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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Stability of somatoform symptoms--implications for classification.
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Stability of somatoform symptoms--implications for classification.

机译：躯体形式症状的稳定性-分类的含义。

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OBJECTIVE: To investigate the stability of somatoform symptoms/disorders. METHODS: A literature search was done to select studies reporting data on stability of medically unexplained physical symptoms. RESULTS: Whereas individual symptoms vary over time, grouping symptoms into syndromes seems to create stable features. There are substantial problems with the use of lifetime diagnosis, favoring classification approaches that require only present state symptoms. Further, doctors' ratings that symptoms are "medically unexplained" is highly problematic and reduces interrater reliability. Misdiagnoses and overlooking of organic conditions are in the same range as for other psychiatric (and many organic) disorders; therefore, this does not seem to reduce the stability of the diagnoses of somatoform disorders. CONCLUSIONS: These results indicate how the classification of somatoform disorders can be improved. Some new diagnostic criteria are suggested that could be considered in the revision of Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V).
机译：目的：研究躯体形式症状/疾病的稳定性。方法：进行文献检索以选择报告医学上无法解释的身体症状稳定性的数据的研究。结果：个体症状随时间变化，将症状分组为综合症似乎可以产生稳定的特征。生命诊断的使用存在很多问题，倾向于仅需要当前状态症状的分类方法。此外，医生对症状“在医学上无法解释”的评级存在很大问题，并降低了间行者的可靠性。误诊和忽视器质性疾病的范围与其他精神病（和许多器质性）疾病的范围相同;因此，这似乎并没有降低躯体形式疾病诊断的稳定性。结论：这些结果表明如何改善躯体形式障碍的分类。提出了一些新的诊断标准，可以在《精神疾病诊断和统计手册-V（DSM-V）》的修订版中考虑。

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