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疑病症的心理治疗策略:一项临床研究。

Psychotherapeutic strategies in hypochondriasis: a clinical study.

作者信息

Kellner R

出版信息

Am J Psychother. 1982 Apr;36(2):146-57. doi: 10.1176/appi.psychotherapy.1982.36.2.146.

Abstract

Thirty-six patients who had hypochondriacal neurosis for six months or longer were treated with individual psychotherapy. The therapy focused mainly on: accurate information about the psychophysiologic processes involved, emphasis on the innocuousness of the phenomena and the good prognosis, and making the patient aware of his selective perception. Physical examinations were repeated with reassurance when necessary and antianxiety medication was prescribed when appropriate. A substantial proportion of patients recovered or improved and the improvement was maintained on follow-up.

摘要

三十六名患有疑病症神经症达六个月或更长时间的患者接受了个体心理治疗。治疗主要集中在:提供有关所涉及的心理生理过程的准确信息,强调这些现象无害且预后良好,以及让患者意识到自己的选择性认知。必要时重复进行体格检查并给予安慰,适当时开具抗焦虑药物。相当一部分患者康复或有所改善,且随访时改善情况得以维持。

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