Smulevich A B, Syrkin A L, Drobizhev M Iu, Drozdov D V, Guseĭnov I G
Ter Arkh. 1994;66(7):83-8.
Clinical follow-up, MPT, clinical and instrumental cardiological evidence is available for 30 postmyocardial infarction patients. They exhibited hypochondriac reactions which persisted for more than 6 months. Three types of such reactions were recognized: somatization (I), cenesthetic (II), overvalued (III). I reactions were associated with homonomous body sensations, anxious and conversion disorders, avoidance behavior. II reactions cover heteronomous sensations with attendant autoaggressive behavior. Patients with reactions III had dominant ideas of complete health recovery, delirium-like fantasies. It is established that I reactions arise in personalities with neurotism radical, reactions II in those with rigidity and eccentric behavior, reactions III in patients with rigidity and conformity.
对30例心肌梗死后患者进行了临床随访、运动平板试验（MPT）以及临床和仪器检查的心脏学证据分析。他们表现出持续超过6个月的疑病反应。识别出了三种此类反应：躯体化反应（I型）、本体感觉反应（II型）、超价观念反应（III型）。I型反应与自主性身体感觉、焦虑和转换障碍、回避行为有关。II型反应涵盖伴有自我攻击行为的异己感觉。III型反应的患者有完全康复的主导观念、谵妄样幻想。已确定I型反应出现在具有神经质特质的人格中，II型反应出现在行为刻板和古怪的人格中，III型反应出现在行为刻板和顺从的患者中。
