Explaining medically unexplained symptoms: Toward a multidimensional, theory-based approach to somatization

Explaining medically unexplained symptoms: Toward a multidimensional, theory-based approach to somatization
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DOI:
10.1016/j.jpsychores.2006.01.021
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发表时间:
2006-04-01
影响因子:
4.7
通讯作者:
Maes, S
Maes, S
中科院分区:
医学3区
文献类型:
--
作者:
De Gucht, W;Maes, S

文献摘要

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尽管躯体化在临床上具有明显的重要性,但这个概念并没有单一的含义。因此,本文的重点不是审查现有的诊断类别,而是关注与躯体化相关的不同维度以及社会学习理论、压力应对、疾病认知和自我调节模型等心理模型的相关性,以更仔细地解释(不同类型)躯体化的诱发因素、促发因素和持久因素。这种组合方法可能会导致定义更同质的、因此在临床上更有意义的躯体化亚组。 (c) 2006 Elsevier Inc. 保留所有权利。
In spite of the apparent clinical importance of somatization, the concept does not have a single meaning. The focus of the present article is therefore not on scrutinizing existing diagnostic categories but rather on the different dimensions that relate to somatization and on the relevance of psychological models such as social learning theory, stress coping, illness cognition, and self-regulation models for explaining more carefully the predisposing, precipitating, and perpetuating factors of (different types of) somatization. This combined approach could lead to the definition of more homogeneous and, therefore, clinically more meaningful subgroups of somatization. (c) 2006 Elsevier Inc. All rights reserved.