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本文引用的文献

1
Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.躯体症状障碍患者的躯体症状总分作为健康结局的预测指标。
Br J Psychiatry. 2013 Nov;203(5):373-80. doi: 10.1192/bjp.bp.112.114405. Epub 2013 Sep 26.
2
Explanatory models of medically unexplained symptoms: a qualitative analysis of the literature.医学无法解释症状的解释模型:文献的定性分析
Ment Health Fam Med. 2010 Dec;7(4):223-31.
3
Classification characteristics of the Patient Health Questionnaire-15 for screening somatoform disorders in a primary care setting.在初级保健环境中,使用患者健康问卷-15 筛查躯体形式障碍的分类特征。
J Psychosom Res. 2011 Sep;71(3):142-7. doi: 10.1016/j.jpsychores.2011.01.006. Epub 2011 Mar 21.
4
The Concept of Somatisation: A Cross-cultural perspective.躯体化的概念:跨文化视角
Sultan Qaboos Univ Med J. 2010 Aug;10(2):180-6. Epub 2010 Jul 19.
5
Central sensitization: implications for the diagnosis and treatment of pain.中枢敏化:对疼痛诊断和治疗的启示。
Pain. 2011 Mar;152(3 Suppl):S2-S15. doi: 10.1016/j.pain.2010.09.030. Epub 2010 Oct 18.
6
One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders.单一诊断“躯体疾病综合征”成功涵盖了 10 种功能性躯体综合征和躯体形式障碍的诊断类别。
J Psychosom Res. 2010 May;68(5):415-26. doi: 10.1016/j.jpsychores.2010.02.004.
7
Is there a better term than "medically unexplained symptoms"?是否有比“医学上无法解释的症状”更好的术语?
J Psychosom Res. 2010 Jan;68(1):5-8. doi: 10.1016/j.jpsychores.2009.09.004.
8
How neuroimaging studies have challenged us to rethink: is chronic pain a disease?神经影像学研究如何促使我们重新思考:慢性疼痛是一种疾病吗?
J Pain. 2009 Nov;10(11):1113-20. doi: 10.1016/j.jpain.2009.09.001.
9
Management of functional somatic syndromes.功能性躯体综合征的管理
Lancet. 2007 Mar 17;369(9565):946-55. doi: 10.1016/S0140-6736(07)60159-7.
10
Number of bodily symptoms predicts outcome more accurately than health anxiety in patients attending neurology, cardiology, and gastroenterology clinics.在神经内科、心内科和消化内科门诊患者中,身体症状的数量比健康焦虑更能准确预测预后。
J Psychosom Res. 2006 Apr;60(4):357-63. doi: 10.1016/j.jpsychores.2006.02.006.

医学上无法解释的症状:一个可接受的术语?

Medically Unexplained Symptoms: an acceptable term?

作者信息

Marks Elizabeth M, Hunter Myra S

机构信息

Royal National Throat, Nose and Ear Hospital, University College London Hospitals, London, UK.

Department of Psychology, Institute of Psychiatry, King's College London, London, UK.

出版信息

Br J Pain. 2015 May;9(2):109-14. doi: 10.1177/2049463714535372.

DOI:10.1177/2049463714535372
PMID:26516565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4616968/
Abstract

BACKGROUND

The term 'Medically Unexplained Symptoms' (MUS) is used by health professionals and researchers to refer to persistent bodily complaints, including pain and discomfort.

AIMS

This study explores the views held by a lay sample on the clinical terminology used to describe 'MUS', to ascertain reasons for particular preferences and whether preferences differ between individuals who experience more somatic symptoms.

DESIGN AND METHODS

A sample (n = 844) of healthy adults completed an online survey, which included a questionnaire measuring somatic symptoms (Patient Health Questionnaire-15 (PHQ-15)) and a question about their preferences for terminology used to describe MUS.

RESULTS

Of 844 participants, 698 offered their preferences for terminology. The most popular terms were 'Persistent Physical Symptoms' (20%) and 'Functional Symptoms' (17%). 'MUS' (15%), 'Body Distress Disorder' (13%) and 'Complex Physical Symptoms' (5%) were less popular. And 24% indicated no preference, but high PHQ-15 scorers were more likely to express preferences than low scorers.

CONCLUSION

Persistent Physical Symptoms and Functional Symptoms are more acceptable to this sample of healthy adults than the more commonly used term 'MUS'.

摘要

背景

“医学上无法解释的症状”(MUS)一词被健康专业人员和研究人员用来指代持续的身体不适,包括疼痛和不适。

目的

本研究探讨了非专业样本对用于描述“MUS”的临床术语的看法,以确定特定偏好的原因,以及在经历更多躯体症状的个体之间偏好是否存在差异。

设计与方法

一个由健康成年人组成的样本(n = 844)完成了一项在线调查,其中包括一份测量躯体症状的问卷(患者健康问卷 - 15(PHQ - 15))以及一个关于他们对用于描述MUS的术语偏好的问题。

结果

在844名参与者中,698人表达了他们对术语的偏好。最受欢迎的术语是“持续性身体症状”(20%)和“功能性症状”(17%)。“MUS”(15%)、“身体困扰障碍”(13%)和“复杂身体症状”(5%)较不受欢迎。24%的人表示没有偏好,但PHQ - 15得分高的人比得分低的人更有可能表达偏好。

结论

对于这个健康成年人样本来说,“持续性身体症状”和“功能性症状”比更常用的术语“MUS”更容易被接受。