整合精神病学和家庭医学在躯体症状障碍的管理:诊断,协作和沟通策略。

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL
Journal of General and Family Medicine Pub Date : 2024-10-28 eCollection Date: 2025-01-01 DOI:10.1002/jgf2.725
Victor Ajluni
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引用次数: 0

摘要

躯体症状障碍(SSDs)是生理和心理因素的复杂相互作用,需要综合的诊断和治疗方法。本文探讨了家庭医学和精神病学在解决ssd方面的合作努力,强调了综合患者护理的多学科策略的重要性。有效的诊断包括认识到躯体症状和患者心理反应的重要性,而结构化临床访谈和自我报告问卷等工具发挥着至关重要的作用。管理策略包括心理治疗干预,如认知行为疗法(CBT)、药物治疗和生活方式改变,所有这些都是根据患者的需要量身定制的。沟通策略是至关重要的,在确认患者的经验,同时解决潜在的精神问题。诸如积极倾听、生物心理社会框架和反导法等技术可以培养信任并提高治疗依从性。文化方面的考虑和口译员的使用加强了与不同患者群体的沟通。针对医疗保健提供者的培训计划进一步提高了管理ssd的能力。这种综合方法旨在通过协作护理、有效沟通和综合治疗计划来解决ssd的多面性,从而提高患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrating psychiatry and family medicine in the management of somatic symptom disorders: Diagnosis, collaboration, and communication strategies.

Somatic symptom disorders (SSDs) present a complex interplay of physical and psychological factors, necessitating an integrative approach to diagnosis and management. This article explores the collaborative efforts between family medicine and psychiatry in addressing SSDs, emphasizing the importance of a multidisciplinary strategy for comprehensive patient care. Effective diagnosis involves recognizing the significance of both somatic symptoms and the patient's psychological response, with tools like structured clinical interviews and self-report questionnaires playing crucial roles. Management strategies include psychotherapeutic interventions such as cognitive behavioral therapy (CBT), pharmacological treatments, and lifestyle modifications, all tailored to the patient's needs. Communication strategies are vital in validating patients' experiences while addressing underlying psychiatric issues. Techniques such as active listening, biopsychosocial framing, and the teach-back method foster trust and improve treatment adherence. Cultural considerations and the use of interpreters enhance communication with diverse patient populations. Training programs for healthcare providers further improve competency in managing SSDs. This integrative approach aims to enhance patient outcomes by addressing the multifaceted nature of SSDs through collaborative care, effective communication, and comprehensive treatment planning.

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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
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