症状预期作为体质症状障碍的临床目标:来自SOMA.SSD研究的横截面证据
Stefanie Hahn1, Franz Pauls1, Henrike Wittenbecher2
1Clinical Psychology and Psychotherapy, Helmut-Schmidt-University/University of the Federal Armed Forces, Hamburg, Germany.
Journal of psychosomatic research
|January 23, 2026
概括
身体症状障碍 (SSD) 患者的负面症状预期与症状严重程度增加,心理困扰和残疾相关. 这些发现表明,针对患者期望的干预措施可能有利于管理SSD症状.
科学领域:
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
- 医学心理学 医学心理学
背景情况:
- 症状预期受到nocebo和安慰剂效应的影响,影响疼痛障碍的症状严重程度.
- 身体症状障碍 (SSD) 也可能受到症状预期的影响,但这些预期的性质及其影响因素尚不清楚.
研究的目的:
- 调查SSD患者的症状预期的性质.
- 检查SSD患者的症状预期与心理/生物因素之间的关联.
主要方法:
- 一组241名被诊断患有SSD的患者接受了结构化评估.
- 评估包括标准化问卷,体检和临床采访.
- 用描述性统计和多重回归分析来分析预期指标.
主要成果:
- 超过一半的患者 (54%) 报告了负面的短期症状预期.
- 负面的期望与更大的身体症状严重程度,抑郁,焦虑,痛苦和残疾有关.
- 与症状相关的残疾与症状减弱预期的关联最强 (短期:β=0.46;长期:β=0.26).
- 症状严重程度与症状特异性预期最强烈相关 (β=0.66).
结论:
- 负面的症状预期在SSD中很常见,并且与更高的心理负担有关.
- 患有SSD和负面期望的患者代表了一个可能受益于以修改期望为重点的干预措施的子组.
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