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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Abridged somatization: a study in primary care.
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Abridged somatization: a study in primary care.

机译：简化的躯体化：基层医疗研究。

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OBJECTIVE: We examined the prevalence, correlates, and predictive value of an abbreviated somatization index, based on specific symptom thresholds, in primary care patients using services at a university-affiliated clinic. METHOD: We interviewed 1456 patients with a survey instrument that included the Composite International Diagnostic Interview (CIDI) to elicit symptoms and diagnoses of several psychiatric disorders as well as demographic information and a measure of disability. Statistical analyses examined the relationship of abridged somatization with physical functioning and various demographic and diagnostic factors. RESULTS: About one fifth of this primary care sample met the abridged somatization criteria. "Somatizers," defined according to these criteria, had significantly higher levels of psychiatric comorbidity and disability than "nonsomatizers". Analyses taking into account the number and type of organ/body systems represented by the unexplained symptoms showed that this dimension adds specificity to the prediction of outcomes. Thus, regardless of the total number of medically unexplained symptoms, abridged somatization with unexplained symptoms attributable to four or more organ/body systems showed the strongest association with disability and psychopathology. CONCLUSIONS: Abridged Somatization is a frequent syndrome in primary care that is strongly associated with psychopathology and physical disability. Our research also yielded a new series of abridged somatization subtypes (eg, "discrete" vs. "comorbid" and "simple" vs. "polymorphous") that may effectively separate among various psychopathologies, and may become useful tools for future research with somatizing patients.
机译：目的：我们根据特定症状阈值，对在大学附属诊所使用服务的初级保健患者的缩写躯体化指数的发生率，相关性和预测价值进行了研究。方法：我们用一种包括综合国际诊断访谈（CIDI）在内的调查工具对1456例患者进行了访谈，以得出多种精神疾病的症状和诊断以及人口统计学信息和残疾程度。统计分析检查了简化的躯体化与身体机能以及各种人口统计学和诊断因素之间的关系。结果：大约五分之一的初级保健样本达到了简化的躯体化标准。根据这些标准定义的“ Somatizers”比“ nonsomatizers”具有更高的精神病合并症和残疾水平。考虑到无法解释的症状所代表的器官/身体系统的数量和类型的分析表明，该维度为预测结果增加了特异性。因此，无论医学上无法解释的症状的总数如何，具有四个或更多器官/身体系统可归因的，无法解释的症状的简短躯体化表现出与残疾和心理病理学的最强关联。结论：简化的躯体化是基层医疗中的一种常见综合征，与心理病理学和身体残疾密切相关。我们的研究还产生了一系列新的简化的躯体化亚型（例如“离散”与“合并”以及“简单”与“多态”），这些亚型可以有效地区分各种精神病理学，并且可能成为将来进行躯体化研究的有用工具耐心。

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