初级保健中医疗和精神疾病的鉴别诊断

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL
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":"初级保健中医疗和精神疾病的鉴别诊断","authors":"Kosuke Ishizuka MD, PhD,&nbsp;Kiyoshi Shikino MD, PhD, MHPE, FACP,&nbsp;Yu Li MD, PhD,&nbsp;Daiki Yokokawa MD, PhD,&nbsp;Tomoko Tsukamoto MD, PhD,&nbsp;Yasutaka Yanagita MD, PhD,&nbsp;Jumpei Kojima MD, PhD,&nbsp;Shiho Yamashita MD,&nbsp;Kazutaka Noda MD, PhD,&nbsp;Takanori Uehara MD, PhD,&nbsp;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":"{\"title\":\"The differential diagnosis of medical and psychogenic disease in primary care\",\"authors\":\"Kosuke Ishizuka MD, PhD,&nbsp;Kiyoshi Shikino MD, PhD, MHPE, FACP,&nbsp;Yu Li MD, PhD,&nbsp;Daiki Yokokawa MD, PhD,&nbsp;Tomoko Tsukamoto MD, PhD,&nbsp;Yasutaka Yanagita MD, PhD,&nbsp;Jumpei Kojima MD, PhD,&nbsp;Shiho Yamashita MD,&nbsp;Kazutaka Noda MD, PhD,&nbsp;Takanori Uehara MD, PhD,&nbsp;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}","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

摘要

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。

The differential diagnosis of medical and psychogenic disease in primary care

The differential diagnosis of medical and psychogenic disease in primary care

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.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信