Azorin J M
SHU de Psychiatrie Adulte, CHU Sainte-Marguerite, Marseille.
Encephale. 1995 Dec;21 Spec No 7:17-22.
Management of somatization in depression depends on understanding its mechanisms. This kind of somatization is the product of both specific and nonspecific factors which interact to create a chronic and hypocondriacal picture. Biological treatment looks like treatment of chronic depression. Antidepressants with anxiolytic properties have a place of choice. Psychotherapy is frequently used, particularly cognitive behavior therapy which allows the reattribution of somatic symptoms to psychological events. General practitioners need to be trained to these techniques as they are, more frequently than psychiatrists, involved in the management of these patients.
抑郁症中躯体化症状的管理取决于对其机制的理解。这种躯体化是特定因素和非特定因素相互作用的产物,这些因素相互作用形成了一种慢性和疑病性的表现。生物治疗看起来类似于慢性抑郁症的治疗。具有抗焦虑特性的抗抑郁药是首选。心理治疗经常被使用,特别是认知行为疗法,它可以将躯体症状重新归因于心理事件。全科医生需要接受这些技术的培训,因为与精神科医生相比,他们更频繁地参与这些患者的管理。