Kitamura T, Nakamura M, Miura I, Fujinawa A
National Institute of Mental Health, National Center of Neurology and Psychiatry, Ichikawa, Japan.
Psychopathology. 1997;30(4):191-9. doi: 10.1159/000285047.
Consecutively referred out-patients (n = 102) with non-psychotic functional psychiatric disorders were examined. Nine syndrome scores (panic attack, phobic anxiety, generalized anxiety, obsessive-compulsive, dissociative, conversion, somatoform, depersonalization, and depressive) showed patterns corresponding to ICD-10 diagnoses. However, some also showed moderate correlations between each other. Factor analysis revealed that the nine syndrome scores could be accounted for by three factors-anxiety and somatic, depression and obsessive-compulsive, and hysterical. These findings cast doubt on the nosological specificity of the recent categorization of neurotic disorders. Furthermore, the symptom constellations identified in this study may be culture-bound.
对连续转诊的102例非精神病性功能性精神障碍门诊患者进行了检查。九个综合征评分(惊恐发作、恐惧性焦虑、广泛性焦虑、强迫观念与强迫行为、分离性、转换性、躯体形式、人格解体和抑郁)显示出与ICD - 10诊断相符的模式。然而,有些评分之间也显示出中等程度的相关性。因子分析表明,这九个综合征评分可由三个因素解释——焦虑与躯体症状、抑郁与强迫观念及强迫行为、癔症性。这些发现对近期神经症性障碍分类的疾病特异性提出了质疑。此外,本研究中确定的症状群可能具有文化局限性。