Escobar J I, Gara M, Waitzkin H, Silver R C, Holman A, Compton W
Department of Psychiatry, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Piscataway 08854-5635, USA.
Gen Hosp Psychiatry. 1998 May;20(3):155-9. doi: 10.1016/s0163-8343(98)00018-8.
The object of this study was to assess the prevalence and correlates of the DSM-IV diagnosis of hypochondriasis in a primary care setting. A large sample (N = 1456) of primary care users was given a structured interview to make diagnoses of mood, anxiety, and somatoform disorders and estimate levels of disability. The prevalence of hypochondriasis (DSM-IV) was about 3%. Patients with this disorder had higher levels of medically unexplained symptoms (abridged somatization) and were more impaired in their physical functioning than patients without the disorder. Of the various psychopathologies examined, major depressive syndromes were the most frequent among patients with hypochondriasis. Interestingly, unlike somatization disorder, hypochondriasis was not related to any demographic factor. Hypochondriasis is a relatively rare condition in primary care that is largely separable from somatization disorder but seems closely intertwined with the more severe depressive syndromes.
本研究的目的是评估在初级保健机构中，符合《精神疾病诊断与统计手册》第四版（DSM-IV）疑病症诊断标准的疾病流行情况及其相关因素。对大量初级保健患者样本（N = 1456）进行了结构化访谈，以诊断情绪、焦虑和躯体形式障碍，并评估残疾程度。疑病症（DSM-IV）的患病率约为3%。与未患该疾病的患者相比，患有该疾病的患者具有更多无法用医学解释的症状（简化的躯体化症状），其身体功能也受到更大损害。在所检查的各种精神病理学中，重度抑郁综合征在疑病症患者中最为常见。有趣的是，与躯体化障碍不同，疑病症与任何人口统计学因素均无关联。疑病症在初级保健中是一种相对罕见的疾病，在很大程度上与躯体化障碍可区分开来，但似乎与更严重的抑郁综合征密切相关。
