Salminen J K, Lehtinen V, Jokinen K, Jokinen M, Talvitie A
Acta Psychiatr Scand. 1980 Jul;62(1):1-12. doi: 10.1111/j.1600-0447.1980.tb00589.x.
Two patient groups from the psychiatric policlinic of a general hospital were compared, the first comprised 93 patients with severe psychosomatic disorders who were not diagnosed as neurotic, and the second, 133 neurotic patients without psychosomatic symptoms. The aim of the study was to clarify anamnestic and personality differences between the groups and investigate their treatment motivation. The psychosomatic patients showed less motivation for psychiatric treatment, even though their psychiatric impairment was more severe than that of the neurotics and although the extent of their psychological symptoms was equally great. Compared with the neurotic patients, the ability to tolerate stress was poorer and the attitude toward the interview and the interviewer was more defensive in the psychosomatic patients. Compared with the neurotics, medical services were utilized to a greater extent by the psychosomatic patients, and their childhood environment and background development were characterized by somewhat more psychological disturbance.
对一家综合医院精神科门诊的两组患者进行了比较，第一组包括93例未被诊断为神经症的严重心身障碍患者，第二组是133例没有心身症状的神经症患者。该研究的目的是明确两组之间的既往史和人格差异，并调查他们的治疗动机。心身障碍患者对精神科治疗的动机较低，尽管他们的精神损害比神经症患者更严重，而且他们的心理症状程度同样严重。与神经症患者相比，心身障碍患者承受压力的能力较差，对访谈和访谈者的态度更具防御性。与神经症患者相比，心身障碍患者更多地利用医疗服务，他们的童年环境和背景发展在一定程度上表现出更多的心理困扰。
