Böckle Markus, Liegl Gregor, Leitner Anton, Pieh Christoph
Z Psychosom Med Psychother. 2014;60(4):383-91. doi: 10.13109/zptm.2014.60.4.383.
This study examines the influence of self-perceived emotional stress during the treatment of patients with somatoform disorders. It asks whether emotional stress can be influenced by psychosomatic education.
Via online questionnaire general practitioners were asked about the prevalence of patients presenting with somatoform disorders and emotional stress during treatment.
The prevalence of somatoform disorders in general practices was estimated at around 27.7 %. Practitioners educated in psychosomatic medicine estimate the prevalence of patients with somatoform disorders higher than practitioners without such education (n = 79; r = 0.242; p = 0.032). The treatment of patients presenting with somatoform disorders causes 42.6% more emotional stress among general practitioners compared with the treatment of an average patient (n = 79; t = 16.67; p ≤ 0.001). Doctors with additional education in psychosomatic medicine rate stress 17.2% lower than doctors without such education (n = 79; t = 1.875; p = 0.033).
General practitioners experience the treatment of patients presenting with somatoform disorders as emotionally stressful. This emotional stress is mainly explained by increases in time expenditure, but it can be reduced by additional psychosomatic education.
本研究探讨躯体形式障碍患者治疗期间自我感知的情绪压力的影响。研究询问情绪压力是否可通过身心教育得到改善。
通过在线问卷,向全科医生询问躯体形式障碍患者的患病率以及治疗期间的情绪压力情况。
全科医疗中躯体形式障碍的患病率估计约为27.7%。接受过身心医学教育的医生对躯体形式障碍患者患病率的估计高于未接受此类教育的医生(n = 79;r = 0.242;p = 0.032)。与治疗普通患者相比,治疗躯体形式障碍患者给全科医生带来的情绪压力要高出42.6%(n = 79;t = 16.67;p≤0.001)。接受过身心医学额外教育的医生所感受到的压力比未接受此类教育的医生低17.2%(n = 79;t = 1.875;p = 0.033)。
全科医生认为治疗躯体形式障碍患者会带来情绪压力。这种情绪压力主要是由于时间花费增加所致,但可通过额外的身心教育来减轻。