Sonino N, Guidi J, Fava G A
N Sonino, Department of Statistical Sciences, University of Padova, Via Battisti 241, 35121 Padova, Italy. Email
J R Coll Physicians Edinb. 2015 Mar;45(1):55-9. doi: 10.4997/JRCPE.2015.113.
This review illustrates how an innovative psychoneuroendocrine approach to endocrine patients may improve their management. Important psychological issues pertain to all the different phases of an endocrine disorder. Before disease onset, stressful life events may play a pathogenetic role and, together with chronic stress, may contribute to a cumulative burden also called allostatic load; psychological and psychiatric symptoms are common both in the prodromal and in the active phase of illness; after cure or remission, there could be residual symptoms and impaired quality of life that deserve attention. All these aspects should be taken into consideration and introduced in current endocrine care and practice.
本综述阐述了一种针对内分泌疾病患者的创新型心理神经内分泌方法如何改善其治疗管理。重要的心理问题涉及内分泌疾病的所有不同阶段。在疾病发作前，应激性生活事件可能发挥致病作用，并与慢性应激一起，可能导致一种称为应激负荷的累积负担；心理和精神症状在疾病的前驱期和活动期都很常见；在治愈或缓解后，可能会有残留症状和生活质量受损的情况，值得关注。所有这些方面都应予以考虑，并纳入当前的内分泌护理和实践中。
