Korkina M V, Marilov V V
Zh Nevrol Psikhiatr Im S S Korsakova. 1995;95(6):43-7.
612 patients with different psychosomatic disorders of gastrointestinal tract (GIT) were examined. They included either 200 patients with organic stomach disease or with duodenal ulcer as well as 412 individuals with various functional disorders of GIT such as psychogenic vomiting, dysphagia, gastralgia and colon irritability syndrome. In 70% of all cases patientc relatives (1-3 degree of relationship) had also some psychosomatic diseases. All the patients suffered in childhood from so-called GIT-variant of children's neuropathia. Being adults they all met intensive or moderate stress and developed psychogenic depression. Two ways of psychosomatic disorders cristallization on the background of depression were observed, exactly reactivation of children's neuropathia symptomes or rapid affect somatization which were followed by psychosomatic cycles formation and by stress tolerance decrease. Several types of psychosomatic development were described: hypochondrial (78.8%), asthenic (12.4%), obsessive (2.3%), hysterical (4.4%) and paranoial (2.1%).
对612例患有不同胃肠道身心障碍的患者进行了检查。其中包括200例患有器质性胃病或十二指肠溃疡的患者，以及412例患有各种胃肠道功能障碍的个体，如心因性呕吐、吞咽困难、胃痛和结肠应激综合征。在所有病例的70%中，患者的亲属（一级至三级亲属关系）也患有一些身心疾病。所有患者在童年时期都患有所谓的儿童神经病变的胃肠道变体。成年后，他们都遭遇过强烈或中度的压力，并患上了心因性抑郁症。观察到在抑郁症背景下身心障碍形成的两种方式，即儿童神经病变症状的重新激活或快速的情感躯体化，随后形成身心循环并导致应激耐受性下降。描述了几种身心发展类型：疑病型（78.8%）、虚弱型（12.4%）、强迫型（2.3%）、癔症型（4.4%）和偏执型（2.1%）。
