Abstract
目的 探讨躯体化障碍与广泛性焦虑患者的情绪、躯体主诉及服药依从性差异.方法对37例躯体化障碍和31例广泛性焦虑分别采用自编躯体症状主诉频数表和汉密尔顿焦虑量表(HAMA)、抑郁量表(HAMD)进行测评.结果两组HAMD总分无差异,躯体化障碍的认知障碍及阻滞因子分别低于和高于广泛性焦虑(t=2.676,P=0.009;t=4.137,P=0.001).躯体化障碍的HAMA总分及躯体性焦虑分低于广泛性焦虑(t=3.773,P=0.000;t=2.996,P=0.004).胃肠道功能紊乱主诉躯体化障碍患者较常见,与自主神经功能紊乱有关的躯体主诉广泛性焦虑更多.服药依从性两组无差异.结论两组疾病症状互有重叠,在疾病现象学上缺乏独特性和特征性的症状结构。
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