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Neurasthenia--a study of symptom configuration.

A questionnaire designed to obtain information of illness behavior and symptom manifestation of neurasthenia was administered to psychiatric outpatients (N=78), physicians (N=88), and community control populations (N=89). The analysis of the information show that mass media contributed the predominant learning source, psychological stree was distinctively identified as the cause ,and psychiatric treatment was one of the preferred treatment modalities. Presentation of symptoms showed high prevalence in emotional components. Factor analysis of symptoms revealed a heterogeneity of psychopathology. Interpretation of these factors was attempted. The clinical diagnosis based on DSM-iii yielded three diagnostic categories. Namely, anxiety disorders (51.3%), depressive disorders (including major depression) (44.8%) and adjustment disorders (3.8%). Thus, it is suggested that the present state of neurasthenia as a medical terminology may be regarded as a “communication code” to denote a conglomerate of mental disorders.