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内科门诊躯体形式障碍的临床特征和治疗研究
作者:任清涛1  李广2  马秀青1 
单位:1. 山东淄博市精神病医院 山东淄博 255120 
2.
 淄博市万杰医院 
关键词:Somatoform disorder Clinical features Diagnosis Internal medicine department Antidepressant 
分类号:R395.1
出版年,卷(期):页码:2001,9(4):284-285
摘要:

Objective:To investigate the clinical features,diagnosis and treatment of somatoform disorders (according to ICD-10 criteria) in outpatients of internal medicine department.Methods:96 patients with somatoform disorders being misdiagnosed and followed-up at the internal medicine outpatient department were rated using Self-Rating Depression Scale (SDS) and HAMD,and they were re-diagnosed according to ICD-10 criteria.Paroxetine were used to treat these patients with somatoform disorders.Results:All of the 96 Patients met the ICD-10 somatoform disorders criteria.Somatization disorder was the most frequent subtype diagnoses,and pain was the most frequent complaint among the somatoform symptoms.The patients' symptoms significantly improved after 8 weeks anti-depression treatment.Conclusion:Timely recognition and diagnosis of the somatoform disorders in internal medicine department may decrease the probability of inappropriate medical treatment.Antidepressants have efficiency for improving somatic and mental symptoms.

Objective:To investigate the clinical features,diagnosis and treatment of somatoform disorders (according to ICD-10 criteria) in outpatients of internal medicine department.Methods:96 patients with somatoform disorders being misdiagnosed and followed-up at the internal medicine outpatient department were rated using Self-Rating Depression Scale (SDS) and HAMD,and they were re-diagnosed according to ICD-10 criteria.Paroxetine were used to treat these patients with somatoform disorders.Results:All of the 96 Patients met the ICD-10 somatoform disorders criteria.Somatization disorder was the most frequent subtype diagnoses,and pain was the most frequent complaint among the somatoform symptoms.The patients' symptoms significantly improved after 8 weeks anti-depression treatment.Conclusion:Timely recognition and diagnosis of the somatoform disorders in internal medicine department may decrease the probability of inappropriate medical treatment.Antidepressants have efficiency for improving somatic and mental symptoms.

基金项目:
作者简介:
参考文献:

[1] World Health Organization.The ICD-10 Classification of Mental and Beh avioral Disorders:Clinical Descriptions and Diagnostic Guidelines.World Health Organiza tion,1992.15-16
[2] Lipowsky ZL.Somatization:The concept and its clinical application.Am J Psychi atry,1998,145:1358-1368
[3] 俞东山.减分率公式的修正.临床精神医学杂志,1995,5(1):12
[4] Fava A.The concept of psychosomatic disorder.Psychother Psychosom,1992,58:1-1 2
[5] Labot SM,Presisman RC,Torosian T,et al.Screening for som a tizing patients in the pulmonary subspecialty clinic.Psychosomatics,1996,37(4):327-338
[6] Gureji 0,Obikoya B.Somatization in primary care:Pattern and c orrelates in a clinic in Nigeria.Acta Psychiatr Scand,1992,86:223-227

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