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[关于功能性和躯体形式障碍的新指南]

[New guidelines on functional and somatoform disorders].

作者信息

Hausteiner-Wiehle Constanze, Schäfert Rainer, Sattel Heribert, Ronel Joram, Herrmann Markus, Häuser Winfried, Martin Alexandra, Henningsen Peter

机构信息

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München.

出版信息

Psychother Psychosom Med Psychol. 2013 Jan;63(1):26-31. doi: 10.1055/s-0032-1323743. Epub 2013 Jan 22.

Abstract

The S3 guideline "Dealing with patients with non-specific, functional and somatoform bodily symptoms" emphasizes the similarities in the management of the manifold manifestations of so called "medically unexplained symptoms" and gives recommendations for a stepped and collaborative diagnostic and therapeutic approach in all subspecialties and all levels of health care. It has a special focus on recommendations regarding attitude, physician-patient-relationship, communication, the parallelization of somatic and psychosocial diagnostics and a stepped therapeutic approach. The "Evidence-based guideline psychotherapy in somatoform disorders and associated syndromes" provides a differentiated analysis of the current evidence regarding the effectiveness of various psychotherapeutic interventions for the most relevant manifestations of functional and somatoform disorders. In combination, both guidelines pose important advances for treatment quality in Germany, but also illustrate remarkable structural and research deficits.

摘要

S3指南“处理非特异性、功能性和躯体形式躯体症状患者”强调了对所谓“医学上无法解释的症状”的多种表现进行管理时的相似之处,并针对所有亚专业和各级医疗保健提出了逐步协作的诊断和治疗方法建议。它特别关注有关态度、医患关系、沟通、躯体和心理社会诊断并行以及逐步治疗方法的建议。“躯体形式障碍及相关综合征的循证心理治疗指南”对各种心理治疗干预对功能性和躯体形式障碍最相关表现的有效性的当前证据进行了差异化分析。综合来看,这两个指南在德国的治疗质量方面取得了重要进展,但也凸显了显著的结构和研究缺陷。

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