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医学难以解释症状的诊治 被引量:4

Diagnosis and Treatment of Medically Unexplained Symptoms
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摘要 医学难以解释症状(medically unexplained symptoms,MUS)在临床各科门诊患者中并不少见,即相当一部分患者因为腹胀、心悸、胸闷等多种身体不适来就诊,经过常规体检和必要的实验检查(如血液生化与免疫、影像学和电生理等检查)难以发现有任何器质性病因,或即使有一定的器质性变化或病理改变,但难以解释其症状。
作者 季建林
出处 《中国临床医学》 2011年第1期3-6,共4页 Chinese Journal of Clinical Medicine
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参考文献11

  • 1Semple D, Smyth R. Oxford Handbook of Psychiatry[M]. 2nd. Oxford: Oxford University Press, 2009:736-744.
  • 2Kroenke K, Price RK. Symptoms in the community, prevalence, classification, and psychiatric comorbidity[J]. Archlntern Med, 1993, 153: 2474-2480.
  • 3Kroenke K, Spitzer RL, Williams JB, et al. Physical symptoms in primary care. Predictors of psychiatric disorders andfunctional impairment[J]. Arch Fam Med, 1994, 3.. 774-779.
  • 4Russo J, Katon W, Sullivan M, et al. Severity off somatization and its relationship to psychiatric disorders and personality[J]. Psychosomatics, 1994, 35 : 546-556.
  • 5Henningsen P, Zimmermann T, Sattel H. Medically unexpiained physical symptoms, anxiety, and depression: a metaanalytic review[J]. Psychosom Med, 2003, 65.. 528-533.
  • 6Barsky A J, Orav EJ, Bates DW. Somatization increases medical utilization and costs independent of psychiatric and medicai comorbidity[J]. Arch Gen Psychiatry, 2005, 62: 903-910.
  • 7Garcia-Campayo J, Fayed N, SerranoBlanco A, et al. Braindysfunction behind functional symptoms: neuroimaging andsomatoform, conversive, and dissociative disorders[J]. CurrOpin Psychiatry, 2009, 22:224-231.
  • 8Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validityof a new measure for evaluating the severity of somatic symptoms[J]. Psychosom Med, 2002, 64: 258-266.
  • 9季建林.多种躯体主诉不适患者的处理[J].中国临床医学,2006,13(5):695-696. 被引量:4
  • 10Dickinson WP, Dickinson LM, deGruy FV, et al. A randomized clinical trial of a care recommendation letter interventionfor somatization in primary care[J]. Ann Fara Med, 2003, 1 :228-235.

共引文献3

同被引文献45

  • 1季建林.医患关系是临床医学的基础[J].中国临床医学,2005,12(1):6-7. 被引量:4
  • 2马英,彭国光.神经科门诊患者中医学无法解释的症状临床特征初步探讨[J].中国神经精神疾病杂志,2006,32(3):266-268. 被引量:3
  • 3Anon.Chinese doctors are under threat[J].Lancet,2010,376(9742):657.
  • 4Kahn MW.Etiquette-based medicine[J].N Engl J Med,2008,358(19):1988-1989.
  • 5Prince M,Patel V,Saxena S,et al.No health without mental health[J].Lancet,2007,370(9590):859-877.
  • 6Hall M,Meaden A,Smith J,et al.Brief report:the development and psychometric properties of an observerrated measure of engagement with mental health services[J].J Ment Health,2001,10(4):457-465.
  • 7Scott J and Colom F.Practice issues in psychological approaches to individual with bipolar disorders[M] // Yatham LN,Kusumakar V,ed.Bipolar disorders.2nd ed.New York:Routledge Taylor & Francise Group,2009:551-573.
  • 8Lake CR,Baumer J.Academic psychiatry's responsibility for increasing the recognition of mood disorders and risk for suicide in primary care[J].Curr Opin Psychiatry,2010,23(2):157-166.
  • 9Kessler RC,Merikangas KR,Wang PS.Prevalence,comorbidity,and service utilization for mood disorders in the United States at the beginning of the twenty-first century[J].Annu Rev Clin Psychol,2007,3:137-158.
  • 10Ballenger JC,Davidson JR,Lecrubier Y,et al.A proposed algorithm for improved recognition and treatment of the depression/anxiety spectrum in primary care[J].Prim Care Companion J Clin Psychiatry,2001,3(2):44-52.

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