Medically Unexplained Symptoms: an acceptable term?

Medically Unexplained Symptoms: an acceptable term?
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DOI:
10.1177/2049463714535372
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发表时间:
2015-05-01
影响因子:
1.8
通讯作者:
Hunter, Myra S.
Hunter, Myra S.
中科院分区:
其他
文献类型:
--
作者:
Marks, Elizabeth M.;Hunter, Myra S.

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背景资料:术语“医学上无法解释的症状”(MUS)被卫生专业人员和研究人员用来指持续的身体不适,包括疼痛和不适。目的:本研究探讨了一个外行样本对用于描述“MUS”的临床术语的看法,以确定特定偏好的原因以及经历更多躯体症状的个体之间的偏好是否不同。设计和方法:一个样本(n = 844)的健康成年人完成了一项在线调查,其中包括一份问卷测量躯体症状(患者健康问卷-15(PHQ-15))和一个关于他们的偏好的术语来描述MUS.Results的问题:844名参与者,698提供他们的偏好的术语。最受欢迎的术语是“持续性身体症状”(20%)和“功能性症状”(17%)。“MUS”(15%)、“身体不适症”(13%)及“复杂身体症状”(5%)则较不受欢迎。和24%表示没有偏好,但高PHQ-15评分者更有可能表达的偏好比低scorers.Conclusion:持续的身体症状和功能症状是更容易接受的健康成年人的样本比更常用的术语“慕斯”。
Background: The term 'Medically Unexplained Symptoms' (MUS) is used by health professionals and researchers to refer to persistent bodily complaints, including pain and discomfort.Aims: This study explores the views held by a lay sample on the clinical terminology used to describe 'MUS', to ascertain reasons for particular preferences and whether preferences differ between individuals who experience more somatic symptoms.Design and methods: A sample (n = 844) of healthy adults completed an online survey, which included a questionnaire measuring somatic symptoms (Patient Health Questionnaire-15 (PHQ-15)) and a question about their preferences for terminology used to describe MUS.Results: Of 844 participants, 698 offered their preferences for terminology. The most popular terms were 'Persistent Physical Symptoms' (20%) and 'Functional Symptoms' (17%). 'MUS' (15%), 'Body Distress Disorder' (13%) and 'Complex Physical Symptoms' (5%) were less popular. And 24% indicated no preference, but high PHQ-15 scorers were more likely to express preferences than low scorers.Conclusion: Persistent Physical Symptoms and Functional Symptoms are more acceptable to this sample of healthy adults than the more commonly used term 'MUS'.