综合医院住院病人躯体形式障碍的临床特点

目的了解综合医院住院病人中躯体形式障碍(SD)的患病比率、临床特点及相关因素。方法采用自编调查表和ICD-10诊断标准对综合医院住院病人进行躯体形式障碍筛查及诊断,对SD患者与躯体病患者进行SCL-90量表测查。结果共筛查了1012例住院病人,诊断为SD者42例(4.15%),SD病人最常见症状为慢性疼痛、胃肠道及自主神经症状;与躯体病患者比较,SD患者年龄偏小(t=2.32,P<0.05),住院次数偏多(t=2.21,P<0.05),SCL-90总分、阳性项目数、躯体化、抑郁、焦虑及精神病性因子分高于普通躯体病患者(t=2.54~6.37,P<0.05~0.01)。结论综合医院中因躯体主诉而反复住院的SD病人并不少见,SD病人的心理状况差于普通躯体病患者。

Clinical Features and Related Factors of Somatoform Disorders in General Hospital Wards

Objective: To investigate the prevalence, clinical characters and related factors of somatoform disorder in general hospital ward. Methods:By the SD criterion of ICD-10 and the Questionnaire for Inpatients we screened the somatoform disorder patients in general hospital wards, and compared psychosomatic symptoms of the SD patients and the patients with physical disease by SCL-90 scale.Results:42 inpatients were diagnosed as SD among 1012 inpatients. The most common somatic symptoms of SD included chronic pain, gastrointestinal and parasympathetic symptoms. SD inpatients were younger than body disease inpatients(t=2.32,P<0.05), they also have more admission times(t=2.21,P<0.05)and got higher scores in the total scores of SCL-90 scale, positive item number, Somatization, Interpersonal Sensitivity, Depression, Anxiety and Psychotics (t=2.54~6.37,P<0.05 or P<0.01).Conclusion:SD patients those were hospitalized for somatic complaints was not lack in general hospital. The mental health of SD inpatients was worse than inpatients with physical disease.