Jørgensen C K, Fink P K, Olesen F
Forskningsenheden for Almen Medicin, Arhus.
Ugeskr Laeger. 1998 Oct 5;160(41):5919-23.
Patients with unexplained physical symptoms are very common in primary care. Some patients attribute these symptoms to physical disease (somatizing patients). Somatization can be a symptom of psychiatric disorder, which is found in 1/4 to 1/3 of the patients in a primary care setting. This form of somatization makes diagnosing difficult and is the main reason why psychiatric disorders are underdiagnosed. Simple techniques for diagnosing and treating somatizing patients are available to general practitioners. However, to improve diagnostic sensitivity and treatment, further teaching and development in primary care settings are necessary.
不明原因身体症状的患者在初级医疗保健中很常见。一些患者将这些症状归因于躯体疾病(躯体化患者)。躯体化可能是精神障碍的一种症状,在初级医疗保健机构中,四分之一到三分之一的患者存在这种情况。这种躯体化形式使得诊断困难,也是精神障碍诊断不足的主要原因。全科医生可以采用简单的技术来诊断和治疗躯体化患者。然而,为了提高诊断敏感性和治疗效果,在初级医疗保健环境中进行进一步的教学和发展是必要的。