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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >What is the evidence for the efficacy of treatments for somatoform disorders? A critical review of previous intervention studies.
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What is the evidence for the efficacy of treatments for somatoform disorders? A critical review of previous intervention studies.

机译：有什么证据证明躯体形式疾病的治疗功效？对以前的干预研究的评论。

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OBJECTIVE: To review published literature for the highest level of evidence on the efficacy of treatment for patients with medically unexplained symptoms. METHODS: A comprehensive literature search was carried out in Cochrane library, Medline (1971-2007), PsychINFO (1974-2006), and EMBASE (1980-2007) to identify pharmacological, nonpharmacological, psychological, and other interventions, using the search terms "medically unexplained symptoms," "somatisation," somatization, behavior therapy," "pharmacological therapies," "management," "therapy," "drug therapy," and "anti-depressants" with Boolean operators AND and OR on the entire text. Searches were confined to literature in English. RESULTS: Studies were carried out in primary, secondary, and tertiary care settings. The therapists ranged from medical specialists, psychiatrists, and psychologists to primary care physicians. Three types of interventions (antidepressant medication, cognitive behavioral therapy (CBT), and other nonspecific interventions) were supported by evidence on the efficacy of treatment for patients with medically unexplained symptoms. There is more level I evidence for CBT compared with the amount for other approaches. There was only one study reported from the developing world. CONCLUSIONS: CBT is efficacious for either symptom syndromes or for the broader category of medically unexplained symptoms, reducing physical symptoms, psychological distress, and disability. A relatively small number of studies were carried out in primary care, but the trend has been changing over the last decade. No studies have compared pharmacological and psychological treatments. Most trials assessed only short-term outcomes. Use of divergent selection procedures, interventions, outcome measures, and instruments, and other methodological differences observed in these studies hamper the ability to compare treatment effects across studies.
机译：目的：回顾已发表的文献，以期获得医学上无法解释的症状的治疗效果的最高证据。方法：在Cochrane图书馆，Medline（1971-2007），PsychINFO（1974-2006）和EMBASE（1980-2007）中进行了全面的文献检索，以使用检索词识别药理学，非药理学，心理及其他干预措施在全文中使用布尔运算符AND和OR的“医学上无法解释的症状”，“躯体化”，“躯体化”，“行为疗法”，“药理疗法”，“管理”，“疗法”，“药物疗法”和“抗抑郁药”结果仅限于初级，二级和三级护理环境，治疗师从医学专家，精神病医生和心理学家到初级保健医师不等。三种干预措施（抗抑郁药，认知疗法）行为疗法（CBT）和其他非特异性干预措施）得到了医学上无法解释的症状患者的治疗效果的证据支持。或CBT与其他方法的金额相比。发展中国家仅报道了一项研究。结论：CBT可有效治疗症状综合征或医学上无法解释的症状，减轻身体症状，心理困扰和残疾。在初级保健中进行的研究相对较少，但在过去十年中这种趋势一直在变化。没有研究比较药理和心理治疗。大多数试验仅评估短期结果。在这些研究中观察到使用不同的选择程序，干预措施，结果指标和手段以及其他方法学差异，这妨碍了比较研究间治疗效果的能力。

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