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[以腹痛综合征为主要症状的焦虑抑郁障碍。住院心理治疗取得成功]

[Abdominal pain syndrome as the chief symptom of an anxiety and depressive disorder. Successful treatment with inpatient psychotherapy].

作者信息

Heger S

机构信息

Klinik für Psychosomatik und Psychotherapeutische Medizin, Zentralinstitut für Seelische Gesundheit, Mannheim.

出版信息

Psychiatr Prax. 2001 Jan;28(1):45-7. doi: 10.1055/s-2001-10500.

DOI:10.1055/s-2001-10500
PMID:11236336
Abstract

OBJECTIVE

Though frequently misinterpreted, gastrointestinal complaints are among the most common psychosomatic syndromes.

CASE REPORT

The following report describes the case-history of a 60-year old woman, hospitalized for recurrent abdominal pain and diarrhoea. During the course of parallel internal and psychosomatic examinations an organic cause could be excluded and the psychogenesis of the complaints identified.

RESULTS

Once the diagnosis of a somatoform disorder had been established the symptoms were successfully treated within the framework of in-patient psychotherapy.

CONCLUSIONS

Anxiety and depressive disorder are often masked as abdominal pain. If detected, they can be successfully treated using a psychotherapeutic approach. Thus this article also points to the great importance of the availability of a psychosomatic consultation-liaison-service within general hospitals.

摘要

目的

胃肠道不适虽常被误解,但却是最常见的身心综合征之一。

病例报告

以下报告描述了一名60岁女性的病史,她因反复腹痛和腹泻住院。在同时进行的内科和身心检查过程中,排除了器质性病因,并确定了这些不适的心理成因。

结果

一旦确诊为躯体形式障碍,症状在住院心理治疗的框架内得到了成功治疗。

结论

焦虑和抑郁障碍常表现为腹痛。如果能被检测出来,采用心理治疗方法可以成功治疗。因此,本文也指出了综合医院设立身心咨询联络服务的重要性。

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