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首页> 外文期刊>The journal of clinical psychiatry >Explanatory therapy in hypochondriasis.
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Explanatory therapy in hypochondriasis.

机译：软骨病的解释性治疗。

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OBJECTIVE: The aim of the study was to evaluate the effectiveness of individual explanatory therapy in hypochondriasis. METHOD: Twenty patients with DSM-IV hypochondriasis were randomly assigned to 2 groups. One received explanatory therapy and was assessed again after a 6-month follow-up. The other was first assigned to a waiting list and subsequently treated with explanatory therapy. All patients received usual medical care from their physicians. Assessments involved both observer and self-rated instruments. RESULTS: In both groups, explanatory therapy was significantly associated with a reduction of hypochondriacal fears and beliefs, improvement in affective disturbances and anxiety sensitivity, and a decrease in health care utilization. Therapeutic gains were maintained at follow-up. Substantial residual symptomatology, however, remained. CONCLUSION: The results suggest that hypochondriasis is a treatable condition and that explanatory therapy is a viable therapeutic tool. Further research should disclose the actual components of the mechanism of change in hypochondriacal patients.
机译：目的：本研究的目的是评估个别解释疗法对软骨病的有效性。方法：将20例DSM-IV软骨病患者随机分为2组。其中一名接受了解释性治疗，并在6个月的随访后再次进行了评估。另一个首先被分配到候补名单中，随后接受解释性治疗。所有患者均从医生那里获得常规医疗护理。评估涉及观察员工具和自我评估工具。结果：在两组中，解释性疗法均与减少软骨下的恐惧和信念，改善情感障碍和焦虑敏感性以及减少医疗保健利用显着相关。随访时保持治疗效果。但是，仍然存在大量残余症状。结论：结果提示软骨病是可以治疗的疾病，解释性治疗是可行的治疗工具。进一步的研究应揭示软骨症患者变化机制的实际组成部分。

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