Spitzer C, Freyberger H J, Kessler C, Kömpf D
Klinik für Neurologie, Medizinischen Universität zu Lübeck.
Nervenarzt. 1994 Oct;65(10):680-8.
We studied consecutively 50 neurologic inpatients of a university neurological department with dissociative (conversion) disorders with regard to their associated psychopathologic features as well as to their comorbidity. The study involved both self-measuring instruments and a standardized psychiatric interview. As a result patients with conversion disorders appeared as a psychopathologic highly disturbed group. We found that although the dissociative symptoms are phenomenological very predominant and were the reason for hospital admission in all cases, they must be interpreted as accompanying features in the context of complex psychiatric disorders. Diagnostic and therapeutic consequences are discussed with regard to the neurology.
我们连续研究了某大学神经科的50名患有分离性(转换性)障碍的神经科住院患者,涉及他们相关的精神病理特征以及共病情况。该研究使用了自我测量工具和标准化的精神科访谈。结果显示,患有转换性障碍的患者表现为精神病理高度紊乱的群体。我们发现,尽管分离性症状在现象学上非常突出,并且是所有病例入院的原因,但在复杂的精神障碍背景下,它们必须被解释为伴随特征。文中还讨论了对神经科的诊断和治疗影响。