Illness perception in patients with somatic symptom disorder: a qualitative study

中华行为医学与脑科学杂志 Pub Date : 2019-10-20 DOI:10.3760/CMA.J.ISSN.1674-6554.2019.10.007

Chenghui Yang, Bo Zhou, Fan Zhou, Shuya Pan, Luyao Wang, Xu-Hui Zhong, Yulan Huang

{"title":"Illness perception in patients with somatic symptom disorder: a qualitative study","authors":"Chenghui Yang, Bo Zhou, Fan Zhou, Shuya Pan, Luyao Wang, Xu-Hui Zhong, Yulan Huang","doi":"10.3760/CMA.J.ISSN.1674-6554.2019.10.007","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the perception and evaluation of patients with somatic symptom disorder about their own diseases and treatment, and to provide theoretical basis for design of illness perception questionnaire for patients with somatic symptoms disorder. \n \n \nMethods \nA semi-structured interview was conducted among 15 initial and untreated patients with somatic symptom disorder using the descriptive qualitative study. The data were sorted, encoded, classified, summarized and refined using MAXQDA10 software. \n \n \nResults \nThree main themes and six sub-themes of illness perception in patients with somatic symptom disorder were analyzed and sorted out: (1) symptom recognition: including three sub-themes, low understanding of the disease and denial of somatic symptoms as mental illness; (2)drug taking concerns: including two sub-themes worrying about side effects of drugs, drug addiction and having difficulty to stick to the long-term regular medication; (3)emotional reaction: including the obvious negative emotions of depression and helplessness sub-theme. \n \n \nConclusion \nPatients with somatic symptom disorder have a general bias in illness perception, which has a potential adverse effect on treatment compliance. Therefore, it is necessary for clinical medical staff to early estimate patients’illness perception, and carry out mental health education and rational emotional behavior therapy. \n \n \nKey words: \nSomatic symptom disorder; Illness perception; Qualitative research; Compliance; Intervention","PeriodicalId":9940,"journal":{"name":"中华行为医学与脑科学杂志","volume":"28 1","pages":"898-902"},"PeriodicalIF":0.0000,"publicationDate":"2019-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华行为医学与脑科学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1674-6554.2019.10.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 1

Abstract

Objective To explore the perception and evaluation of patients with somatic symptom disorder about their own diseases and treatment, and to provide theoretical basis for design of illness perception questionnaire for patients with somatic symptoms disorder. Methods A semi-structured interview was conducted among 15 initial and untreated patients with somatic symptom disorder using the descriptive qualitative study. The data were sorted, encoded, classified, summarized and refined using MAXQDA10 software. Results Three main themes and six sub-themes of illness perception in patients with somatic symptom disorder were analyzed and sorted out: (1) symptom recognition: including three sub-themes, low understanding of the disease and denial of somatic symptoms as mental illness; (2)drug taking concerns: including two sub-themes worrying about side effects of drugs, drug addiction and having difficulty to stick to the long-term regular medication; (3)emotional reaction: including the obvious negative emotions of depression and helplessness sub-theme. Conclusion Patients with somatic symptom disorder have a general bias in illness perception, which has a potential adverse effect on treatment compliance. Therefore, it is necessary for clinical medical staff to early estimate patients’illness perception, and carry out mental health education and rational emotional behavior therapy. Key words: Somatic symptom disorder; Illness perception; Qualitative research; Compliance; Intervention

查看原文本刊更多论文

躯体症状障碍患者的疾病感知：一项定性研究

目的探讨躯体症状障碍患者对自身疾病和治疗的感知和评价，为躯体症状障碍病人疾病感知问卷的设计提供理论依据。方法采用描述性定性研究方法，对15例初次和未经治疗的躯体症状障碍患者进行半结构化访谈。使用MAXQDA10软件对数据进行分类、编码、分类、总结和提炼。结果对躯体症状障碍患者疾病感知的三个主主题和六个子主题进行了分析和整理：（1）症状识别：包括三个子主题，对疾病的理解程度低，否认躯体症状为精神疾病；（2）吸毒问题：包括担心药物副作用、吸毒成瘾和难以坚持长期常规用药两个子主题；（3）情绪反应：包括明显的消极情绪的抑郁和无助分主题。结论躯体症状障碍患者在疾病认知方面存在普遍偏见，对治疗依从性有潜在的不良影响。因此，临床医务人员有必要对患者的健康感知进行早期评估，并进行心理健康教育和合理的情绪行为治疗。关键词：躯体症状障碍；疾病感知；定性研究；合规性；干预

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

中华行为医学与脑科学杂志

自引率

0.00%

发文量

8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.