Schmidl F
Psychosomatischen Ambulanz der Neurologischen Abteilung des Krankenhauses der Stadt Wien-Lainz.
Wien Med Wochenschr. 2000;150(13-14):295-9.
Chronic pain syndromes and somatic syndromes not fully explained by organic pathology are common complaints presented by patients in general health care. Studies have shown the major role of psychological factors in the etiology of these disorders leading to new conceptualization of illness and cognitive behavioral approaches to treatment. Chronic pain and somatoform symptoms are dependent on individual resources of stress prevention strategies, coping skills, environmental influences on symptoms and dysfunctional cognitions and beliefs about illness. Psychological concepts, treatment approaches and specific interventions are demonstrated.
慢性疼痛综合征和未被器质性病理完全解释的躯体综合征是普通医疗保健中患者常见的主诉。研究表明,心理因素在这些疾病的病因中起主要作用,这导致了对疾病的重新概念化以及认知行为治疗方法的出现。慢性疼痛和躯体形式症状取决于预防压力策略、应对技巧、环境对症状的影响以及对疾病的功能失调认知和信念等个体资源。文中展示了心理概念、治疗方法和具体干预措施。