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The Meaning of Patient Experiences of Medically Unexplained Physical Symptoms

机译：医学上无法解释的身体症状的患者经历的意义

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摘要

Current diagnostic models in medical practice do not adequately account for patient symptoms that cannot be classified. At the moment, when all known diagnostic possibilities have been excluded, physiciansand patientsconfront uncertainty in diagnosis, which gives rise to the label of Medically Unexplained Physical Symptoms (MUPS). This phenomenological study, conducted by two research teams in two geographic locations, sought to explore patients' experiences of prolonged uncertainty in diagnosis. Participants in this study described their experiences with and consequences of MUPS primarily in relation to levels of acuity and acceptance of uncertainty, the latter loosely correlated to length of time since onset of symptoms (the longer the time, the more forbearance participants expressed). We identified three experiential periods including the active search for a diagnosis, living with MUPS, and, finally, acceptance/resignation of their condition. Findings point to the heightened importance of the therapeutic relationship when dealing with uncertainty.
机译：当前医学实践中的诊断模型不能充分解决无法分类的患者症状。目前，当所有已知的诊断可能性都被排除在外时，医生和患者面对诊断的不确定性，这引起了医学上无法解释的身体症状（MUPS）的标签。由两个研究小组在两个地理位置进行的这项现象学研究，旨在探讨患者长期诊断不确定性的经历。这项研究的参与者描述了他们对MUPS的经历和后果，主要与敏锐度和不确定性的接受有关，后者与症状发作以来的时间长度（时间越长，参与者表现出的更多忍耐）大致相关。我们确定了三个经历期，包括积极寻找诊断，与MUPS一起生活以及最后接受/辞退其病情。研究结果表明，在处理不确定性时，治疗关系的重要性日益提高。

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