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医学上无法解释的身体症状:它们是什么以及咨询心理学家为何应关注它们。

Medically Unexplained Physical Symptoms: What They Are and Why Counseling Psychologists Should Care about Them.

作者信息

McAndrew Lisa M, Friedlander Myrna L, Litke David, Phillips L Alison, Kimber Justin, Helmer Drew A

机构信息

Veterans Affairs New Jersey Health Care System University at Albany.

University at Albany.

出版信息

Couns Psychol. 2019 Jul 1;47(5):741-769. doi: 10.1177/0011000019888874.

Abstract

Medically unexplained symptoms and syndromes (MUS) affect the health of 20%-30% of patients seen in primary care. Optimally, treatment for these patients requires an interdisciplinary team consisting of both primary care and mental health providers. By developing an expertise in MUS, counseling psychologists can improve the care of patients with MUS who are already in their practice, expand the number of patients they help, and enhance the integration of counseling psychology into the broader medical community. Additionally, counseling psychologists' expertise in culture, attunement to therapeutic processes, and our focus on prioritizing patients' perspectives and quality of life can fill the gap in research on MUS and bringing increased attention to counseling psychologists' unique contributions to health service delivery.

摘要

医学上无法解释的症状和综合征(MUS)影响着20%-30%在初级保健机构就诊的患者的健康。理想情况下,对这些患者的治疗需要一个由初级保健提供者和心理健康提供者组成的跨学科团队。通过发展对MUS的专业知识,咨询心理学家可以改善他们已经在治疗的患有MUS的患者的护理,扩大他们所帮助的患者数量,并加强咨询心理学与更广泛的医疗社区的整合。此外,咨询心理学家在文化方面的专业知识、对治疗过程的调适,以及我们对优先考虑患者观点和生活质量的关注,可以填补MUS研究的空白,并使人们更加关注咨询心理学家对医疗服务提供的独特贡献。

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