心理社会因素在纤维肌痛综合征中的作用。
The role of psychosocial factors in fibromyalgia syndrome.
作者信息
Eich W, Hartmann M, Müller A, Fischer H
机构信息
Medizinische Klinik der Universität Heidelberg, Abteilung Innere Medizin II, Germany.
出版信息
Scand J Rheumatol Suppl. 2000;113:30-1. doi: 10.1080/030097400446607.
OBJECTIVE
The main objective of this review was to evaluate the role of psychosocial factors in the development of fibromyalgia syndrome.
METHOD
Review of the literature concerning the influence of psychosocial factors.
RESULTS
In fibromyalgia syndrome psychosocial factors are relevant at different etiological levels. They can be classified into predisposing, triggering and stabilising/"chronifying" factors.
CONCLUSION
Due to the increasing knowledge about the influence of psychosocial factors for the development of fibromyalgia, the biomedical model has to be expanded to a biopsychosocial model. The biopsychosocial concept has an impact on the therapeutic approach. Strong evidence for the model is provided by the good results of interdisciplinary treatment studies.
目的
本综述的主要目的是评估心理社会因素在纤维肌痛综合征发展中的作用。
方法
回顾有关心理社会因素影响的文献。
结果
在纤维肌痛综合征中，心理社会因素在不同病因层面都具有相关性。它们可分为易患因素、触发因素和稳定/“慢性化”因素。
结论
由于对心理社会因素对纤维肌痛发展影响的认识不断增加，生物医学模式必须扩展为生物心理社会模式。生物心理社会概念对治疗方法有影响。跨学科治疗研究的良好结果为该模式提供了有力证据。
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