Smith M S
University of Washington School of Medicine, Seattle.
Med Clin North Am. 1990 Sep;74(5):1121-34. doi: 10.1016/s0025-7125(16)30506-5.
This article provides the physician with an efficient and comprehensive method for the evaluation and management of adolescent psychosomatic symptoms in the medical care setting. The physician should make a firm statement of the nonorganic nature of the psychosomatic symptom, identify significant stressors, and provide strong recommendations for immediate action. Appropriate referrals should be arranged, and a follow-up visit to assess progress several weeks after the evaluation should be scheduled.
本文为医生提供了一种在医疗环境中评估和管理青少年心身症状的高效且全面的方法。医生应明确声明心身症状的非器质性本质,识别重大压力源,并提供立即采取行动的有力建议。应安排适当的转诊,并安排在评估几周后进行随访以评估进展情况。