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运用心身医学研究诊断标准评估的医学疾病中的心理因素。

Psychological factors in medical disorders assessed with the diagnostic criteria for psychosomatic research.

作者信息

Porcelli Piero, Todarello Orlando

出版信息

Adv Psychosom Med. 2012;32:108-117. doi: 10.1159/000330009. Epub 2011 Oct 19.

Abstract

The Diagnostic Criteria for Psychosomatic Research (DCPR) are a diagnostic and conceptual framework that aims to translate psychosocial variables that derived from psychosomatic research into operational tools whereby individual patients could be identified. A set of 12 syndromes was developed and grouped in the clusters of abnormal illness behavior (health anxiety, disease phobia, thanatophobia, and illness denial), somatization (functional somatic symptoms secondary to a psychiatric disorder, persistent somatization, conversion symptoms, and anniversary reaction), irritability (type A behavior, irritable mood), demoralization, and alexithymia. This chapter aims to illustrate the criteria for each of the 12 DCPR syndromes and how to diagnose them with the aid of the DCPR Structured Interview, as illustrated in a clinical example.

摘要

心身研究诊断标准(DCPR)是一个诊断和概念框架,旨在将心身研究中得出的社会心理变量转化为可用于识别个体患者的操作工具。已制定了一组12种综合征,并将其归为异常疾病行为(健康焦虑、疾病恐惧症、死亡恐惧症和疾病否认)、躯体化(继发于精神障碍的功能性躯体症状、持续性躯体化、转换症状和周年反应)、易怒(A型行为、易怒情绪)、士气低落和述情障碍等类别。本章旨在说明12种DCPR综合征各自的标准,以及如何借助DCPR结构化访谈进行诊断,如临床实例所示。

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