Somatoform Disorders軀體病樣精神障礙(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.
固執地害怕或認為自己有嚴重的疾病,而且完全是主觀錯誤地解讀了自己的身體症狀.

B. The preoccupation persists despite appropriate medical evaluation and reassurance.
盡管臨床檢查和診斷都清楚證明沒有疾病,患者仍然堅持己見.

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).
症狀A中的認為不是錯覺(比如發生在錯覺障礙的軀體型),也不是隻發生在對容顏的過分關注方麵(如身體變形障礙中所見的症狀).

D. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
這種堅持己見導致顯著的痛苦,並影響了工作,社交或其他重要方麵的功能.

E. The duration of the disturbance is at least 6 months.
症狀至少持續六個月.

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.
這種堅持己見不符合廣泛焦慮症,強迫症,恐慌症,嚴重憂鬱症,分離焦慮症,或另一種軀體障礙的診斷.


Body Dysmorphic Disorder軀體變形障礙

A. Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person’s concern is markedly excessive.
固執地認為自己的容貌有缺陷.即使患者本身有輕微的軀體缺陷,該患者的擔心遠遠超出實際情況.

B. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
這種固執己見導致顯著的痛苦,並影響了工作,社交或其他重要方麵的功能.

C. The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in Anorexia Nervosa).
這種固執己見不符合另一種精神疾病的診斷(比如厭食症中對自己體型和體重的不滿).