Psychological Therapies Unit, UK.
North West Boroughs Healthcare NHS Foundation Trust, UK.
J Health Psychol. 2022 Jan;27(1):3-8. doi: 10.1177/13591053211038042. Epub 2021 Sep 23.
The American Psychiatric Association's, 2013 DSM-5 abandoned the use of the term 'medically unexplained symptoms' for non-neurological disorders. In the UK, treatments for various medical illnesses with unexplained aetiology, such as chronic fatigue syndrome, irritable bowel syndrome and fibromyalgia, continue to fall under an MUS umbrella with cognitive behavioural therapy promoted as a primary therapeutic approach. In this editorial, we comment on whether the MUS concept is a viable diagnostic term, the credibility of the cognitive-behavioural MUS treatment model, the necessity of practitioner training and the validity of evidence of effectiveness in routine practice.
美国精神病学协会的 2013 年 DSM-5 放弃了使用“医学无法解释的症状”这个术语来描述非神经疾病。在英国，对于各种病因不明的医学疾病的治疗，如慢性疲劳综合征、肠易激综合征和纤维肌痛，仍然属于 MUS 范畴，认知行为疗法被作为主要治疗方法。在这篇社论中，我们评论了 MUS 概念是否是一个可行的诊断术语、认知行为治疗模型的可信度、从业者培训的必要性以及在常规实践中有效性证据的可信度。
