All India Institute of Medical Sciences , New Delhi, India.
Psychol Health Med. 2013;18(4):445-50. doi: 10.1080/13548506.2013.765020. Epub 2013 Jan 30.
Somatisation disorder is a chronic condition often associated with poor response to treatment, troublesome symptoms, distress, disability and burden. Psychosocial interventions have an important role to play in treatment. However, there is a lack of controlled studies especially from the non-western world. The present study assessed the efficacy of non-pharmacological interventions in somatisation disorder using a case control design. Fifteen patients each diagnosed as somatisation disorder as per ICD DCR criteria received six sessions of a specific psychological intervention (designed specifically for the study) or a non-specific psychological intervention along with fluoxetine. The subjects were followed up for 8 weeks. Assessments were carried out at 0, 4 and 8 weeks using structured measures. Mean age of the sample was 33 ± 7.11 years. Both the groups suffered moderate level of depression, anxiety and disability, and high neuroticism and subjective distress as measured on different instruments. A significant improvement was observed in both the groups in all the measures following the intervention. The group receiving the specific interventions showed more improvement. The study concludes that both specific as well as non specific psychotherapeutic interventions can bring substantial improvement in patients with somatisation disorder, with more improvement seen with specific psychotherapeutic interventions.
躯体化障碍是一种慢性疾病，通常与治疗反应不佳、症状困扰、痛苦、残疾和负担有关。心理社会干预在治疗中具有重要作用。然而，特别是在非西方世界，缺乏对照研究。本研究采用病例对照设计评估躯体化障碍的非药物干预的疗效。根据 ICD DCR 标准诊断为躯体化障碍的 15 名患者，分别接受 6 次特定心理干预（专为研究设计）或非特异性心理干预加氟西汀。对这些患者进行了 8 周的随访。使用结构化测量工具在 0、4 和 8 周时进行评估。样本的平均年龄为 33 ± 7.11 岁。两组患者在不同量表上的抑郁、焦虑和残疾程度以及神经质和主观痛苦均处于中度水平。干预后两组在所有测量指标上均有显著改善。接受特定干预的组改善更为明显。该研究得出结论，特定和非特定心理治疗干预都可以使躯体化障碍患者得到实质性的改善，而特定心理治疗干预的改善更为明显。
