描述
开 本: 16开包 装: 平装胶订国际标准书号ISBN: 9787030617156
编辑推荐
心身医学
内容简介
躯体症状是引导就诊的主要因素，也是对患者造成直接痛苦的关键，还是影响患者社会功能的主要原因。现行的医学理念则将症状归入“疾病”系统，而对症状本身未给予充分重视。《临床躯体症状的心身医学分类及诊疗共识（第3版）》的内容基于2015年和2017年两次“共识”上的进一步深入研究，主要包括：①进一步强调心身医学相关理论框架下躯体症状的分类，并运用2014～2018年国内80余家医疗单位开展的“真实世界”研究的相关资料，再次证实了躯体症状的心身医学分类假说；②运用“真实世界”研究结果，制订了对各类躯体症状“对症”的优化治疗方案；③简化了《西部精神医学协会（WCPA）临床躯体症状分类诊断量表》，并初步确定了正常值，使临床应用更为便捷和准确；④展示了多学科在分类治疗躯体症状中的典型案例，便于多学科交流。
目 录
目录/Contents
序/Preface
**章 心身医学理论框架下临床躯体症状分类的相关问题 1
**节 临床躯体症状分类的必要性 1
第二节 躯体症状的心身医学概念 3
第三节 躯体症状心身分类的具体建议 6
第二章 《西部精神医学协会（WCPA）临床躯体症状分类量表》（第二版）的医学临床多中心现场测试 11
**节 方法简介 11
第二节 临床躯体症状的临床治疗结果及分析 14
第三节 现场测试结果的解读 20
第四节 优化治疗方案推荐说明 21
第五节 躯体症状心身分类治疗结果及解读 29
第三章 各类躯体症状诊疗案例 41
**节 工伤后所出现的激越和认知性躯体症状 41
第二节 以奥迪括约肌功能紊乱为特征的激越性躯体症状 43
第三节 以感觉异常为特征的认知性躯体症状 45
第四节 以皮肤损害为特征、带节律障碍倾向的激越性躯体症状 47
第五节 以耳鸣为特征的激越性躯体症状 49
第六节 以眩晕为主要表现的激越性躯体症状 50
第七节 以“偏头痛”为主要表现的激越性躯体症状 52
第八节 以述情障碍为病理心理基础的激越性躯体症状 54
第九节 以幻觉为特征的认知性躯体症状 56
第十节 以顽固性咳嗽为特征的激越性躯体症状 57
第四章 心身医学理论框架下临床躯体症状分类诊断工具研制 59
**节 《WCPA临床躯体症状分类量表》（第二版）修订 59
第二节 心身医学理论框架下的《WCPA临床躯体症状分类诊断量表》的信度、效度及其相关问题 69
第三节 《WCPA临床躯体症状分类诊断量表》诊断值的探索研究 75
第四节 心身医学理论框架下的《WCPA临床躯体症状分类诊断量表》使用说明 84
第五章 “共识”总结 100
Chapter 1 Related issues of somatic symptom classification under the theoretical framework of psychosomatic medicine 102
Section 1 The necessity of clinical somatic symptom classification 102
Section 2 Psychosomatic concepts of somatic symptoms 105
Section 3 Specific recommendations for psychosomatic classification of somatic symptoms 109
Chapter 2 Multi-center on-site investigation of WCPA-SSCS(second edition) under the theoretical framework of psychosomatic medicine 115
Section 1 A brief introduction to the method 115
Section 2 Results of the on-site investigation 119
Section 3 The interpretation of on-site investigation results 125
Section 4 Optimization of treatment recommendations 127
Section 5 The results and interpretation of treatment of somatic symptoms 137
Chapter 3 Case sharing 153
Section 1 The agitated and cognitive somatic symptoms after a workrelated injury 153
Section 2 Agitated somatic symptoms characterized by dysfunction of the Oddi sphincter 156
Section 3 Cognitive somatic symptoms characterized by paresthesia 159
Section 4 Agitated somatic symptoms characterized by skin lesions and predisposition to dysrhythmia 161
Section 5 Agitated somatic symptoms characterized by tinnitus 164
Section 6 Agitated somatic symptoms characterized by dizziness 166
Section 7 Agitated somatic symptoms characterized by “migraine” 169
Section 8 Agitated somatic symptoms characterized by alexithymia as pathological psychological basis 172
Section 9 Cognitive somatic symptoms characterized by hallucinations 174
Section 10 Agitated somatic symptoms characterized by intractable cough 176
Chapter 4 Development of diagnostic tools for clinical somatic symptom classification under the framework of psychosomatic medical theory 179
Section 1 Revision of WCPA-SSCS (second edition) 179
Section 2 Reliability， validity and related problems of WCPAClassification & Diagnostic Scale of Somatic Symptoms 190
Section 3 Study on diagnostic value of WCPAClassification & Diagnostic Scale of Somatic Symptoms 197
Section 4 The instruction of WCPAClassification & Diagnostic Scale of Somatic Symptoms under the theoretical framework of psychosomatic medicine 208
Chapter 5 Conclusion: the consensus 227
参考文献/References 229
序/Preface
**章 心身医学理论框架下临床躯体症状分类的相关问题 1
**节 临床躯体症状分类的必要性 1
第二节 躯体症状的心身医学概念 3
第三节 躯体症状心身分类的具体建议 6
第二章 《西部精神医学协会（WCPA）临床躯体症状分类量表》（第二版）的医学临床多中心现场测试 11
**节 方法简介 11
第二节 临床躯体症状的临床治疗结果及分析 14
第三节 现场测试结果的解读 20
第四节 优化治疗方案推荐说明 21
第五节 躯体症状心身分类治疗结果及解读 29
第三章 各类躯体症状诊疗案例 41
**节 工伤后所出现的激越和认知性躯体症状 41
第二节 以奥迪括约肌功能紊乱为特征的激越性躯体症状 43
第三节 以感觉异常为特征的认知性躯体症状 45
第四节 以皮肤损害为特征、带节律障碍倾向的激越性躯体症状 47
第五节 以耳鸣为特征的激越性躯体症状 49
第六节 以眩晕为主要表现的激越性躯体症状 50
第七节 以“偏头痛”为主要表现的激越性躯体症状 52
第八节 以述情障碍为病理心理基础的激越性躯体症状 54
第九节 以幻觉为特征的认知性躯体症状 56
第十节 以顽固性咳嗽为特征的激越性躯体症状 57
第四章 心身医学理论框架下临床躯体症状分类诊断工具研制 59
**节 《WCPA临床躯体症状分类量表》（第二版）修订 59
第二节 心身医学理论框架下的《WCPA临床躯体症状分类诊断量表》的信度、效度及其相关问题 69
第三节 《WCPA临床躯体症状分类诊断量表》诊断值的探索研究 75
第四节 心身医学理论框架下的《WCPA临床躯体症状分类诊断量表》使用说明 84
第五章 “共识”总结 100
Chapter 1 Related issues of somatic symptom classification under the theoretical framework of psychosomatic medicine 102
Section 1 The necessity of clinical somatic symptom classification 102
Section 2 Psychosomatic concepts of somatic symptoms 105
Section 3 Specific recommendations for psychosomatic classification of somatic symptoms 109
Chapter 2 Multi-center on-site investigation of WCPA-SSCS(second edition) under the theoretical framework of psychosomatic medicine 115
Section 1 A brief introduction to the method 115
Section 2 Results of the on-site investigation 119
Section 3 The interpretation of on-site investigation results 125
Section 4 Optimization of treatment recommendations 127
Section 5 The results and interpretation of treatment of somatic symptoms 137
Chapter 3 Case sharing 153
Section 1 The agitated and cognitive somatic symptoms after a workrelated injury 153
Section 2 Agitated somatic symptoms characterized by dysfunction of the Oddi sphincter 156
Section 3 Cognitive somatic symptoms characterized by paresthesia 159
Section 4 Agitated somatic symptoms characterized by skin lesions and predisposition to dysrhythmia 161
Section 5 Agitated somatic symptoms characterized by tinnitus 164
Section 6 Agitated somatic symptoms characterized by dizziness 166
Section 7 Agitated somatic symptoms characterized by “migraine” 169
Section 8 Agitated somatic symptoms characterized by alexithymia as pathological psychological basis 172
Section 9 Cognitive somatic symptoms characterized by hallucinations 174
Section 10 Agitated somatic symptoms characterized by intractable cough 176
Chapter 4 Development of diagnostic tools for clinical somatic symptom classification under the framework of psychosomatic medical theory 179
Section 1 Revision of WCPA-SSCS (second edition) 179
Section 2 Reliability， validity and related problems of WCPAClassification & Diagnostic Scale of Somatic Symptoms 190
Section 3 Study on diagnostic value of WCPAClassification & Diagnostic Scale of Somatic Symptoms 197
Section 4 The instruction of WCPAClassification & Diagnostic Scale of Somatic Symptoms under the theoretical framework of psychosomatic medicine 208
Chapter 5 Conclusion: the consensus 227
参考文献/References 229
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