Timsit M, Urbain E, Sabatier J, Timsit-Berthier M
MMW Munch Med Wochenschr. 1975 Sep 19;117(38):1515-20.
Three groups of patients were compared statistically: 79 with the diagnosis "psychosomatic headache" (in the strict sense of the term), 450 others whose headache was part of another disorder (termed "symptomatic headache"), and 850 patients free from headache symptoms. The following characteristics were found for the group with psychosomatic headache: More psychosomatic diseases in the family, usually the eldest in birth rank, usually living in towns, married, two children, intellectual level about average, overweight, ego-strength with compulsive features, tendency towards oral abuse of different kinds, few other psychosomatic complaints (contrary to the group with symptomatic headache). In the discussion the authors try to demonstrate the defensive function of this selective somatisation.
79例诊断为“心身性头痛”(严格意义上),450例头痛是其他疾病一部分的患者(称为“症状性头痛”),以及850例无头痛症状的患者。在心身性头痛组中发现了以下特征:家族中心身疾病较多,通常在出生顺序上是老大,通常生活在城镇,已婚,有两个孩子,智力水平约为平均水平,超重,自我力量具有强迫特征,有不同类型的口欲期滥用倾向,其他心身性主诉较少(与症状性头痛组相反)。在讨论中,作者试图证明这种选择性躯体化的防御功能。