[从MUPS到PSS:进步的洞察力]
Sonja Rutten1,2, Carine den Boer3, Lineke M Tak4
1Amsterdam UMC, locatie VUmc, afd. Psychiatrie, Amsterdam.
Nederlands tijdschrift voor geneeskunde
|July 11, 2024
概括
专家建议用持续性身体症状 (PSS) 代替医学上无法解释的身体症状 (MUPS). 这种转变将注意力从原因转移到症状.
科学领域:
- 医学术语和患者护理.
- 精神病体医学和诊断框架.
背景情况:
- 自2021年以来,医学上无法解释的身体症状 (MUPS) 一词一直受到批评.
- MUPS可能会导致对"心理"原因的双重关注,忽视潜在的体质联系.
- 这种诊断方法可能导致患者管理不足.
研究的目的:
- 要区分医学上无法解释的身体症状 (MUPS) 和持续的身体症状 (PSS).
- 为了澄清PSS,MUPS,功能性综合征和体质症状障碍之间的关系.
- 倡导在临床实践中采用PSS.
主要方法:
- 文献综述和概念分析.
- 对诊断术语和影响进行比较分析.
- 探索与症状持续性相关的生物心理社会模型.
主要成果:
- 术语MUPS意味着缺乏体质原因,往往导致心理过度强调.
- 持续性体征症状 (PSS) 将焦点从病因转移到症状持续时间,使得诊断范围更广泛.
- PSS促进了对患者护理的更综合的生物心理社会方法.
结论:
- 术语持续体征症状 (PSS) 提供了一个比医学上无法解释的身体症状 (MUPS) 更具包容性和有效的框架.
- 采用PSS支持与生物心理社会模型一致的个性化诊断和治疗.
- 这种术语变化促进了对患者症状的整体理解,无论其明显的体质起源如何.
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