Rutten Sonja, den Boer Carine, Tak Lineke M
Amsterdam UMC, locatie VUmc, afd. Psychiatrie, Amsterdam.
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Ned Tijdschr Geneeskd. 2024 Jun 27;168:D8101.
Since 2021 experts advocate for the abolishment of the term Medically Unexplained Physical Symptoms (MUPS) and the use of Persistent Somatic Symptoms (PSS). This article elucidates the difference between MUPS and PSS, as well as the relation to other relevant concepts like functional syndromes and somatic symptom disorder. Because the term MUPS emphasizes that no somatic cause for the symptoms has been found, it is commonly concluded that the symptoms are 'psychological' in line with the body/mind dualism. This leads to excessive focus on psychosocial contributing factors in MUPS, and too little in PSS in the context of a known somatic disorder. With the term PSS, the question whether there is a somatic cause for the symptoms is not the key issue, but the persistence of the symptoms. This allows for personalised diagnostics and treatment according to the biopsychosocial model.
自2021年起，专家们主张废除“医学上无法解释的身体症状”（MUPS）这一术语，并采用“持续性躯体症状”（PSS）。本文阐述了MUPS和PSS之间的区别，以及它们与功能综合征和躯体症状障碍等其他相关概念的关系。由于MUPS这一术语强调尚未发现症状的躯体原因，人们通常会根据身心二元论得出症状是“心理性”的结论。这导致在MUPS中过度关注心理社会促成因素，而在已知躯体疾病背景下的PSS中关注过少。使用PSS这一术语时，症状是否存在躯体原因并非关键问题，关键在于症状的持续性。这使得能够根据生物心理社会模型进行个性化诊断和治疗。
