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Medically unexplained symptoms: evidence, guidelines, and beyond.

作者信息

Olde Hartman Tim C, Woutersen-Koch Hèlen, Van der Horst Henriette E

机构信息

GP and Researcher, Department of Primary and Community Care, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.

GP and Researcher, Dutch College of General Practitioners, Utrecht, The Netherlands.

出版信息

Br J Gen Pract. 2013 Dec;63(617):625-6. doi: 10.3399/bjgp13X675241.

DOI:10.3399/bjgp13X675241
PMID:24351464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3839356/
Abstract
摘要

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Medically unexplained symptoms: evidence, guidelines, and beyond.医学上无法解释的症状:证据、指南及其他
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2
Towards a clinically useful diagnosis for mild-to-moderate conditions of medically unexplained symptoms in general practice: a mixed methods study.迈向全科医疗中轻度至中度医学无法解释症状的临床实用诊断:一项混合方法研究。
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In reply.作为答复。
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The association between patients' expectations and experiences of task-, affect- and therapy-oriented communication and their anxiety in medically unexplained symptoms consultations.患者对任务、情感和治疗导向的沟通的期望和体验与其在医学无法解释症状咨询中的焦虑之间的关系。
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本文引用的文献

1
Presentation of the Multidisciplinary Guideline Medically Unexplained Physical Symptoms (MUPS) and Somatoform Disorder in the Netherlands: disease management according to risk profiles.荷兰多学科医学无法解释的躯体症状(MUPS)和躯体形式障碍指南介绍:根据风险特征进行疾病管理。
J Psychosom Res. 2012 Feb;72(2):168-9. doi: 10.1016/j.jpsychores.2011.11.007. Epub 2011 Dec 9.
2
Experts' opinions on the management of medically unexplained symptoms in primary care. A qualitative analysis of narrative reviews and scientific editorials.专家对初级保健中无法用医学解释的症状的管理意见。叙事性综述和科学社论的定性分析。
Fam Pract. 2011 Aug;28(4):444-55. doi: 10.1093/fampra/cmr004. Epub 2011 Mar 2.
3
Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioral treatment by the family physician.基层医疗中的医学无法解释的躯体症状:家庭医生进行认知行为治疗的对照研究。
Psychosomatics. 2009 Sep-Oct;50(5):515-24. doi: 10.1176/appi.psy.50.5.515.
4
Medically unexplained symptoms, somatisation disorder and hypochondriasis: course and prognosis. A systematic review.医学上无法解释的症状、躯体化障碍和疑病症:病程与预后。一项系统综述。
J Psychosom Res. 2009 May;66(5):363-77. doi: 10.1016/j.jpsychores.2008.09.018. Epub 2008 Dec 16.
5
Cluster randomised controlled trial of training practices in reattribution for medically unexplained symptoms.针对医学无法解释症状的重新归因训练实践的整群随机对照试验
Br J Psychiatry. 2007 Dec;191:536-42. doi: 10.1192/bjp.bp.107.040683.
6
Physicians' responses to patients' medically unexplained symptoms.医生对患者医学上无法解释的症状的反应。
Psychosom Med. 2006 Mar-Apr;68(2):269-76. doi: 10.1097/01.psy.0000204652.27246.5b.
7
What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized?当全科医疗患者出现医学上无法解释的症状时,他们想要什么,以及为什么他们的医生会感到压力?
J Psychosom Res. 2005 Oct;59(4):255-60; discussion 261-2. doi: 10.1016/j.jpsychores.2005.03.004.
8
Communicative skills of general practitioners augment the effectiveness of guideline-based depression treatment.全科医生的沟通技巧可提高基于指南的抑郁症治疗效果。
J Affect Disord. 2005 Jan;84(1):43-51. doi: 10.1016/j.jad.2004.09.005.
9
Medically unexplained symptoms: perceptions of physicians in primary health care.医学上无法解释的症状:初级卫生保健中医师的认知
Fam Pract. 2004 Apr;21(2):199-203. doi: 10.1093/fampra/cmh217.
10
Voiced but unheard agendas: qualitative analysis of the psychosocial cues that patients with unexplained symptoms present to general practitioners.未被倾听的心声议程:对有不明症状的患者向全科医生呈现的心理社会线索的定性分析。
Br J Gen Pract. 2004 Mar;54(500):171-6.