Van Houdenhove B, Vasquez G, Neerinckx E
Consultation-Liaison Psychiatry Unit, University Hospital Pellenberg, K. U. Leuven, Belgium.
Clin Rheumatol. 1994 Sep;13(3):470-4. doi: 10.1007/BF02242945.
Although the aetiology of fibromyalgia is still unexplained, evidence favouring the role of psychopathology is accumulating, at least in a subgroup of patients; however, the exact aetiological significance of psychopathology in this syndrome is difficult to assess. Various assessment strategies have both strengths and weaknesses. Two case reports are presented which illustrate the value of the psychiatric in-depth interview (including psychodynamic-biographical history taking) for assessing and understanding psychological/psychiatric aspects of fibromyalgia.
尽管纤维肌痛的病因仍不明确，但支持精神病理学作用的证据正在不断积累，至少在一部分患者中是如此；然而，精神病理学在该综合征中的确切病因学意义很难评估。各种评估策略都各有优缺点。本文介绍了两个病例报告，阐述了精神科深度访谈（包括精神动力学 - 个人经历史采集）在评估和理解纤维肌痛的心理/精神方面的价值。
