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首页> 外文期刊>The British journal of psychiatry : >La belle indifference in conversion symptoms and hysteria: systematic review.
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La belle indifference in conversion symptoms and hysteria: systematic review.

机译：La belle对转换症状和歇斯底里症的态度漠不关心：系统评价。

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BACKGROUND: La belle indifference refers to an apparent lack of concern shown by some patients towards their symptoms. It is often regarded as typical of conversion symptoms/hysteria. AIMS: To determine the frequency of la belle indifference in studies of patients with conversion symptoms/hysteria and to determine whether it discriminates between conversion symptoms and symptoms attributable to organic disease. METHOD: A systematic review of all studies published since 1965 that have reported rates of la belle indifference in patients with conversion symptoms and/or patients with organic disease. RESULTS: A total of 11 studies were eligible for inclusion. The median frequency of la belle indifference was 21% (range 0-54%) in 356 patients with conversion symptoms, and 29% (range 0-60%) in 157 patients with organic disease. CONCLUSIONS: The available evidence does not support the use of la belle indifference to discriminate between conversion symptoms and symptoms of organic disease. The quality of the published studies is poor, with a lack off operational definitions and masked ratings. La belle indifference should be abandoned as a clinical sign until both its definition and its utility have been clarified.
机译：背景：贝莱尔的冷漠是指某些患者对症状的明显缺乏关注。它通常被视为转换症状/歇斯底里的典型代表。目的：确定对患有转化性症状/歇斯底里症患者的研究中，对美女的冷漠频率，并确定是否区分转化性症状和可归因于器质性疾病的症状。方法：对自1965年以来发表的所有研究的系统评价，这些研究报告了患有转化症状的患者和/或有器质性疾病的患者对美女的冷漠率。结果：共有11项研究符合纳入条件。在356例有转化症状的患者中，la belle冷漠的中位频率为21％（0-54％），在157例器质性疾病患者中为29％（0-60％）。结论：现有证据不支持使用la belle冷漠来区分转化症状和器质性疾病症状。已发表研究的质量较差，缺乏操作定义和掩盖的评级。 La Belle冷漠应作为临床体征放弃，直到其定义和效用均得到阐明。

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