Transcare, Transdisciplinary Pain Management Centre, Barkmolenstraat 196, 9723 DM, Groningen, The Netherlands,
Int J Behav Med. 2013 Sep;20(3):468-75. doi: 10.1007/s12529-012-9232-7.
Somatizing patients are considered a challenge to health care professionals.
The purpose of this study was to investigate the responses of different health care professionals' to patients with headache with different presentations.
Medical professionals (n = 77), clinical psychologists (n = 40), and psychology students (n = 115) were shown with four different manifestations of headache (neutral, somatic trauma, anxious-depressed, and severe somatizing). Health professionals rated their initial cognitive and emotional responses using a standardized questionnaire.
The severe somatizing and anxious-depressed patients with headache evoked significantly more negative cognitive and emotional responses in all three samples. Even brief exposure to a patient's story yields specific initial responses from various health care professionals irrespective of their disciplines.
Patients with headache and with a distressed presentation evoke significantly more negative cognitive and emotional responses in different health care professionals. Health care professionals should be more aware of their own response to difficult patients; in this way they will be more capable of managing this patient group.
躯体化患者被认为是对医疗保健专业人员的挑战。
本研究旨在调查不同医疗保健专业人员对不同表现头痛患者的反应。
向 77 名医学专业人员、40 名临床心理学家和 115 名心理学学生展示了四种不同表现的头痛（中性、躯体创伤、焦虑抑郁和严重躯体化）。医疗保健专业人员使用标准化问卷对他们的初始认知和情绪反应进行了评分。
严重躯体化和焦虑抑郁的头痛患者在所有三个样本中都引起了明显更多的消极认知和情绪反应。即使是短暂接触患者的故事，也会引起不同医疗保健专业人员的特定初始反应，而不论其学科如何。
有头痛和情绪困扰表现的患者会引起不同医疗保健专业人员明显更多的消极认知和情绪反应。医疗保健专业人员应该更加意识到自己对困难患者的反应；通过这种方式，他们将更有能力管理这类患者群体。
