Somatoform disorders among first-time referrals to a neurology service

被引:63
作者
Fink, P
Hansen, MS
Sondergaard, L
机构
[1] Aarhus Univ Hosp, Res Clin Funct Disorders & Psychosomat, DK-8000 Aarhus, Denmark
[2] Hosp Psychiat, Dept Psychiat Demog, Aarhus, Denmark
[3] Vejle Cty Hosp, Dept Psychiat, Vejle, Denmark
关键词
D O I
10.1176/appi.psy.46.6.540
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Consecutive new neurology inpatients and outpatients (N = 198) were assessed for somatoform disorders by using the Schedules for Clinical Assessment in Neuropsychiatry. Sixty-one percent of the patients (59% of the female patients and 63% of the male patients) had at least one medically unexplained symptom, and 34.9% fulfilled the diagnostic criteria for an ICD-10 somatoform disorder (27.7% of the male patients, 41.3% of the female patients, 20.5% of the inpatients, and 43.2% of the outpatients). The prevalence figures were about the same when DSM-IV criteria for somatoform disorders were used. Of the patients with a somatoform, disorder 60.5% also had another mental disorder Somatization disorder somatoform autonomic dysfunction, pain disorder and neurasthenia were equally prevalent (6%-7%); dissociative (conversion) disorders and undifferentiated somatoform disorders were found in 2-3% of the patients. Fifty percent of the patients with somatoform disorders were identified by the neurologists.
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页码:540 / 548
页数:9
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