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[综合医院躯体科医生眼中医学心理治疗的具体作用]

[The specific role of medical psychotherapy as seen by somatic physicians in general hospitals].

作者信息

Frühauf Jana, Engbrink Svenja, Schepker Renate, Freyberger Harald, Heuft Gereon

机构信息

Jana Frühauf, Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster, Domagkstr. 22, 48149 Münster, E-Mail:

出版信息

Z Psychosom Med Psychother. 2013;59(4):336-55.

PMID:24307334
Abstract

OBJECTIVES

We examined the attitude towards the importance of medical psychotherapy among physicians working in a hospital. We focused on their opinion about the general role of medical psychotherapy within the health care system as well as on their opinion about the importance of medical psychotherapy in different clinical situations.

METHOD

105 physicians with various clinical specialties were interviewed using a questionnaire designed for this purpose.

RESULTS

From the point of view of the interviewed physicians, medical psychotherapy plays an important role. Especially medical psychotherapists are considered to be competent in cases of life-threatening situations resulting from mental disorders (such as suicide, anorexia nervosa), in psychopharmacological treatment as well as in cases of medically unexplained physical symptoms. Furthermore, medical competence in psychotherapy is requested wherever there is close connection to physical illness (such as stressful events in medical contexts).

CONCLUSIONS

Especially in times of increasing specialization of physicians there is a need for medical psychotherapy in inpatient health care and clinical consultation.

摘要

目的

我们调查了在一家医院工作的医生对医学心理治疗重要性的态度。我们关注他们对医学心理治疗在医疗保健系统中的总体作用的看法,以及他们对医学心理治疗在不同临床情况下重要性的看法。

方法

使用为此目的设计的问卷对105名具有不同临床专业的医生进行了访谈。

结果

从受访医生的角度来看,医学心理治疗起着重要作用。特别是医学心理治疗师被认为在由精神障碍导致的危及生命的情况(如自杀、神经性厌食症)、心理药物治疗以及医学上无法解释的身体症状的病例中具有专业能力。此外,在与身体疾病有密切联系的任何地方(如医疗环境中的压力事件),都需要心理治疗方面的医学专业能力。

结论

特别是在医生专业化程度不断提高的时代,住院医疗保健和临床咨询中需要医学心理治疗。

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