Fink P K
Institut for psykiatrisk demografi, socialpsykiatrisk forskningsenhed, Psykiatrisk Hospital i Arhus.
Ugeskr Laeger. 1993 Jul 5;155(27):2133-8.
The purpose of the study was to describe the physical complaints and symptoms of persistently somatizing patients. Individuals in the general population (age 17-49 years) with at least ten general admissions during an eight-year period were studied. Persistent somatizers (i.e. patients with more than six medically unexplained general admissions) were compared with patients whose admissions could be ascribed to well-defined somatic disorders. Somatizers were characterized by multiple symptoms from many organ systems, and their physical complaints simulated most types of somatic disorders. Although some symptoms were more common than others, none were infrequent, so neither "classic" conversion symptoms nor pain symptoms were found to be especially characteristic of the persistent somatizer. These findings question the use of a predefined symptom checklist in the diagnostic criteria for somatizing disorder. One fifth of the persistent somatizers had been admitted at least once for factitious illness, but apart from the fact that they had more symptoms and admissions, they did not differ from the other persistent somatizers.
该研究的目的是描述持续存在躯体化症状患者的身体不适和症状。对普通人群（年龄在17至49岁之间）中在八年期间至少有十次普通住院记录的个体进行了研究。将持续躯体化者（即有超过六次医学上无法解释的普通住院记录的患者）与住院可归因于明确躯体疾病的患者进行了比较。躯体化者的特征是来自多个器官系统的多种症状，他们的身体不适模拟了大多数类型的躯体疾病。虽然有些症状比其他症状更常见，但没有一种症状是罕见的，因此未发现“典型”转换症状或疼痛症状是持续躯体化者的特别特征。这些发现对在躯体化障碍诊断标准中使用预先定义的症状清单提出了质疑。五分之一的持续躯体化者曾因人为性疾病至少住院一次，但除了他们有更多症状和住院次数外，他们与其他持续躯体化者并无差异。
