对症状的解释和在临床上进行传记修复,以治疗持续的身体症状
Tom Sanders1, Kate Fryer2, Monica Greco3
1Department of Social Work, Education and Community Wellbeing, Northumbria University, Northumbria Building, Newcastle upon Tyne, NE1 8ST, UK.
SSM. Qualitative research in health
|June 25, 2024
概括
了解持续的身体症状是修复传记的关键. 提供多层次的解释有助于患者重建他们的身份并恢复新的正常状态,即使症状持续下去.
科学领域:
- 心理学 心理学 心理学
- 社会学 社会学 社会学
- 医学人文学科 医学人文学科
背景情况:
- 疾病可能会导致传记的破坏,影响一个人的自我和身份感.
- 持续的身体症状 (PPS) 往往会导致传记中断,而缺乏明确的医学解释也会加剧这种情况.
- 暗示PPS可能是心理上的,这可能会给寻求理解的患者带来紧张.
研究的目的:
- 为了检查PPS患者在缺乏解释时所经历的紧张感.
- 调查一项新的"症状诊所"干预措施如何促进PPS患者的生物修复.
- 探索多层次解释在重建身份和恢复正常状态中的作用.
主要方法:
- 在英国随机对照试验中进行的一项嵌入式定性研究.
- 通过录音咨询和半结构化患者访谈收集数据.
- 理论上有根据的主题分析与协作编码和讨论.
主要成果:
- 对PPS缺乏可接受的解释严重阻碍了传记修复.
- 在诊所提供的多层次解释将症状重新定义为可以理解的,而不是隐藏的问题.
- 参与者获得了一种新的自我管理感,并重新定义了他们的症状,即使没有症状改善,也导致了"更好的感觉".
结论:
- 为持续的身体症状提供清晰的,多层次的解释对于使传记修复成为可能至关重要.
- 通过可理解的解释重新定义症状有助于身份重建和自我管理.
- "症状诊所"的干预表明了促进PPS患者的传记修复的潜力.
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