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題 名 | Psychogenic Vomiting: Report of Two Cases=心因性嘔吐:二例報告 |
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作 者 | 蕭正誠; 劉嘉逸; 陳志根; 葉頌壽; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁514-520 |
分類號 | 415.87 |
關鍵詞 | 心因性嘔吐; 認知治療; 悲慟; 情緒宣洩; 焦慮; 家庭; Psychogenic vomiting; Cognitive therapy; Bereavement; Verbal catharsis; Anxiety; Family; |
語 文 | 英文(English) |
中文摘要 | 本文報告2例診斷為心因性嘔吐的病例,他們的嘔吐期間均長達9個月以上。2例住 院及門診期間施以複合治療方法,包括藥物治療、放鬆治療、認知、行為治療及支持性治療 。有1例喪子悲慟(bereavement)的個案則特別強調情緒宣洩(verbal catharsis)治療。 治療方針並未強調嘔吐的改善,而著重於情緒及壓力問題的減少。我們藉由嘔吐的頻率、焦 慮及憂鬱的程度做評咕,結果在焦慮及嘔吐方面得到正相關性,憂鬱及嘔吐則無如此明顯的 相關性。追蹤個案癒後,此2案例均可達到相當的改善程度而不再因嘔吐而困擾,證實此複 合治療方式之效益:而案例之癒後程度亦與焦慮之程度為正相關。固定模式的性格特質及家 庭形態也被發現於心因性嘔吐之案例中。報告中對心因性嘔吐個案的特質及共通性亦重新檢 視及整理。最後,針對中國人排斥精神醫療的特性,提供有效的治療經驗。 |
英文摘要 | Two patients were admitted to our hospital with the diagnosis of psychogenic vomiting of more than 9 months' duration. Both were treated with a combination of pharmacotherapy, relaxation training, cognitive therapy and supportive psychotherapy. Behavioral therapy and verbal catharsis were also used in one of the cases involving bereavement. The intervention was not directly aimed at the vomiting, but at the aspects of the patients' stress and emotional problems. Change in condition was assessed on basis of the frequency of vomiting and the severity of anxiety and depression. Vomiting was found to be positively related to anxiety but not to depression. These 2 patients improved to the extent that the disturbance caused by vomiting was significantly reduced, and the reduction was closely related to the severity of anxiety. Both were also found to have similar personality traits and family types, which have been reported to be related to psychogenic vomiting. We review the characteristics of psychogenic vomiting and relate some important considerations for treating Chinese psychogenic vomiting cases. |
本系統中英文摘要資訊取自各篇刊載內容。