疑病者与疑似病者,在基础心理特征方面存在较大差异,也有一定的共性,两者都构成诊断结果,会给当事人带来心理上焦虑、不安等情绪。疑病者的心理问题是内生性的,与精神倾向及人格有关,疑似病者的心理问题是外生性的,与机体症状有关。疑病者与疑似病者的角色在一定条件下可以相互转化,疑病者在长期不良心境下可变为疑似病者,具有高神经质人格的疑似病者易转变为疑病者。在心理干预过程中,应该注意到这两者不同的特点,采取不同的措施。
Both hypochondriasis patients and suspected patients are results of the doctors 'diagnosis ,although there are some incommon ,the basic psychology characters between them are different .For patients ,the diagnoses will cause anxiety , insecurity .Hypochondriasis patients'psychological disorders are intrinsic and relating to their psychological tendency and personality , while suspected patients ' are exogenously and relating with their physical symptoms . Under certain conditions ,the role of the two patients can be inter-transformed . For hypochondriasis patients ,long term bad mood results in the suspected disease ; while suspected patients with high neurotic personality may become hypochondriasis patients .So during the course of psychotherapy , we should pay attention to the different characteristics of the two patients ,so different measures should be taken .