Labhardt F, Müller W
Schweiz Med Wochenschr. 1976 Dec 25;106(52):1912-7.
Rheumatic diseases may be connected to varying degrees with psychic factors. On the one hand, rheumatic diseases may produce psychic reactions, while on the other hand rheumatic symptoms--especially in extra-articular rheumatism--may be induced by psychosomatic hysteric pararheumatic diseases and depressive mechanisms. Special reference is made to psychosomatically induced extra-articular rheumatic diseases in which not only the complex genesis but also the clinical symptomatology are discussed. During therapy more attention should be directed to psychic factors than in the past, as only an intensive psycho and/or psychopharmacotherapy can influence the disease.
风湿性疾病可能在不同程度上与心理因素相关。一方面，风湿性疾病可能产生心理反应，而另一方面，风湿症状——尤其是在关节外风湿病中——可能由身心性癔症性类风湿疾病和抑郁机制诱发。特别提及了身心诱发的关节外风湿性疾病，其中不仅讨论了复杂的发病机制，还讨论了临床症状学。在治疗过程中，应比过去更加关注心理因素，因为只有强化心理治疗和/或心理药物治疗才能影响疾病。
