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关节过度活动综合征:需要心理干预的问题。

Joint hypermobility syndrome: problems that require psychological intervention.

机构信息

Department of Psychiatry and Legal Medicine, Autonomous University of Barcelona, Barcelona, Spain.

出版信息

Rheumatol Int. 2011 Sep;31(9):1131-6. doi: 10.1007/s00296-011-1839-5. Epub 2011 Mar 4.

Abstract

Joint hypermobility syndrome (JHS), also known as Ehlers-Danlos III, is an inherited disorder of connective tissue, characterised by an exceptional increase in the joint's mobility and the presence of musculoskeletal and other symptoms. It is a benign syndrome if compared with the other types of Ehlers-Danlos, but it can become disabling particularly because it is a significant source of pain and distress. The purpose of this work is to describe some common problems in JHS that render psychological intervention in their overall management relevant. Chronic pain, associated psychopathological factors such as anxiety, depression and somatosensory amplification, and problems arising from a lack of recognition and knowledge of the syndrome, are frequent among those affected, having a negative impact on their quality of life. We emphasise the relevance of addressing JHS from a biopsychosocial approach.

摘要

关节过度活动综合征(JHS),也称埃勒斯-当洛斯 III 型,是一种遗传性结缔组织疾病,其特征是关节活动度异常增加,同时伴有肌肉骨骼和其他症状。与其他类型的埃勒斯-当洛斯综合征相比,JHS 是良性的,但它可能会导致残疾,特别是因为它是疼痛和痛苦的重要来源。这项工作的目的是描述 JHS 中一些常见的问题,这些问题使得心理干预在其整体管理中具有相关性。慢性疼痛、焦虑、抑郁和躯体感觉放大等相关心理病理因素,以及由于对该综合征缺乏认识和了解而产生的问题,在受影响者中很常见,对他们的生活质量产生负面影响。我们强调从生物心理社会角度来处理 JHS 的相关性。

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