The differential diagnosis of medical and psychogenic disease in primary care

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL

Journal of General and Family Medicine Pub Date : 2023-11-29 DOI:10.1002/jgf2.661

Kosuke Ishizuka MD, PhD, Kiyoshi Shikino MD, PhD, MHPE, FACP, Yu Li MD, PhD, Daiki Yokokawa MD, PhD, Tomoko Tsukamoto MD, PhD, Yasutaka Yanagita MD, PhD, Jumpei Kojima MD, PhD, Shiho Yamashita MD, Kazutaka Noda MD, PhD, Takanori Uehara MD, PhD, Masatomi Ikusaka MD, PhD

{"title":"The differential diagnosis of medical and psychogenic disease in primary care","authors":"Kosuke Ishizuka MD, PhD, Kiyoshi Shikino MD, PhD, MHPE, FACP, Yu Li MD, PhD, Daiki Yokokawa MD, PhD, Tomoko Tsukamoto MD, PhD, Yasutaka Yanagita MD, PhD, Jumpei Kojima MD, PhD, Shiho Yamashita MD, Kazutaka Noda MD, PhD, Takanori Uehara MD, PhD, Masatomi Ikusaka MD, PhD","doi":"10.1002/jgf2.661","DOIUrl":null,"url":null,"abstract":"<p>Diagnosis and management of psychogenic diseases such as conversion disorder, somatic symptom disorder (SSD), illness anxiety disorder, falsehood disorder, and psychotic disorder require an elaborate biopsychosocial approach and are often challenging. Herein, we propose the following points to differentiate medical diseases from these psychogenic diseases: correspondence between symptoms and objective findings or activities of daily living (ADL) impairment; placebo effect; clear provocative or palliative factors; progressive time course; paroxysmal or intermittent symptoms; unfamiliar but not strange expressions; symptoms worsen during sleep or rest.\n <figure>\n <div><picture>\n <source></source></picture><p></p>\n </div>\n </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.661","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of General and Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jgf2.661","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Diagnosis and management of psychogenic diseases such as conversion disorder, somatic symptom disorder (SSD), illness anxiety disorder, falsehood disorder, and psychotic disorder require an elaborate biopsychosocial approach and are often challenging. Herein, we propose the following points to differentiate medical diseases from these psychogenic diseases: correspondence between symptoms and objective findings or activities of daily living (ADL) impairment; placebo effect; clear provocative or palliative factors; progressive time course; paroxysmal or intermittent symptoms; unfamiliar but not strange expressions; symptoms worsen during sleep or rest.

Abstract Image

查看原文本刊更多论文

初级保健中医疗和精神疾病的鉴别诊断

转换障碍、躯体症状障碍（SSD）、疾病焦虑障碍、虚假障碍和精神病性障碍等精神疾病的诊断和管理需要精心设计的生物-心理-社会方法，通常具有挑战性。在此，我们提出以下几点来区分内科疾病和这些精神疾病：症状与客观检查结果或日常生活活动（ADL）障碍之间的对应关系；安慰剂效应；明确的诱发或缓解因素；渐进的时间过程；阵发性或间歇性症状；陌生但不奇怪的表达；睡眠或休息时症状加重。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊