Rief W, Hiller W, Margraf J
Roseneck Center for Behavioral Medicine, Prien, Germany.
J Abnorm Psychol. 1998 Nov;107(4):587-95. doi: 10.1037//0021-843x.107.4.587.
The aim of this study was to evaluate whether specific cognitive aspects are present in patients suffering from somatoform disorders. With a sample of 493 patients from a center for behavioral medicine, the authors evaluated a questionnaire assessing typical cognitions concerning body perception, illness behavior, and health. The authors further examined 225 participants, including patients with a somatization syndrome, patients with somatization syndrome and additional hypochondriasis, patients with hypochondriasis, patients with other mental disorders (clinical control group), and nonclinical controls. The results showed that not only patients with hypochondriasis but also patients with somatization syndrome had cognitive concerns and assumptions that were specific for the disorder. These patients had a self-concept of being weak and unable to tolerate stress. A catastrophizing interpretation of minor bodily complaints found in hypochondriacal patients in earlier studies was also found for patients with multiple somatization symptoms.
本研究的目的是评估躯体形式障碍患者是否存在特定的认知方面。作者以一家行为医学中心的493名患者为样本，评估了一份问卷，该问卷评估了有关身体感知、疾病行为和健康的典型认知。作者还进一步检查了225名参与者，包括患有躯体化综合征的患者、患有躯体化综合征并伴有疑病症的患者、疑病症患者、患有其他精神障碍的患者（临床对照组）以及非临床对照者。结果表明，不仅疑病症患者，而且躯体化综合征患者都有该疾病特有的认知担忧和假设。这些患者有自己很虚弱且无法承受压力的自我概念。早期研究中在疑病症患者身上发现的对轻微身体不适的灾难化解读，在有多躯体化症状的患者中也有发现。
