Somatic distress: Developing more integrated concepts

被引:18
作者
Hickie, IB [1 ]
Scott, EM
Davenport, TA
机构
[1] St George Hosp & Community Hlth Serv, Acad Dept Psychiat, Kogarah, NSW 2217, Australia
[2] Univ New S Wales, Sch Psychiat, Sydney, NSW, Australia
关键词
D O I
10.1097/00001504-199803000-00007
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Epidemiological, longitudinal and treatment studies have emphasized the significance of the common somatic presentations of distress (e. g. chronic fatigue, musculoskeletal pain, gastrointestinal symptoms). Aetiological models for these syndromes now emphasize unique genetic, cognitive and neurobiological factors. Treatment paradigms emphasize the central role of cognitive-behavioural approaches but their implementation, particularly in primary care, remains problematic. (C) 1998 Rapid Science Ltd.
引用
收藏
页码:153 / 158
页数:6
相关论文
共 71 条
  • [41] POPULATION-BASED STUDY OF FATIGUE AND PSYCHOLOGICAL DISTRESS
    PAWLIKOWSKA, T
    CHALDER, T
    HIRSCH, SR
    WALLACE, P
    WRIGHT, DJM
    WESSELY, S
    [J]. BRITISH MEDICAL JOURNAL, 1994, 308 (6931): : 763 - 766
  • [42] Medically unexplained physical symptoms in primary care: A comparison of self-report screening questionnaires and clinical opinion
    Peveler, R
    Kilkenny, L
    Kinmonth, AL
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 1997, 42 (03) : 245 - 252
  • [43] PLIOPLYS AV, 1997, NEUROLOGY, V481, P1717
  • [44] Raguram R, 1996, AM J PSYCHIAT, V153, P1043
  • [45] REIGER DA, 1988, ARCH GEN PSYCHIAT, V45, P977
  • [46] Double-blind randomized controlled trial to assess the efficacy of intravenous gammaglobulin for the management of chronic fatigue syndrome in adolescents
    Rowe, KS
    [J]. JOURNAL OF PSYCHIATRIC RESEARCH, 1997, 31 (01) : 133 - 147
  • [47] *ROYAL COLL PHYS L, 1996, JOINT WORK GROUP ROY
  • [48] Decreased postexercise facilitation of motor evoked potentials in patients with chronic fatigue syndrome or depression
    Samii, A
    Wassermann, EM
    Ikoma, K
    Mercuri, B
    George, MS
    OFallon, A
    Dale, JK
    Straus, SE
    Hallett, M
    [J]. NEUROLOGY, 1996, 47 (06) : 1410 - 1414
  • [49] SARTORIUS N, 1993, ARCH GEN PSYCHIAT, V50, P1069
  • [50] Illness behavior and somatization in general practice
    Scicchitano, J
    Lovell, P
    Pearce, R
    Marley, J
    Pilowsky, I
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 1996, 41 (03) : 247 - 254