Fritz G K, Fritsch S, Hagino O
Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.
J Am Acad Child Adolesc Psychiatry. 1997 Oct;36(10):1329-38. doi: 10.1097/00004583-199710000-00014.
To review the literature on somatoform disorders in children and adolescents relevant to recertification by the American Board of Psychiatry and Neurology.
The psychiatric, pediatric, and psychological literatures were searched for clinical or research articles in the past 10 years dealing with somatization and somatoform disorders.
Somatizing presentations are organized conceptually; somatization disorder, body dysmorphic disorder, hypochondriasis, conversion disorder, vocal cord dysfunction, pain disorder, and recurrent abdominal pain are described in children and adolescents; empirical evidence for treatment efficacy is scant, but clinically reasonable approaches are applied.
More developmentally appropriate diagnostic schemas and better outcome studies are needed in all the somatoform disorders for children and adolescents.
回顾与美国精神病学与神经学委员会重新认证相关的儿童和青少年躯体形式障碍的文献。
检索过去10年精神科、儿科和心理学文献中关于躯体化和躯体形式障碍的临床或研究文章。
对躯体化表现进行了概念性组织；描述了儿童和青少年中的躯体化障碍、躯体变形障碍、疑病症、转换障碍、声带功能障碍、疼痛障碍和复发性腹痛；治疗效果的实证证据不足，但采用了临床合理的方法。
对于儿童和青少年的所有躯体形式障碍，需要更适合其发育阶段的诊断模式和更好的疗效研究。
