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[基层医疗中的心理治疗:一例采用人际治疗法治疗的躯体变形障碍病例报告]

[Psychotherapy in primary care: presentation of a case of somatomorphic disorder treated with interpersonal therapy].

作者信息

Guerra Cabrera Francisca, Diéguez Porres María

机构信息

Especialista en Medicina Familiar y Comunitaria, Centro de Salud de Escaleritas, Servicio Canario de Salud, Las Palmas de Gran Canaria, España.

出版信息

Aten Primaria. 2011 Aug;43(8):440-6. doi: 10.1016/j.aprim.2010.09.005. Epub 2011 Mar 4.

Abstract

Problems of medically unexplained somatic symptoms are common in Primary care. They often involve a psychiatric comorbidity that requires some form of psychotherapy that addresses, among other problems, the frequent use of the service. The purpose of this paper is to present the rationale and the generalities of a brief psychotherapeutic intervention, interpersonal therapy (IPT), in its adaptation to primary care. Its applicability is shown through a case of undifferentiated somatoform disorder, a condition so prevalent and difficult to approach in the field of primary care. IPT assumes that stressful life events and interpersonal difficulties act as triggers or maintainers of the psychic symptoms. The intervention is structured around four possible sources: grief, role transitions, interpersonal disputes and interpersonal deficits.

摘要

医学上无法解释的躯体症状问题在初级保健中很常见。它们通常伴有精神科合并症,这需要某种形式的心理治疗,这种治疗除其他问题外,还要解决服务的频繁使用问题。本文的目的是介绍一种简短的心理治疗干预方法——人际治疗(IPT)在适应初级保健方面的基本原理和概况。通过一个未分化躯体形式障碍的案例展示了其适用性,这种疾病在初级保健领域非常普遍且难以处理。IPT认为,生活应激事件和人际困难是精神症状的触发因素或维持因素。干预围绕四个可能的源头展开:悲伤、角色转换、人际纠纷和人际缺陷。

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