Marks Elizabeth M, Hunter Myra S
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.
Br J Pain. 2015 May;9(2):109-14. doi: 10.1177/2049463714535372.
The term 'Medically Unexplained Symptoms' (MUS) is used by health professionals and researchers to refer to persistent bodily complaints, including pain and discomfort.
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.
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.
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.
Persistent Physical Symptoms and Functional Symptoms are more acceptable to this sample of healthy adults than the more commonly used term 'MUS'.
“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。
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。
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。
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。
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。