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[苏戴克综合征及其“心身易患性”:事故患者病因的比较临床心理学研究]

[Sudeck syndrome and its "psychosomatic disposition": a comparative clinico-psychologic study of the etiology in accident patients].

作者信息

Thali A

出版信息

Psychother Psychosom Med Psychol. 1989 Jul;39(7):260-5.

PMID:2474840
Abstract

This study comprises a large psychological investigation of 10 patients with Posttraumatic Sympathetic Dystrophy of hands and compares the results with a control-group. It was found that a "psychosomatic disposition" with three factors completing each other occurs: a neurotic-depressive structure of personality including narcisistic problems, a posttraumatic disorder of adaptation with various emotional traits (as a reaction to the stress of the somatic trauma) and finally a less confidential style of interaction between the medical practitioner and the patient. A supporting psychotherapy is proposed, if necessary combined with a Tranquilizer. The behaviour of the medical practitioner has a prophylactic function.

摘要

本研究对10例手部创伤后交感神经营养不良患者进行了大规模心理调查,并将结果与对照组进行了比较。研究发现,存在一种由三个相互补充的因素构成的“心身倾向”:包括自恋问题在内的神经质-抑郁型人格结构、具有各种情绪特征的创伤后适应障碍(作为对躯体创伤压力的反应),以及最后医患之间不太信任的互动方式。建议进行支持性心理治疗,必要时结合使用镇静剂。医生的行为具有预防作用。

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