心身诊断的演变:从隐性抑郁症到躯体症状及相关疾病

V. Prisco, Bernadette Donnarumma, L. Prisco
{"title":"心身诊断的演变:从隐性抑郁症到躯体症状及相关疾病","authors":"V. Prisco, Bernadette Donnarumma, L. Prisco","doi":"10.21926/obm.geriatr.2301228","DOIUrl":null,"url":null,"abstract":"This paper discusses the history and the concept of somatization from masked depression to somatic symptoms and related disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Evaluating the evolution of these terms and concepts along the time course is very interesting. DSM 5 revision was intended to increase the relevance of these concepts in the primary care setting. “Masked depression” is a form of depression in which somatic symptoms or behavioral disturbances dominate the clinical picture. Primary care physicians often treat patients who show somatic symptoms without a biological substrate. These patients may receive unnecessary or invasive tests and procedures. An accurate psychiatric screening is essential to diagnose somatic symptoms disorder. As a result, it is very useful to establish a strong therapeutic alliance, and acknowledge and legitimize the patient’s symptoms. Cognitive behavioral therapy, mindfulness-based therapy, and pharmacotherapy are evidence-based therapies. In particular, selective serotonin reuptake inhibitors and tricyclic antidepressants have effectively alleviated somatic symptoms when there is a hidden psychological substrate.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evolution of Psychosomatic Diagnosis: From Masked Depression to Somatic Symptoms and Related Disorders\",\"authors\":\"V. Prisco, Bernadette Donnarumma, L. Prisco\",\"doi\":\"10.21926/obm.geriatr.2301228\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This paper discusses the history and the concept of somatization from masked depression to somatic symptoms and related disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Evaluating the evolution of these terms and concepts along the time course is very interesting. DSM 5 revision was intended to increase the relevance of these concepts in the primary care setting. “Masked depression” is a form of depression in which somatic symptoms or behavioral disturbances dominate the clinical picture. Primary care physicians often treat patients who show somatic symptoms without a biological substrate. These patients may receive unnecessary or invasive tests and procedures. An accurate psychiatric screening is essential to diagnose somatic symptoms disorder. As a result, it is very useful to establish a strong therapeutic alliance, and acknowledge and legitimize the patient’s symptoms. Cognitive behavioral therapy, mindfulness-based therapy, and pharmacotherapy are evidence-based therapies. In particular, selective serotonin reuptake inhibitors and tricyclic antidepressants have effectively alleviated somatic symptoms when there is a hidden psychological substrate.\",\"PeriodicalId\":74332,\"journal\":{\"name\":\"OBM geriatrics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-03-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"OBM geriatrics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21926/obm.geriatr.2301228\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"OBM geriatrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21926/obm.geriatr.2301228","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

本文在《精神疾病诊断与统计手册》(DSM)中讨论了从掩蔽性抑郁到躯体症状和相关疾病的躯体化的历史和概念。评估这些术语和概念在时间过程中的演变是非常有趣的。DSM 5修订旨在增加这些概念在初级保健环境中的相关性。“蒙面抑郁症”是一种身体症状或行为障碍主导临床表现的抑郁症。初级保健医生经常在没有生物基质的情况下治疗出现躯体症状的患者。这些患者可能会接受不必要的或侵入性的检查和程序。准确的精神病筛查对于诊断躯体症状障碍至关重要。因此,建立一个强有力的治疗联盟,承认患者的症状并使其合法化是非常有用的。认知行为疗法、正念疗法和药物疗法都是循证疗法。特别是,当存在隐藏的心理基础时,选择性血清素再摄取抑制剂和三环类抗抑郁药有效地缓解了躯体症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evolution of Psychosomatic Diagnosis: From Masked Depression to Somatic Symptoms and Related Disorders
This paper discusses the history and the concept of somatization from masked depression to somatic symptoms and related disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Evaluating the evolution of these terms and concepts along the time course is very interesting. DSM 5 revision was intended to increase the relevance of these concepts in the primary care setting. “Masked depression” is a form of depression in which somatic symptoms or behavioral disturbances dominate the clinical picture. Primary care physicians often treat patients who show somatic symptoms without a biological substrate. These patients may receive unnecessary or invasive tests and procedures. An accurate psychiatric screening is essential to diagnose somatic symptoms disorder. As a result, it is very useful to establish a strong therapeutic alliance, and acknowledge and legitimize the patient’s symptoms. Cognitive behavioral therapy, mindfulness-based therapy, and pharmacotherapy are evidence-based therapies. In particular, selective serotonin reuptake inhibitors and tricyclic antidepressants have effectively alleviated somatic symptoms when there is a hidden psychological substrate.
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
自引率
0.00%
发文量
0
×
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