长期悲伤障碍的身体症状:一个案例报告
Hiromichi Matsuoka1, Emi Takeuchi2, Masashi Kato3
1Department of Psycho-oncology, National Cancer Center Hospital, Tokyo, Japan; Division of Supportive and Palliative Care, National Cancer Center Hospital, Tokyo, Japan.
Annals of palliative medicine
|August 21, 2024
概括
长期悲伤障碍 (PGD) 可以表现为身体症状. 使用双重过程模型的心理治疗有效地治疗了仿真疾病,减少了与丧亲相关的身体症状.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 悲伤研究 悲伤研究
背景情况:
- 长期悲伤障碍 (PGD) 在2022年在DSM-5-TR中被认可,其特点是对死者的强烈渴望和关注.
- 虽然不是诊断标准,但体征症状可以与PGD同时发生.
- 副本疾病,一个人经历与已故亲人相似的身体症状,在悲伤咨询中提出了一个独特的挑战.
研究的目的:
- 为了呈现一个病例的模拟疾病在一个患者体验身体症状,反映了她已故丈夫的病例.
- 探索双重过程模型在治疗与悲伤相关的身体症状中的有效性.
主要方法:
- 一个病例报告,一个患者在丈夫去世后患有仿真疾病.
- 应用双重流程模型,强调以损失为导向和以恢复为导向的悲伤之间的振荡.
- 门诊心理治疗包括暴露疗法和行为激活.
主要成果:
- 患者出现了与已故丈夫相似的身体症状 (头痛,高血压).
- 基于双重过程模型的心理治疗导致了患者身体症状的改善.
- 治疗促进了以损失为导向和以恢复为导向的悲伤行为之间的振荡.
结论:
- 丧亲可能会引发显著的身体症状,有时表现为仿真疾病.
- 双重过程模型,利用暴露疗法和行为激活,可以有效地管理这些身体症状.
- 识别和解决悲伤的身体症状对于全面的患者护理至关重要.
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