疑病性神经症的前瞻性现场测试

Prospective test of hypochondriac neurosis.

目的 为进一步研究疑病性神经症 ,完善其诊断标准 ,为CCMD— 3提供客观依据。方法 以陈彦方编制的精神障碍诊断量表 (DSMD) ,对 3 6例疑病性神经症患者进行连续 5次的前瞻性现场型测试。结果 疑病性神经症患者病程迁延 ,起病有精神因素者占 5 0 % ,个性内向者居多占 5 5 6%。症状多种多样 ,除疑病观念外 ,多伴有焦虑、抑郁、内感性不适、植物神经功能紊乱表现等。其社会功能均有一定损害。结论 在修定中国精神疾病分类方案与诊断标准(CCMD)时宜加入病程标准 ,对常见的植物神经功能紊乱 ,内感不适等症状 ,可考虑在描述性说明中加入 ,排除标准应增加焦虑症。

Objective To further studied hypochondriac neurosis and perfect the diagnose standard and provided objective basis for CCMD-3.Method Prospective test was performed continuly in 36 patients of hypochondriac neurosis five times according to DSMD(written by CHEN Yanfang).Results The course of hypochondriac neurosis was persistence,50% patients had mental factors,and 55.6% patients were introversive personality.The symptoms were various,besides hypochondriacalidea,there were anxiety,depression,senestopathia and vegetative function disorder etc in the disease.The social functioning were impaired.Conclusions The results suggested to add disease course standard in CCMD,we'd better add the common symptoms,such as vegetative function disorder.senestopathia etc,and add anxiety neurosis,schizophrenia in eliminating standard.