed illness patterns sometimes called psychosomatic (ulcer, colitis, allergy, hypertension, musculo-skeletal disorders). These men were compared with the other 45 similarly studied men who never developed such illnesses. Although men who developed "psychosomatic" illnesses were more likely to seek medical or psychiatric attention, they exhibited only slightly more psychopathology. Both as children and as adults they had more physical illness of all kinds. They were less likely to indulge in vacations and athletics and more likely to use tranquilizers and excessive alcohol. Men with "psychosomatic" illnesses experienced a greater variety of somatic symptoms under stress, but the loci of these somatic symptoms shifted over time and were not significantly associated with the sites of psychosomatic illness. Premorbidly, the 20 men who were eventually to develop serious irreversible physical illness of any kind reflected far more psychopathology than the 45 men who developed psychosomatic illness.
本文报告了对95名男性从18岁到53岁进行前瞻性跟踪研究的医学健康与情绪健康之间的相互关系。其中50名原本健康的男性出现了有时被称为心身疾病的病症模式（溃疡、结肠炎、过敏、高血压、肌肉骨骼疾病）。将这些男性与另外45名同样接受研究但从未患过此类疾病的男性进行了比较。尽管患上“心身疾病”的男性更有可能寻求医疗或精神科治疗，但他们仅表现出略多一点的精神病理学症状。无论是儿童时期还是成年时期，他们患各类身体疾病的情况更多。他们不太可能去度假和参加体育活动，更有可能使用镇静剂和过量饮酒。患有“心身疾病”的男性在压力下会出现更多种类的躯体症状，但这些躯体症状的部位会随时间变化，且与心身疾病的发病部位没有显著关联。病前，最终会患上任何一种严重不可逆身体疾病的20名男性所表现出的精神病理学症状比患上心身疾病的45名男性要多得多。
