Kenyon F E
Br J Psychiatry. 1976 Jul;129:1-14. doi: 10.1192/bjp.129.1.1.
A brief historical introduction traces the evolution of the concept of hypochondriasis. It is suggested that the term should now be used only as a descriptive adjective when there is a morbid preoccupation with health or body. Social and cultural factors are outlined, as well as problems of measurement. The psychopathology, as formulated by Freud and others, is also described. Clinical aspects are discussed under the headings of general symptoms, pain, smell, bodily appearance, sexual, gastro-intestinal, cardio-respiratory, eyes, and ears, nose and throat. Psychiatric syndromes mentioned are: hypochondria as a possible primary state, personality disorders, phobic-anxiety state, neurashthenia, obsessional neurosis, hysteria, depression, paranoid psychosis and organic. In general, hypochondriacal symptoms seem to make the prognosis rather worse. Treatment is to be aimed at the primary condition, which is most commonly depression, anxiety state or conversion reaction.
一篇简短的历史介绍追溯了疑病症概念的演变。文章指出，现在只有在对健康或身体存在病态的过度关注时，该术语才应仅用作描述性形容词。文中概述了社会和文化因素以及测量问题。还描述了由弗洛伊德等人阐述的精神病理学。临床方面在一般症状、疼痛、嗅觉、身体外观、性、胃肠、心肺、眼睛以及耳、鼻、喉等标题下进行了讨论。提及的精神综合征有：疑病症作为一种可能的原发性状态、人格障碍、恐惧焦虑状态、神经衰弱、强迫性神经症、癔症、抑郁症、偏执性精神病和器质性疾病。一般来说，疑病症症状似乎会使预后更差。治疗应针对原发性病症，最常见的是抑郁症、焦虑状态或转换反应。
