内科门诊躯体形式障碍的临床特征和治疗研究

Objective:To investigate the clinical features, diagnosis and treatment of somatoform disorders (according to ICD-10 criteria) in outpatients of internal medicine department.Methods:96 patients with somatoform disorders being misdiagnosed and followed-up at the internal medicine outpatient department were rated using Self-Rating Depression Scale (SDS) and HAMD, and they were re-diagnosed according to ICD-10 criteria. Paroxetine were used to treat these patients with somatoform disorders.Results: All of the 96 Patients met the ICD-10 somatoform disorders criteria. Somatization disorder was the most frequent subtype diagnoses, and pain was the most frequent complaint among the somatoform symptoms. The patients' symptoms significantly improved after 8 weeks anti-depression treatment.Conclusion:Timely recognition and diagnosis of the somatoform disorders in internal medicine department may decrease the probability of inappropriate medical treatment. Antidepressants have efficiency for improving somatic and mental symptoms.