Haberfellner E M, Rittmannsberger H
Landesnervenklinik, Wagner-Jauregg.
Nervenarzt. 1996 Sep;67(9):789-93. doi: 10.1007/s001150050055.
We report nine case histories of patients admitted to a psychiatric hospital for severe somatic disorders. The somatic disease was either the cause of the psychiatric symptomatology, or it occurred in addition to a well-known psychiatric disorder. For general practitioners and psychiatrists it can be difficult to differentiate between symptoms due to psychiatric disorders and symptoms that indicate somatic disorders. If patients refuse the necessary diagnostic or therapeutic procedures and show behaviour that is not related to good health, there is increased risk for complications and increased morbidity.
我们报告了9例因严重躯体疾病入住精神病院的患者病史。躯体疾病要么是精神症状的病因,要么是在已知精神障碍之外发生的。对于全科医生和精神科医生来说,区分精神障碍引起的症状和表明躯体疾病的症状可能很困难。如果患者拒绝必要的诊断或治疗程序,并表现出与健康状况无关的行为,并发症风险和发病率就会增加。