查詢結果分析
相關文獻
- Medically Unexplained Symptoms and Somatoform Disorders: Diagnostic Challenges to Psychiatrists
- 綜合醫院之精神科急會診
- 精神科藥物用為輔助性止痛劑
- 某綜合醫院護理人員對精神科與新陳代謝科護理會診制度設立之需求性探討
- Psychiatric Consultations in Pediatric Inpatients
- 精神科會診工作: 綜合分析
- 門診常見身體型疾患之診斷與治療
- 針刺治療緊張性(肌肉收縮性)頭痛之初報--精神科學的探討
- 非癌慢性疼痛病人以精神科藥物配合精神科社區復健活動介入之改善案例
- 探討手術後病人對疼痛護理及疼痛控制的滿意度及其影響因素
頁籤選單縮合
題名 | Medically Unexplained Symptoms and Somatoform Disorders: Diagnostic Challenges to Psychiatrists=內外科無法解釋的身體症狀與身體型疾患 |
---|---|
作者 | 李正達; 周元華; 陽凱鈞; 楊誠弘; 李鶯喬; 蘇東平; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 72:5 2009.05[民98.05] |
頁次 | 頁251-256+CA47 |
分類號 | 415.9511 |
關鍵詞 | 會診; 內外科無法解釋的身體症狀; 痛; 精神科; 身體型疾患; Consultation; Medically unexplained symptoms; Pain; Psychiatry; Somatoform disorders; |
語文 | 英文(English) |
英文摘要 | Background: Clinical limitations of the criteria of somatoform disorders (SDs) have been criticized. However, little objective evidence supports this notion. We aimed to examine the prevalence of SDs in a population with medically unexplained symptoms (MUS), which was expected to have higher probabilities meriting such diagnoses, and to evaluate factors that may influence the clinical judgment of psychiatrists. Methods: Data of subjects with MUS (n = 101, 9.5%) as their chief consulting problems, of 1,068 consecutive ethnic Chinese adult medical inpatients referred for consultation-liaison psychiatry services, were reviewed. Psychiatric diagnoses including SDs and clinical variables were collected. Those with SDs were followed-up 1 year later, and structured interviews were applied. Results: Patients with MUS had a high level of psychiatric comorbidity, especially depression (35.6%) and anxiety disorder (29.7%), rather than SDs (9.9%). Most diagnosed with SDs suffered from persistent MUS at the 1-year follow-up. Pain was the most common presentation of MUS. Most of the subjects diagnosed with SDs were female and younger, with multiple painful sites at presentation, no past psychiatric diagnosis and no comorbid organic diagnoses. The diagnosis of SDs was seldom given in those with simultaneous MUS and mood symptoms. Conclusion: A significant proportion (9.5%) of patients in psychiatric consultation suffered from MUS, and most were comorbid with depression and anxiety. The identification of SDs was made in only 9.9%. Because MUS are associated with a high rate of mental comorbidities, psychiatric consultations while facing such clinical conditions are encouraged. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。