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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Chronic fatigue syndrome in psychiatric patients: lifetime and premorbid personal history of physical health.
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Chronic fatigue syndrome in psychiatric patients: lifetime and premorbid personal history of physical health.

机译：精神病患者的慢性疲劳综合症：一生和身体健康前病史。

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OBJECTIVE: This preliminary report compares a group of chronic fatigue syndrome (CFS) patients and controls on several variables of potential significance in the etiology of CFS. METHOD: The lifetime prevalence of reported physical disorders was compared among 46 CFS psychiatric patients, 92 relatively physically healthy psychiatric patients (C-I), and 46 psychiatric patients selected without regard to physical health (C-II). All patients were matched on age, sex, and psychiatric diagnosis and were drawn from the same psychiatric practice. The same groups were compared on a 7-point scale of lifetime physical health by three raters independently evaluating physical health narratives of the CFS patients up to the time of onset of CFS and that of the controls up to the corresponding age. RESULTS: The CFS patients had a significantly higher reported lifetime prevalence of irritable bowel syndrome (IBS), infectious mononucleosis-like syndromes (IM), infectious mononucleosis-like syndromes two or more times (IM x 2), and herpes (other than genital or perioral herpes) than one or both control groups. The CFS group also had a higher incidence of allergic rhinitis or asthma, IBS, IM, and IM x 2 than the combined controls. On the independent ratings, the CFS patients had significantly more impaired physical health up to the time of onset of the CFS than C-I at a comparable age. CONCLUSIONS: The findings suggest that a general health factor may be involved in the pathogenesis of some cases of CFS.
机译：目的：本初步报告比较了一组慢性疲劳综合症（CFS）患者和对照在CFS病因中具有潜在意义的几个变量。方法：比较了46例CFS精神病患者，92例相对身体健康的精神病患者（C-I）和46例不考虑身体健康的精神病患者（C-II）所报告的身体疾病的终生患病率。所有患者的年龄，性别和精神病学诊断均匹配，并且均来自相同的精神病学实践。由三名评估者以7分制对一生的整体身体健康状况进行比较，他们分别评估了CFS患者发病至CFS时的身体健康状况以及对照人群至相应年龄的身体健康状况。结果：CFS患者的终生患肠易激综合征（IBS），传染性单核细胞增多症样综合征（IM），传染性单核细胞增多症样综合征两次或两次以上（IM x 2）和疱疹（生殖器除外）或口唇疱疹）。 CFS组的过敏性鼻炎或哮喘，IBS，IM和IM x 2的发生率也比联合对照组高。根据独立评分，在相当的年龄，CFS病人到CFS发作时的身体健康状况明显较C-1严重。结论：研究结果表明，某些CFS病例的发病机制可能与一般健康因素有关。

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