Advances in Psychosomatic Medicine最新文献_第2页

Fibromyalgia and chronic fatigue syndrome: management issues. 纤维肌痛和慢性疲劳综合征:管理问题。

Advances in Psychosomatic Medicine Pub Date : 2015-01-01 Epub Date: 2015-03-30 DOI: 10.1159/000369087

Julius Bourke

引用次数: 7

Dimensional psychopharmacology in somatising patients. 躯体化患者的维度精神药理学。

Advances in Psychosomatic Medicine Pub Date : 2015-01-01 Epub Date: 2015-03-30 DOI: 10.1159/000369082

Massimo Biondi, Massimo Pasquini

{"title":"Dimensional psychopharmacology in somatising patients.","authors":"Massimo Biondi, Massimo Pasquini","doi":"10.1159/000369082","DOIUrl":"https://doi.org/10.1159/000369082","url":null,"abstract":"Despite the recent DSM-5 review of somatoform disorders, which are now called somatic symptom and related disorders, the categorical definitions of these syndromes have inherent limitations because their causal mechanism or presumed aetiologies are still unknown. These limitations may affect everyday clinical practice and decision-making abilities. As a result, physicians have limited information at their disposal to treat these patients. Furthermore, the clinical presentations of somatic disorders may vary a lot. The purpose of this chapter is to illustrate a psychopathological dimensional approach to the somatising patient. This approach is constantly unconsciously applied in clinical practice using continuous variables, such as rating scales. Moreover, treatment strategies might be improved by adding a dimensional approach, simply recognising the prominent components of the presenting psychopathology of a given patient and addressing them with drugs according to their different mechanisms, targeting circuits and neurotransmitters. Some authors have proposed a shift from the nosological to functional application of psychotropic drugs, in which functional psychopharmacology will be dysfunction oriented and therefore inevitably geared towards utilising drug combinations. Here, we present a summary of the advantages of functional/dimensional psychopharmacology for the treatment of somatic symptoms and related disorders.","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"34 ","pages":"24-35"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000369082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33180759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Cultural psychiatry: a general perspective. 文化精神病学:一般观点。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000348722

Renato D Alarcón

引用次数: 15

Epilogue. 后记。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000349900

Renato D Alarcón

引用次数: 0

Opening up mental health service delivery to cultural diversity: current situation, development and examples from three northern European countries. 向文化多样性开放精神卫生服务:现状、发展和三个北欧国家的例子。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000348730

Sofie Bäärnhielm, Cecilie Jávo, Mike-Oliver Mösko

{"title":"Opening up mental health service delivery to cultural diversity: current situation, development and examples from three northern European countries.","authors":"Sofie Bäärnhielm, Cecilie Jávo, Mike-Oliver Mösko","doi":"10.1159/000348730","DOIUrl":"https://doi.org/10.1159/000348730","url":null,"abstract":"There are inequalities in health among migrants and local populations in Europe. Due to migration, Germany, Norway and Sweden have become ethnic culturally diverse nations. There are barriers to mental health care access for refugees, migrants and minorities, and problems with quality of culturally sensitive care in the three countries. This is despite tax-funded health care systems based on equity in service provision. There is a need to develop culturally sensitive mental health services that respond to the increasing diversity of the populations. In this chapter, we will take a closer look at cultural diversity in the countries in question, discuss challenges and give examples of current work to open up mental health services to cultural diversity. The German example will focus on the movement of Interkulturelle Öffnung (cross-cultural opening of the health care system) and work on creating national guidelines and quality standards. From Norway, the work of the National Centre for Mental Health for the indigenous Sámi population will be presented. The Swedish example will focus on the work carried out by the Transcultural Centre. The latter is a competence centre supporting development of culturally sensitive care as an integrated part of the regional health and mental health care system in Stockholm. Finally, the relevance of mental health care for a culturally diverse population, as a part of the larger social project of building tolerant multicultural societies, will be discussed. ","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"33 ","pages":"40-55"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000348730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31192062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Transcultural aspects of somatic symptoms in the context of depressive disorders. 抑郁症背景下躯体症状的跨文化方面。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000350057

Issa P Bagayogo, Alejandro Interian, Javier I Escobar

{"title":"Transcultural aspects of somatic symptoms in the context of depressive disorders.","authors":"Issa P Bagayogo, Alejandro Interian, Javier I Escobar","doi":"10.1159/000350057","DOIUrl":"https://doi.org/10.1159/000350057","url":null,"abstract":"Somatic symptoms are a common presentation of mental disorders or psychological distress worldwide, and may often coexist with depressive and anxiety symptoms, thus accounting for what might be the most frequent psychiatric syndrome in primary care. Indeed, physical symptoms accompanying the clinical presentations of a variety of mental disorders may be considered as universal 'idioms of distress' that may vary across cultures, depending on attitudes and explanations embedded in each one of them. These variations in symptom presentations are the result of various interacting factors that ultimately determine how individuals identify and classify bodily sensations, perceive illness, and seek medical attention. This chapter examines the impact of culture on the experiencing of somatic symptoms, based on an inclusive review of the topic from ethnic, nosological, clinical and social perspectives. Particular attention is paid to the association of somatic symptoms with mood symptoms, since depressive disorders appear to be the most common, costly and disabling psychiatric entities worldwide. The review shows that racial/ethnic variations in somatic symptoms in the context of depression are common, and seem to be related to depression severity. Sociocultural factors, particularly stigma, may influence the unique emphasis placed on somatic symptoms within depression, and may account for some racial/ethnic differences in somatic symptom reporting. ","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"33 ","pages":"64-74"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000350057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31548142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 56

Cultural psychiatry: research strategies and future directions. 文化精神病学:研究策略与未来方向。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000348742

Laurence J Kirmayer, Lauren Ban

{"title":"Cultural psychiatry: research strategies and future directions.","authors":"Laurence J Kirmayer, Lauren Ban","doi":"10.1159/000348742","DOIUrl":"https://doi.org/10.1159/000348742","url":null,"abstract":"This chapter reviews some key aspects of current research in cultural psychiatry and explores future prospects. The first section discusses the multiple meanings of culture in the contemporary world and their relevance for understanding mental health and illness. The next section considers methodological strategies for unpacking the concept of culture and studying the impact of cultural variables, processes and contexts. Multiple methods are needed to address the many different components or dimensions of cultural identity and experience that constitute local worlds, ways of life or systems of knowledge. Quantitative and observational methods of clinical epidemiology and experimental science as well as qualitative ethnographic methods are needed to capture crucial aspects of culture as systems of meaning and practice. Emerging issues in cultural psychiatric research include: cultural variations in illness experience and expression; the situated nature of cognition and emotion; cultural configurations of self and personhood; concepts of mental disorder and mental health literacy; and the prospect of ecosocial models of health and culturally based interventions. The conclusion considers the implications of the emerging perspectives from cultural neuroscience for psychiatric theory and practice. ","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"33 ","pages":"97-114"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000348742","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31548145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 51

Ethnopsychopharmacology and pharmacogenomics. 民族精神药理学和药物基因组学。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000348741

Hernán Silva

引用次数: 15

Bioethical dimensions of cultural psychosomatics: the need for an ethical research approach. 文化身心学的生物伦理维度:伦理研究方法的需要。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000348807

Fernando Lolas

{"title":"Bioethical dimensions of cultural psychosomatics: the need for an ethical research approach.","authors":"Fernando Lolas","doi":"10.1159/000348807","DOIUrl":"https://doi.org/10.1159/000348807","url":null,"abstract":"Contemporary psychosomatics is a research-based technical discipline and its social power depends on how scientific knowledge is obtained and applied in practice, considering cultural contexts. This article presents the view that the dialogical principles on which bioethical discourse is based are more inclusive than professional ethics and philosophical reflection. The distinction is advanced between rule-guided behavior and norm-justifiable acts (substantiation and justification). The practical implications of good practices in the generation of valid, reliable, generalizable and applicable knowledge are emphasized. For practitioners and researchers, the need to reflect on the distinction between patient and research participant can avoid the therapeutic misunderstanding, a form of abuse of the doctor-patient relationship. In addition, in resource-poor settings, the dilemma presented by the know-do gap (inapplicability of research results due to financial or social constraints) is part of the ethics' realm of the profession. Future prospects include a wider use of research results in practice, but avoidance of the know-do gap (the disparity between what is known and what can be done, particularly in settings with limited resources) requires a synthetic and holistic approach to medical ethics, combining moral reflection, theoretical analysis and empirical data. ","PeriodicalId":50851,"journal":{"name":"Advances in Psychosomatic Medicine","volume":"33 ","pages":"115-22"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000348807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31548146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Trends in cultural psychiatry in the United kingdom. 英国文化精神病学的发展趋势。

Advances in Psychosomatic Medicine Pub Date : 2013-01-01 Epub Date: 2013-06-25 DOI: 10.1159/000348727

Kamaldeep Bhui

引用次数: 2