Somatoform Disorders躯体病样精神障碍(一)

Somatization Disorder躯体化失调

A. A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning.
患者的病史为,从三十岁以前开始不断地抱怨有各种身体上的不适,并持续数年,患者不断地求医,并导致社交,工作和其他重要功能的失常.

B. Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance:
以下各项指标都符合,在病程中有单个症状的发生:

(1) four pain symptoms: a history of pain related to at least four different sites or functions (e.g., head, abdomen, back, joints, extremities, chest, rectum, during menstruation, during sexual interco8use, or during urination)
四中疼痛症状:病史中有至少四个部位或功能性的疼痛(如:头痛,腹部痛,后背痛,关节痛,手指或脚趾痛,胸痛,直肠痛,排卵期痛,性交痛,小便时痛)

(2) two gastrointestinal symptoms: a history of at least two gastrointestinal symptoms other than pain (e.g., nausea, bloating, vomiting other than during pregnancy, diarrhea, or intolerance of several different foods)
两种胃肠道症状:病史中除痛症外至少有两种胃肠道症状(如:恶心,胃胀,非妊娠性呕吐,腹泄,或者不能忍受几种不同的食物)

(3) one sexual symptom: a history of at least one sexual or reproductive symptom other than pain (e.g., sexual indifference, erectile or ejaculatory dysfunction, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy)
一种性功能症状:病史中有至少一种性功能或生殖系统的除痛以外的症状(如:性冷淡,男性不举,女性不规则月经,经期出血过多,整个孕期呕吐)

(4) one pseudo neurological symptoms: a history of at least one symptom or deficit suggesting a neurological condition not limited to pain (conversion symptoms such as impaired coordination or balance, paralysis or localized weakness, difficulty swallowing or lump in throat, aphonia, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures: dissociative symptoms such as amnesia, or loss of consciousness other than fainting)
一中假性的神经系统症状:病史中有至少一项症状或缺陷与神经系统有关,不仅仅是指神经痛(转换性症状,如:协调和平衡失常,瘫痪或局部的肌肉无力,吞咽困难或喉头有肿块,失声,尿潴留,幻觉,失去痛或触觉,复视,失明,颠痫发作;分离性症状,如:失忆或失去知觉)

C. Either (1) or (2):以下的两项中有一项:

(1) after appropriate investigation, each of the symptoms in Criterion B cannot be fully explained by a known general medical condition or the direct effects of a substance (e.g., a drug of abuse, a medication)
经过各种相关检查,以上B中所提症状不能被已知的疾病或某种药物的直接作用所解释.

(2) when there is a related general medical condition, the physical complaints or resulting social or occupational impairment are in excess of what would be expected from the history, physical examination, or laboratory findings
即使患者确实患有某种身体疾病,他的主诉也比该病症的症状和病史要轻的多.
D. The symptoms are not intentionally produced or feigned (as in Factitious Disorder of Malingering).
这些症状不是故意编造的(与人为障碍病不同).