Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany.
Psychosomatics. 2010 Sep-Oct;51(5):386-94. doi: 10.1176/appi.psy.51.5.386.
Patients with psychosocial problems often present somatic symptoms in primary care.
The authors compare interventions and outcomes of emotionally-distressed patients by presenting physical disease, somatoform symptoms, or psychological symptoms.
General practitioners (N=191) documented data from 1,286 patients with psychosocial problems. Experts rated the presented reasons for encounter.
Somatoform symptoms, as well as physical disease, result in patients' receiving physical treatments. Psychologically-oriented treatment is more likely with psychological presentation, but not significantly related to somatoform symptoms.
These findings underline the importance of a specific treatment approach for patients with somatoform symptoms, so as to avoid inappropriate treatment.
患有心理社会问题的患者常在初级保健中呈现躯体症状。
作者通过呈现躯体疾病、躯体形式症状或心理症状比较了情绪困扰患者的干预措施和结局。
全科医生（N=191）记录了 1286 例有心理社会问题患者的数据。专家对呈现的就诊原因进行了评分。
躯体形式症状以及躯体疾病导致患者接受躯体治疗。以心理症状就诊更可能接受心理治疗，但与躯体形式症状无显著相关性。
这些发现强调了针对躯体形式症状患者采用特定治疗方法的重要性，以避免不适当的治疗。
