Beckmann D, Brähler E, Braun P
Z Psychosom Med Psychoanal. 1977 Jul-Sep;23(3):251-61.
The hypothesis that neurotic bodily complaints are dependent on social class, sex, and age, was tested using a representative sample of size N=1549. It is shown that bodily complaints are dependent on age and sex, but independent of social class. Correlations of -.41 between age and education and of -.22 between education and sex were obtained, suggesting that the correlation found in earlier investigations between social class and neurotic bodily complaints were in fact due to the common dependence on sex. It is shown, however, that psychosomatic conceptions of bodily complaints are dependent on social class. People from higher social classes interpret their complaints significantly more frequently as being due to psychological factors. The consequences for the doctor-patient-relationship, which may be drawn from these results, are discussed.
使用一个N = 1549的代表性样本对神经质性身体不适依赖于社会阶层、性别和年龄这一假设进行了检验。结果表明,身体不适依赖于年龄和性别,但与社会阶层无关。年龄与教育程度之间的相关系数为-.41,教育程度与性别之间的相关系数为-.22,这表明早期调查中发现的社会阶层与神经质性身体不适之间的相关性实际上是由于对性别的共同依赖。然而,研究表明,对身体不适的身心观念依赖于社会阶层。来自较高社会阶层的人将他们的不适更多地解释为是由心理因素导致的。文中讨论了从这些结果中可能得出的对医患关系的影响。