Medically Unexplained Symptoms

被引：28

作者：

Isaac, Margaret L. ^{[1
]}

Paauw, Douglas S. ^{[2
]}

机构：

[1] Univ Washington, Sch Med, Harborview Med Ctr, Dept Med, Seattle, WA 98104 USA

[2] Univ Washington, Div Gen Internal Med, Dept Med, Sch Med, Seattle, WA 98195 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2014年 / 98卷 / 03期

关键词：

Medically unexplained symptoms; Somatization; Somatoform; Depression; Pain; MAJOR DEPRESSIVE DISORDER; PRIMARY-CARE; SOMATIC SYMPTOMS; SOMATIZATION; DIAGNOSIS; PERSONALITY; ILLNESS; EPIDEMIOLOGY; PREDICTORS; MANAGEMENT;

D O I：

10.1016/j.mcna.2014.01.013

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Medically unexplained symptoms (MUS) are common in the primary care setting and lead to high medical resource use. Diagnostic criteria for somatic symptom disorder focus on the psychological impact of symptoms. Patients with MUS may present with a myriad of symptoms, with pain being the most common, and several named disorders with specific symptoms are included under the broad heading of MUS. Treatment of MUS is challenging, and cognitive behavior therapy is the best studied and validated specific treatment modality. In the primary care setting, a specific 6-step approach can help clinicians provide the best care for patients.

引用

页码：663 / +

页数：11

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