躯体症状障碍的管理
Management of somatic symptom disorder.
作者信息
Henningsen Peter
机构信息
Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Germany.
出版信息
Dialogues Clin Neurosci. 2018 Mar;20(1):23-31. doi: 10.31887/DCNS.2018.20.1/phenningsen.
Abstract
This review paper gives an overview of the management of somatic symptom disorder. It starts with a description of the clinical problem of patients with persistent bodily distress, discusses classificatory, epidemiological, and etiological issues and then describes the evidence and practical principles of dealing with these patients who are often seen as "difficult" to treat. It is concluded that the best-suited approach is stepped care with close cooperation of primary care, a somatic specialist, and mental health care professionals operating on the basis of a biopsychosocial model of integrating somatic as well as psychosocial determinants of distress and therapeutic factors.
摘要
这篇综述文章概述了躯体症状障碍的管理。文章开篇描述了持续性身体不适患者的临床问题，讨论了分类、流行病学和病因学问题，然后阐述了应对这些常被视为“难治”患者的证据和实践原则。文章得出结论，最合适的方法是采用分级护理，由初级保健医生、躯体专科医生和心理健康护理专业人员密切合作，基于生物心理社会模型开展工作，该模型整合了身体不适以及心理社会方面的痛苦决定因素和治疗因素。
相似文献
1
Management of somatic symptom disorder.躯体症状障碍的管理
Dialogues Clin Neurosci. 2018 Mar;20(1):23-31. doi: 10.31887/DCNS.2018.20.1/phenningsen.
2
Comparing the diagnostic concepts of ICD-10 somatoform disorders and DSM-5 somatic symptom disorders in patients from a psychosomatic outpatient clinic.比较身心医学门诊患者中 ICD-10 躯体形式障碍和 DSM-5 躯体症状障碍的诊断概念。
J Psychosom Res. 2018 Oct;113:74-80. doi: 10.1016/j.jpsychores.2018.08.001. Epub 2018 Aug 2.
3
[Definition of somatoform disorders: somatic symptoms or mental symptoms?].[躯体形式障碍的定义：躯体症状还是精神症状？]
Rev Prat. 2019 Feb;69(2):197-204.
4
Core Outcome Domains for Clinical Trials on Somatic Symptom Disorder, Bodily Distress Disorder, and Functional Somatic Syndromes: European Network on Somatic Symptom Disorders Recommendations.躯体症状障碍、躯体形式障碍和功能性躯体综合征临床试验的核心结局领域：躯体症状障碍欧洲网络的建议。
Psychosom Med. 2017 Nov/Dec;79(9):1008-1015. doi: 10.1097/PSY.0000000000000502.
5
Recent developments on psychological factors in medically unexplained symptoms and somatoform disorders.医学无法解释的症状和躯体形式障碍的心理因素的最新进展。
Front Public Health. 2022 Nov 4;10:1033203. doi: 10.3389/fpubh.2022.1033203. eCollection 2022.
6
Somatic symptom disorder and undifferentiated somatoform disorder, which is broader? Response to "Clinical value of DSM IV and DSM 5 criteria for diagnosing the most prevalent somatoform disorders in patients with medically unexplained physical symptoms (MUPS)".躯体症状障碍和未分化躯体形式障碍，哪一个范围更广？对《DSM-IV和DSM-5标准在诊断伴有无法解释的躯体症状（MUPS）患者中最常见的躯体形式障碍的临床价值》的回应
J Psychosom Res. 2016 Oct;89:114-5. doi: 10.1016/j.jpsychores.2016.07.014. Epub 2016 Jul 28.
7
Somatic Symptom Disorder, Medically Unexplained Symptoms, Somatoform Disorders, Functional Neurological Disorder: How 5 Got It Wrong.躯体症状障碍、医学上无法解释的症状、躯体形式障碍、功能性神经障碍：五点错误解读
Can J Psychiatry. 2020 May;65(5):301-305. doi: 10.1177/0706743720912858. Epub 2020 Mar 19.
8
[DSM-5: from 'somatoform disorders' to 'somatic symptom and related disorders'].[《精神疾病诊断与统计手册》第五版：从“躯体形式障碍”到“躯体症状及相关障碍”]
Tijdschr Psychiatr. 2014;56(3):182-6.
9
The clinical inadequacy of the DSM-5 classification of somatic symptom and related disorders: an alternative trans-diagnostic model.《精神疾病诊断与统计手册》第5版中躯体症状及相关障碍分类的临床不足：一种替代性的跨诊断模型
CNS Spectr. 2016 Aug;21(4):310-7. doi: 10.1017/S1092852915000760. Epub 2015 Dec 28.
10
[Chronic pain syndromes and other persistent functional somatic symptoms].[慢性疼痛综合征及其他持续性功能性躯体症状]
Nervenarzt. 2020 Jul;91(7):651-661. doi: 10.1007/s00115-020-00917-w.
引用本文的文献
1
Somatization symptoms and burnout: a correlational study among emergency nurses.躯体化症状与职业倦怠：急诊科护士的相关性研究
Front Public Health. 2025 Aug 19;13:1647123. doi: 10.3389/fpubh.2025.1647123. eCollection 2025.
2
Unraveling functional neurological disorder in pediatric populations: A systematic review of diagnosis, treatment, and outcomes.揭示儿童群体中的功能性神经障碍：诊断、治疗及结果的系统评价
World J Clin Pediatr. 2025 Sep 9;14(3):105290. doi: 10.5409/wjcp.v14.i3.105290.
3
The effect of an app-based health intervention on somatic symptoms among employees of the DHL Group: a longitudinal pilot study.基于应用程序的健康干预对敦豪集团员工躯体症状的影响：一项纵向试点研究。
Int Arch Occup Environ Health. 2025 Aug;98(6):549-572. doi: 10.1007/s00420-025-02145-8. Epub 2025 Jun 18.
4
Health Anxiety and Its Relationship with Academic Performance and Learning Styles among Nursing Students during COVID-19 Pandemic.新冠疫情期间护理专业学生的健康焦虑及其与学业成绩和学习方式的关系
J Caring Sci. 2025 Mar 9;14(1):52-57. doi: 10.34172/jcs.025.33337. eCollection 2025 Feb.
5
The Diagnosis and Management of Patients With Findings Consistent With a Breast Implant Associated-Somatic Symptom Disorder (BIA-SSD).具有与乳房植入物相关躯体症状障碍（BIA-SSD）相符表现的患者的诊断与管理
Plast Reconstr Surg Glob Open. 2025 May 1;13(5):e6735. doi: 10.1097/GOX.0000000000006735. eCollection 2025 May.
6
Risperidone Augmentation in Antidepressant-Resistant Somatic Symptom Disorder.利培酮增效治疗难治性躯体症状障碍
Psychiatry Clin Psychopharmacol. 2025 Mar 17;35(1):88-91. doi: 10.5152/pcp.2025.24931. eCollection 2025 Mar.
7
The diagnostic criteria for psychosomatic research-revised (DCPR-R) in a National China multicenter cohort of patients with irritable bowel syndrome and overlapping gastroesophageal reflux disease.中国全国多中心肠易激综合征合并胃食管反流病重叠患者队列中的心身研究修订诊断标准（DCPR-R）
BMC Gastroenterol. 2025 Mar 5;25(1):136. doi: 10.1186/s12876-025-03726-0.
8
The impact of depression and anxiety on the correlation between somatic symptom disorder and subjective cognitive decline in the Chinese elderly population: an exploration by simple, serial, and moderated mediation models.抑郁和焦虑对中国老年人群体中躯体症状障碍与主观认知衰退之间相关性的影响：基于简单、序列和调节中介模型的探究
Front Psychol. 2025 Feb 14;16:1545325. doi: 10.3389/fpsyg.2025.1545325. eCollection 2025.
9
Effectiveness of mindfulness-based online therapy or internet-delivered cognitive behavioral therapy compared with treatment as usual among patients with persistent somatic symptoms: Protocol for a randomized controlled trial.基于正念的在线治疗或互联网提供的认知行为疗法与常规治疗相比对持续性躯体症状患者的有效性：一项随机对照试验方案
PLoS One. 2025 Feb 12;20(2):e0316169. doi: 10.1371/journal.pone.0316169. eCollection 2025.
10
Global research status and trends of somatic symptom disorder: A bibliometric study.躯体症状障碍的全球研究现状与趋势：一项文献计量学研究
World J Psychiatry. 2025 Jan 19;15(1):100730. doi: 10.5498/wjp.v15.i1.100730.
本文引用的文献
1
Symptoms and the body: Taking the inferential leap.症状与身体：推断的飞跃
Neurosci Biobehav Rev. 2017 Mar;74(Pt A):185-203. doi: 10.1016/j.neubiorev.2017.01.015. Epub 2017 Jan 17.
2
An Attachment-Based Model of the Relationship Between Childhood Adversity and Somatization in Children and Adults.儿童期逆境与儿童及成人躯体化关系的依恋模型
Psychosom Med. 2017 Jun;79(5):506-513. doi: 10.1097/PSY.0000000000000437.
3
What is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studies.全科医生面临的医学上无法解释的症状问题是什么？一项定性研究的元综合分析。
Patient Educ Couns. 2017 Apr;100(4):647-654. doi: 10.1016/j.pec.2016.11.015. Epub 2016 Nov 21.
4
Deconstructing the sensation of pain: The influence of cognitive processes on pain perception.剖析疼痛感觉：认知过程对疼痛感知的影响。
Science. 2016 Nov 4;354(6312):584-587. doi: 10.1126/science.aaf8934.
5
Bodily distress disorder in ICD-11: problems and prospects.《国际疾病分类第11版》中的身体不适障碍：问题与前景
World Psychiatry. 2016 Oct;15(3):291-292. doi: 10.1002/wps.20353.
6
A systematic review and meta-analysis of the percentage of revised diagnoses in functional somatic symptoms.功能性躯体症状中修订诊断百分比的系统评价与荟萃分析
J Psychosom Res. 2016 Sep;88:60-67. doi: 10.1016/j.jpsychores.2016.07.001. Epub 2016 Jul 25.
7
Life events and functional somatic symptoms: A population study in older adolescents.生活事件与功能性躯体症状：一项针对大龄青少年的人群研究。
Br J Psychol. 2017 May;108(2):318-333. doi: 10.1111/bjop.12198. Epub 2016 May 25.
8
The challenge of diagnosing non-specific, functional, and somatoform disorders: A systematic review of barriers to diagnosis in primary care.诊断非特异性、功能性和躯体形式障碍的挑战：对初级保健中诊断障碍的系统评价
J Psychosom Res. 2016 Jan;80:1-10. doi: 10.1016/j.jpsychores.2015.11.002. Epub 2015 Nov 7.
9
Work participation and health-related characteristics of sickness absence beneficiaries with multiple somatic symptoms.患有多种躯体症状的病假受益人的工作参与和与健康相关的特征。
Public Health. 2016 Apr;133:75-82. doi: 10.1016/j.puhe.2015.10.018. Epub 2015 Dec 21.
10
Pain and the global burden of disease.疼痛与全球疾病负担。
Pain. 2016 Apr;157(4):791-796. doi: 10.1097/j.pain.0000000000000454.
Zotero 插件