Smith G R
National Institute of Mental Health Center for Rural Mental Healthcare Research, VA Health Services Research and Development Field Program for Mental Health, University of Arkansas for Medical Sciences, Little Rock 72205.
Psychosomatics. 1994 May-Jun;35(3):263-7. doi: 10.1016/S0033-3182(94)71774-6.
Patients with somatization disorder (SD), subthreshold somatization, and somatization that is comorbid with another mental or physical disorder use a remarkably high level of general medical services. Because these patients view themselves as more seriously ill than do patients in the general medical population, their use of health care services may be as high as nine times greater than that of the general population. It is important to understand the course and prevalence of SD because 1) these patients tend to overuse health care resources and services, and 2) the associated costs are enormous. It is vital that expert clinical care and research be directed at this important patient group so that appropriate treatment regimens can be developed to help these patients and control the overutilization of limited health care resources.
患有躯体化障碍（SD）、阈下躯体化以及与其他精神或躯体疾病共病的躯体化患者使用的普通医疗服务水平显著较高。因为这些患者认为自己比普通医疗人群中的患者病情更严重，他们使用医疗保健服务的频率可能比普通人群高九倍。了解SD的病程和患病率很重要，原因如下：1）这些患者往往过度使用医疗保健资源和服务；2）相关成本巨大。至关重要的是，要针对这一重要患者群体提供专业的临床护理和开展研究，以便制定适当的治疗方案来帮助这些患者，并控制对有限医疗保健资源的过度利用。
