Kasdan M L, Soergel T M, Johnson A L, Lewis K, White W L
Division of Plastic Surgery, University of Louisville, KY, USA.
J Hand Surg Am. 1998 Jan;23(1):26-31. doi: 10.1016/S0363-5023(98)80084-1.
The SHAFT syndrome is a factitious disorder in which a patient manipulates the surgeon to perform operations to fulfill his or her psychological needs. The acronym describes patients who are sad, hostile, anxious, frustrating, and tenacious. A chart review from January 1990 to June 1996 was undertaken to provide a profile to aid in the recognition and diagnosis of the SHAFT syndrome. An analysis of 28 patients revealed characteristics supporting a definitive SHAFT profile. Patients with SHAFT syndrome seek physicians to perform invasive procedures. Their typical complaint is pain, usually without objective physical findings that would support a more definitive diagnosis. Such patients tend to be women, cry with pain, describe symptoms out of proportion to objective findings, and have a history of psychiatric care.
SHAFT综合征是一种人为性障碍，患者会操纵外科医生进行手术以满足其心理需求。这个首字母缩写词描述的是悲伤、敌对、焦虑、沮丧且固执的患者。我们对1990年1月至1996年6月期间的病历进行了回顾，以提供有助于识别和诊断SHAFT综合征的特征描述。对28例患者的分析揭示了支持明确的SHAFT特征的特点。患有SHAFT综合征的患者会寻求医生进行侵入性操作。他们的典型主诉是疼痛，通常没有能支持更明确诊断的客观体征。这类患者往往为女性，会因疼痛哭泣，描述的症状与客观体征不符，且有精神科治疗史。
