持续的身体症状:定义,起源和管理
Bernd Löwe1, Anne Toussaint1, Judith G M Rosmalen2
1Department of Psychosomatic Medicine and Psychotherapy, Centre for Internal Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Lancet (London, England)
|June 15, 2024
概括
持续的身体症状,持续数月的痛苦,导致严重的残疾. 了解他们复杂的生物和心理因素是个性化治疗和减少患者耻辱的关键.
科学领域:
- 医学科学
- 心理学
- 身体症状障碍
背景情况:
- 持续的身体症状 (PPS) 是持续数月的令人痛苦的身体症状,导致严重的残疾和负担.
- 这些症状可能在感染,受伤或压力事件后出现,通常与明显的病理生理学联系有所减弱.
- 多种生物和心理因素导致症状持续,造成诊断和治疗挑战.
研究的目的:
- 提供持续性身体症状的概述,包括其定义,原因和促成因素.
- 讨论目前管理PPS的方法,包括基本护理和有针对性的干预措施.
- 强调需要更好地了解多因素的持续性,以实现个性化治疗和减少耻辱感.
主要方法:
- 关于持续的身体症状的文献综述和当前理解.
- 识别和讨论生物 (如炎症,表观遗传,失调) 和心理 (如焦虑,避免) 风险因素.
- 检查基本护理策略和先进的干预措施 (心理,药物).
主要成果:
- 持续的身体症状是复杂的,受到广泛的生物和心理社会机制的影响.
- 有效的管理涉及以人为中心的沟通,验证,放心和生物心理社会解释.
- 当基本护理不足时,有针对性的心理和药物治疗可能是有益的.
结论:
- 对于开发个性化,基于机制的治疗来说,更深入地了解PPS的多因素性质至关重要.
- 综合处理生物和心理因素可以改善患者的治疗结果.
- 减少与持续的身体症状相关的耻辱感是医疗保健的一个重要目标.
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