Pätzold K
Z Gesamte Inn Med. 1976 Jan 1;31(1):299-302.
It is reported on 215 patients in whom after detailed somatic and psychodiagnostic examination in a ward of internal diseases the diagnosis of neurosis was made. The cases in question were 33.3% of the whole number of patients during a selected period. In the majority of cases (74%) organic functional disturbances were diagnosed, above all cardiovascular and gastro-enterological syndromes. The screening diagnostics especially with the help of questionaires of complaints allowed of a comparatively certain conclusion to the existence of a psychovegetative syndrome. Altogether 51 patients exhibited the picture of a functional organic linkage syndrome, i.e. in an organic disease a characteristic functional syndrome remained ascertained. The duration of the diseases was always several years, they were chronified, mostly by iatrogenic influences and labelled by an organic pseudodiagnosis. Among the therapeutic measures possible in practice already the diagnosing of a neurosis represents a decisive step.
据报道,在内科病房对215名患者进行详细的躯体和心理诊断检查后,确诊为神经症。这些病例占所选时期患者总数的33.3%。在大多数病例(74%)中,诊断出器质性功能障碍,主要是心血管和胃肠综合征。借助症状问卷进行的筛查诊断能够相对确定地得出是否存在精神植物神经综合征的结论。共有51名患者表现出功能性有机联系综合征的症状,即在器质性疾病中仍可确定存在特征性的功能综合征。疾病病程通常长达数年,大多因医源性影响而慢性化,并被误诊为器质性疾病。在实际可行的治疗措施中,对神经症的诊断本身就是决定性的一步。