首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Influence of cultural and social factors on the epidemiology of idiopathic somatic complaints and syndromes.
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Influence of cultural and social factors on the epidemiology of idiopathic somatic complaints and syndromes.

机译:文化和社会因素对特发性躯体主诉和综合症流行病学的影响。

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摘要

OBJECTIVE: To review international research on somatic presentations often seen together with or attributed to psychopathology. For conceptual clarity, we refer to these presentations as "idiopathic somatic complaints and syndromes" (ISCS). This review will also pose specific questions on cultural issues affecting these somatic manifestations. METHOD: Selective review of the international literature dealing with the phenomenology, epidemiology, and cultural profile of ISCS focusing on papers published in refereed journals and written in English. RESULTS: Major problems with much of the previous research in this area are the use of different definitions and ascertainment procedures. As currently conceptualized in the literature, ISCS are universal and seem closely related to psychological issues (stress) and psychopathological conditions such as depression worldwide. Although there are many similarities regarding the form and content of these somatic presentations across cultures, there is some evidencefor cultural patterning of symptoms. Unfortunately, current classifications for ISCS are unsatisfactory. CONCLUSIONS: We outline specific recommendations for conducting future research and for improving the classification of ISCS of presumed psychological origin or import in future nosologies.
机译:目的:回顾关于经常与精神病理学一起出现或归因于心理病理学的躯体表现的国际研究。为了使概念清晰,我们将这些演示称为“特发性躯体主诉和综合症”(ISCS)。这篇综述还将对影响这些躯体表现的文化问题提出具体问题。方法:对有关ISCS的现象学,流行病学和文化特征的国际文献进行选择性回顾,重点是在推荐期刊上发表的论文以及以英语撰写的论文。结果:该领域先前的许多研究的主要问题是使用不同的定义和确定程序。正如目前在文献中所概念化的那样,ISCS是普遍的,似乎与世界范围内的心理问题(压力)和心理病理状况(例如抑郁症)密切相关。尽管跨文化的这些躯体介绍的形式和内容有很多相似之处,但仍有一些证据表明症状的文化特征。不幸的是,当前对ISCS的分类并不令人满意。结论:我们概述了进行未来研究和改善ISCS分类的建议,这些ISCS是推测的心理起源或未来疾病学意义的来源。

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