Van Boeijen C A, Oosterbaan D B, van Balkom A J, de Meij T G, van Dyck R
Vrije Universiteit, vakgroep Psychiatrie en Instituut voor Extramuraal Geneeskundig Onderzoek.
Ned Tijdschr Geneeskd. 1998 Aug 15;142(33):1849-51.
In a female patient aged 33 years and suffering from excessive concern with her physical health, hypochondriasis was diagnosed. By cognitive behavioural therapy the obsessive thoughts, controlling behaviour and avoidance behaviour were alleviated. After treatment the patient needed fewer consultations. In general practice hypochondriasis is a common problem. Patients will ask for a lot of diagnostic tests. Nothing will give them enough reassurance and there can be irritation. The general practitioner must confront them with the fact that their main problem is hypochondriasis and search for solutions. Cognitive and behavioural therapy as well as treatment with antidepressive drugs may be helpful. The earlier the diagnosis and the start of treatment, the better the prognosis.
一名33岁女性患者，过度关注自身身体健康，被诊断为疑病症。通过认知行为疗法，强迫观念、控制行为和回避行为得到缓解。治疗后，患者所需的会诊次数减少。在全科医疗中，疑病症是一个常见问题。患者会要求进行大量诊断测试。没有什么能给他们足够的安心感，可能会引发烦躁情绪。全科医生必须让他们面对自己的主要问题是疑病症这一事实，并寻找解决办法。认知行为疗法以及抗抑郁药物治疗可能会有帮助。诊断和治疗开始得越早，预后越好。
