身体症状障碍和健康焦虑:评估和管理
Karoline S Sauer1, Michael Witthöft1, Winfried Rief2
1Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes Gutenberg-University of Mainz, Wallstraße 3, Mainz 55122, Germany.
Neurologic clinics
|September 29, 2023
概括
精神疾病诊断和统计手册第五版 (DSM-5) 将体形疾病重新定义为体型症状障碍 (SSD) 和疾病焦虑障碍 (IAD). 认知行为疗法是这些疾病的最有效治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康诊断 心理健康诊断
背景情况:
- 精神疾病诊断和统计手册第五版 (DSM-5) 引入了对体质症状相关疾病的新诊断标准.
- 以前的诊断实体,如DSM-IV中的体形疾病和缺口症,被修订和取代.
研究的目的:
- 概述从DSM-IV到DSM-5关于体征性症状障碍的诊断转变.
- 要突出区分体征性症状障碍 (SSD) 和疾病焦虑障碍 (IAD) 的关键特征.
主要方法:
- 在DSM-IV和DSM-5之间对诊断标准的比较分析.
- 对治疗疗效的经验证据的审查.
主要成果:
- DSM-5用SSD和IAD取代了DSM-IV体形疾病.
- SSD专注于与症状相关的想法,感受和行为,不论诊断的疾病状况如何.
- 诊断SSD或IAD取决于健康焦虑的个体体质症状的严重程度.
结论:
- 认知行为疗法 (CBT) 证明了对治疗SSD和IAD的最强有力的经验支持.
- DSM-5重新分类的目标是更准确和临床相关的体征症状和与焦虑有关的疾病的诊断.
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