A life-stress, emotional awareness, and expression interview for primary care patients with medically unexplained symptoms: A randomized controlled trial.
A life-stress, emotional awareness, and expression interview for primary care patients with medically unexplained symptoms: A randomized controlled trial.
复制标题
对患有医学上无法解释的症状的初级保健患者进行生活压力、情绪意识和表达访谈：一项随机对照试验。
DOI：
10.1037/hea0000566
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Lumley,MarkA
中科院分区：
文献类型：
--
作者：
Ziadni,MaisaS;Carty,JenniferN;Doherty,HeatherK;Porcerelli,JohnH;Rapport,LisaJ;Schubiner,Howard;Lumley,MarkA
终身创伤，关系逆境和情感冲突在具有医学上无法解释的症状（MUS）的初级保健患者中升高，这些风险因素可能引发或加剧症状。帮助患者披露压力源，增加对抑制情绪的意识和表达，并将情绪与身体症状联系起来，可能会改善健康状况。我们开发了一个情绪意识和表达面试，目标紧张的生活经历和冲突，然后测试其对初级保健患者MUS.MethodPatients（N= 75）与MUS的影响被招募在家庭医学诊所和随机采访条件或治疗照常（TAU）的控制条件。在一个单一的90分钟的采访中，在诊所，采访者引起披露病人的压力源，将它们与病人的症状史，并鼓励情绪意识和表达有关未解决的关系创伤或冲突。在基线和6周的后续行动，患者完成自我报告的措施，他们的身体和心理health.ResultsAnalysis的协方差分析，控制基线症状，比较患者在6周的后续采访条件与TAU。与TAU相比，面试导致显着降低疼痛的严重程度，疼痛的干扰，睡眠问题，和全球性的心理symptoms.ConclusionsThis研究提供了初步证据的价值整合披露和情绪意识和表达的采访到基层医疗设置与MUSs患者。
ObjectiveLifetime trauma, relationship adversities, and emotional conflicts are elevated in primary care patients with medically unexplained symptoms (MUS), and these risk factors likely trigger or exacerbate symptoms. Helping patients disclose stressors, increase awareness and expression of inhibited emotions, and link emotions to physical symptoms may improve health. We developed an emotional awareness and expression interview that targets stressful life experiences and conflicts and then tested its effects on primary care patients with MUS.MethodPatients (N= 75) with MUS were recruited at a family medicine clinic and randomized to an interview condition or treatment-as-usual (TAU) control condition. In a single 90-min interview in the clinic, the interviewer elicited disclosure of the patient’s stressors, linked them to the patient’s symptom history, and encouraged emotional awareness and expression about unresolved relationship trauma or conflict. At baseline and 6-week follow-up, patients completed self-report measures of their physical and psychological health.ResultsAnalyses of covariance, controlling for baseline symptoms, compared patients in the interview condition with TAU at 6-week follow-up. Compared with TAU, the interview led to significantly lower pain severity, pain interference, sleep problems, and global psychological symptoms.ConclusionsThis study provides preliminary evidence for the value of integrating a disclosure and emotional awareness and expression interview into the primary care setting for patients with MUS.