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理解和管理躯体形式障碍:理解无意义。

Understanding and managing somatoform disorders: Making sense of non-sense.

机构信息

Department of Psychiatry, Co-operative Medical College, Cochin - 683 503, India.

出版信息

Indian J Psychiatry. 2010 Jan;52(Suppl 1):S240-5. doi: 10.4103/0019-5545.69239.

DOI:10.4103/0019-5545.69239
PMID:21836685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3146190/
Abstract

Somatization is a clinical and public health problem as it can lead to social dysfunction, occupational difficulties and increased healthcare use. Hence understanding somatoform disorders is of paramount importance, especially so in developing countries like India. This paper discusses the history and evolution of the concept of somatization and somatoform disorders, etiological considerations, classification, assessment, diagnosis and clinical management. Research from India, controversies and criticisms and future perspectives are mentioned. A new model to understand functional somatic symptoms, in Indian setting is also proposed.

摘要

躯体化是一个临床和公共卫生问题,因为它会导致社会功能障碍、职业困难和增加医疗保健的使用。因此,理解躯体形式障碍至关重要,特别是在印度等发展中国家。本文讨论了躯体化和躯体形式障碍概念的历史和演变、病因学考虑、分类、评估、诊断和临床管理。提到了来自印度的研究、争议和批评以及未来的观点。还提出了一种理解印度功能性躯体症状的新模式。

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Understanding and managing somatoform disorders: Making sense of non-sense.理解和管理躯体形式障碍:理解无意义。
Indian J Psychiatry. 2010 Jan;52(Suppl 1):S240-5. doi: 10.4103/0019-5545.69239.
2
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Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study.不明原因的管理:智利初级卫生保健中的多科会诊与高频就诊。一项定性探索性研究。
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Family Strain, Depression, and Somatic Amplification in Adults with Chronic Pain.慢性疼痛成人的家庭紧张、抑郁与躯体放大
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本文引用的文献

1
Biomedical markers and psychiatric morbidity of neurasthenia spectrum disorders in four outpatient clinics in India.生物医学标志物与印度四家门诊的神经衰弱谱系障碍的精神发病情况。
Indian J Psychiatry. 2008 Apr;50(2):87-95. doi: 10.4103/0019-5545.42394.
2
Depression among women in the South-Asian region: the underlying issues.南亚地区女性的抑郁症:潜在问题。
J Affect Disord. 2007 Sep;102(1-3):219-25. doi: 10.1016/j.jad.2006.09.024. Epub 2006 Nov 7.
3
The beneficial effect of yoga in diabetes.瑜伽对糖尿病的有益作用。
Nepal Med Coll J. 2005 Dec;7(2):145-7.
4
Somatoform disorders in DSM-V.《精神疾病诊断与统计手册》第五版中的躯体形式障碍
Psychosomatics. 2003 Nov-Dec;44(6):449-51. doi: 10.1176/appi.psy.44.6.449.
5
Hysteria--the stability and usefulness of clinical criteria. A quantitative study based on a follow-up period of six to eight years in 39 patients.
N Engl J Med. 1962 Mar 1;266:421-6. doi: 10.1056/NEJM196203012660901.
6
The doctor, his patient, and the illness.医生、他的病人以及疾病。
Lancet. 1955 Apr 2;268(6866):683-8. doi: 10.1016/s0140-6736(55)91061-8.
7
DIAGNOSIS OF "HYSTERIA".“癔症”的诊断
Br Med J. 1965 May 29;1(5447):1395-9. doi: 10.1136/bmj.1.5447.1395.
8
Explanatory models and common mental disorders among patients with unexplained somatic symptoms attending a primary care facility in Tamil Nadu.泰米尔纳德邦一家初级保健机构中患有不明原因躯体症状的患者的解释模型与常见精神障碍
Natl Med J India. 2002 Nov-Dec;15(6):331-5.
9
Rethinking somatization.重新审视躯体化
Adv Mind Body Med. 2001 Fall;17(4):260-3; discussion 270-6.
10
"Unexplained" somatic symptoms, functional syndromes, and somatization: do we need a paradigm shift?“不明原因”的躯体症状、功能性综合征与躯体化:我们是否需要范式转变?
Ann Intern Med. 2001 May 1;134(9 Pt 2):926-30. doi: 10.7326/0003-4819-134-9_part_2-200105011-00018.