Toussaint Anne, Weigel Angelika, Löwe Bernd
Department of Psychosomatic Medicine and Psychotherapy, Centre for Internal Medicine, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, Hamburg 20246, Germany.
Lancet Reg Health Eur. 2024 Nov 26;48:101140. doi: 10.1016/j.lanepe.2024.101140. eCollection 2025 Jan.
Regardless of their cause, persistent physical symptoms are distressing somatic complaints that occur on most days for at least several months. They are common in patients with somatic diseases, functional somatic disorders, mental disorders, and undiagnosed medical conditions and are often associated with significant impairment and medical costs. Despite their prevalence and impact, persistent physical symptoms are often overlooked in medical care. This Personal View stresses the importance of recognising persistent physical symptoms as a European health issue. It advocates improvements in research, clinical management, public health, and policy. Efforts should prioritise integrating models of symptom perception and biopsychosocial perspectives into medical care and education, fostering interdisciplinary collaboration, and developing standardised guidelines to enhance patient care, reduce stigma, and improve clinical outcomes. Increased research funding can accelerate progress in understanding and effectively managing persistent physical symptoms. Addressing these priorities will support patients and healthcare professionals, ensuring adequate care and a higher quality of life for affected individuals.
无论其病因如何,持续性躯体症状都是令人痛苦的躯体主诉,多数日子都会出现,且至少持续数月。它们在患有躯体疾病、功能性躯体障碍、精神障碍以及未确诊疾病的患者中很常见,并且常常与严重的功能损害和医疗费用相关。尽管持续性躯体症状普遍存在且影响较大,但在医疗护理中却常常被忽视。这篇个人观点文章强调了将持续性躯体症状视为欧洲健康问题的重要性。它主张在研究、临床管理、公共卫生和政策方面加以改进。应优先努力将症状感知模型和生物心理社会观点整合到医疗护理和教育中,促进跨学科合作,并制定标准化指南,以加强患者护理、减少污名化并改善临床结果。增加研究资金可以加快在理解和有效管理持续性躯体症状方面的进展。解决这些优先事项将为患者和医疗保健专业人员提供支持,确保为受影响的个体提供充分的护理并提高生活质量。