Somatoform Disorders躯体病样精神障碍(四)疑病Hypochondriasis

疑病Hypochondriasis

A. Preoccupation with fears of having, or the idea that one has, a serious disease based on the person’s misinterpretation of bodily symptoms.
固执地害怕或认为自己有严重的疾病,而且完全是主观错误地解读了自己的身体症状.

B. The preoccupation persists despite appropriate medical evaluation and reassurance.
尽管临床检查和诊断都清楚证明没有疾病,患者仍然坚持己见.

C. The belief in Criterion A is not of delusional intensity (as in Delusional Disorder, Somatic Type) and is not restricted to a circumscribed concern about appearance (as in Body Dysmorphic Disorder).
症状A中的认为不是错觉(比如发生在错觉障碍的躯体型),也不是只发生在对容颜的过分关注方面(如身体变形障碍中所见的症状).

D. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
这种坚持己见导致显著的痛苦,并影响了工作,社交或其他重要方面的功能.

E. The duration of the disturbance is at least 6 months.
症状至少持续六个月.

F. The preoccupation is not better accounted for by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or another Somatoform Disorder.
这种坚持己见不符合广泛焦虑症,强迫症,恐慌症,严重忧郁症,分离焦虑症,或另一种躯体障碍的诊断.


Body Dysmorphic Disorder躯体变形障碍

A. Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person’s concern is markedly excessive.
固执地认为自己的容貌有缺陷.即使患者本身有轻微的躯体缺陷,该患者的担心远远超出实际情况.

B. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
这种固执己见导致显著的痛苦,并影响了工作,社交或其他重要方面的功能.

C. The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in Anorexia Nervosa).
这种固执己见不符合另一种精神疾病的诊断(比如厌食症中对自己体型和体重的不满).