Jenewein Josef
Klinik für Psychiatrie und Psychotherapie, Universitätsspital Zürich.
Ther Umsch. 2013 Sep;70(9):537-41. doi: 10.1024/0040-5930/a000443.
Back pain ist frequently found in patients with somatoform disorders, particularly in somatisation and somatoform pain disorders. About 10 % to 20 % of patients suffering from back pain can be diagnosed with somatoform pain disorders. Additionally, up to 50 % of back pain patients suffer from other psychiatric disorders like major depression or anxiety disorders. Diagnostically, somatoform pain disorders must be distinguished from other chronic widespread pain disorders like fibromaylgia and chronic fatigue syndrome. Treatment usually consists of psychological/behavioral interventions in combination with relaxation techniques, physical activation and antidepressants.
背痛在躯体形式障碍患者中很常见，尤其是在躯体化障碍和躯体形式疼痛障碍中。约10%至20%的背痛患者可被诊断为躯体形式疼痛障碍。此外，高达50%的背痛患者患有其他精神障碍，如重度抑郁症或焦虑症。在诊断上，躯体形式疼痛障碍必须与其他慢性广泛性疼痛障碍，如纤维肌痛和慢性疲劳综合征相区分。治疗通常包括心理/行为干预，结合放松技巧、身体活动和抗抑郁药。
