Huber M
Institut und der Poliklinik für Psychosomatik und Psychotherapie der Universität zu Köln.
Versicherungsmedizin. 2000 Jun 1;52(2):66-75.
In 1997, 30% of the persons going into early retirement because of occupational disability and received pensions were psychosomatically ill. An additional large number of retirees suffered from untreatable pain such as chronic low back pain, some of them might as well have a chronic somatoform pain disorder. The article describes frequent psychosomatic diseases like somatization disorder, fibromyalgia and chronic fatigue syndrome with respect to their pathophysiology and psychological aspects as well as therapeutic advancements. It is postulated that an interdisciplinary access to these patients early in the course of their illness involving both somatic medical and psychiatric competence is the most promising means to tackle this enormous medical and health protection problem.
1997年，因职业残疾提前退休并领取养老金的人员中，30%患有身心疾病。另外还有大量退休人员患有无法治愈的疼痛，如慢性腰痛，其中一些人可能还患有慢性躯体形式疼痛障碍。本文描述了躯体化障碍、纤维肌痛和慢性疲劳综合征等常见身心疾病的病理生理学、心理方面以及治疗进展。据推测，在疾病早期对这些患者采用跨学科方法，结合躯体医学和精神病学专业知识，是解决这一巨大医疗和健康保护问题最有前景的方法。
