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躯体形式障碍的治疗大纲。质量保证项目。

Treatment outlines for the management of the somatoform disorders. The Quality Assurance Project.

出版信息

Aust N Z J Psychiatry. 1985 Dec;19(4):397-407. doi: 10.1080/00048678509158848.

DOI:10.1080/00048678509158848
PMID:3869006
Abstract

The Quality Assurance Project is developing explicit and detailed treatment outlines for each of the major psychiatric disorders. Three sources of information are used: the treatment outcome literature, the opinions of a sample of practising psychiatrists and the views of a panel of nominated experts. The recommendations for the treatment of somatoform disorders were as follows: brief dynamic psychotherapy, family therapy and excellent medical consultation are the basis for the treatment of hypochondriasis. Limited long-term supportive psychotherapy and good medical consultation are important in somatization disorder. Symptom relief, psychotherapeutic support and meticulous collaboration with physicians are the keys to managing psychogenic pain disorder. Physiotherapy to improve physical functioning and patient education to facilitate the distinction between normal symptoms and abnormal illness behaviours are important in all three conditions. Neither the benzodiazepines nor behaviour therapy appear to be of use in these conditions.

摘要

质量保证项目正在为每种主要精神疾病制定明确而详细的治疗大纲。使用了三种信息来源:治疗结果文献、一组执业精神科医生的意见以及一个指定专家小组的观点。关于躯体形式障碍的治疗建议如下:短程动力心理治疗、家庭治疗和优质的医学咨询是疑病症治疗的基础。有限的长期支持性心理治疗和良好的医学咨询对躯体化障碍很重要。症状缓解、心理治疗支持以及与医生的精心协作是处理心因性疼痛障碍的关键。在这三种情况中,改善身体功能的物理治疗以及帮助区分正常症状和异常疾病行为的患者教育都很重要。苯二氮䓬类药物和行为疗法在这些情况下似乎都没有用处。

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Treatment outlines for the management of the somatoform disorders. The Quality Assurance Project.躯体形式障碍的治疗大纲。质量保证项目。
Aust N Z J Psychiatry. 1985 Dec;19(4):397-407. doi: 10.1080/00048678509158848.
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