首页> 外文期刊>International Journal of Psychiatry in Medicine >The treatment of patients with medically unexplained physical symptoms in China: a study comparing expectations and treatment satisfaction in psychosomatic medicine, biomedicine, and traditional Chinese medicine.
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The treatment of patients with medically unexplained physical symptoms in China: a study comparing expectations and treatment satisfaction in psychosomatic medicine, biomedicine, and traditional Chinese medicine.

机译:在中国患有无法解释的身体症状的患者的治疗:比较心身医学,生物医学和中医的期望和治疗满意度的研究。

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OBJECTIVE: Little is known about treatment for patients with medically unexplained symptoms (MUS) in China. This study investigates the treatment expectations and treatment satisfaction of patients with MUS in psychosomatic medicine, biomedicine, and Traditional Chinese Medicine (TCM). METHOD: In a cross-sectional survey, n = 96 (10.3%) out of 931 participating patients were screened positive for multiple somatoform symptoms. These patients answered questionnaires concerning symptom duration, number of doctor visits, functional impairment, emotional distress, treatment expectations, treatment satisfaction, and empathy in the consultation. The physicians filled in a questionnaire about applied or recommended treatment. RESULTS: Most of the patients from psychosomatic medicine wanted psychotherapy. In TCM, 55% of the patients had already received TCM treatment and most of them wanted to continue TCM treatment. Patients in biomedicine did not express clear expectations; most of them had had no previous treatment. A combination of treatment methods was most prevalent in biomedicine in comparison to psychosomatic medicine and TCM. The outcome from the patients' point of view was significantly better in TCM than in psychosomatic medicine and biomedicine. Psychosomatic medicine's strength was the empathetic physician-patient interaction. CONCLUSIONS: From a biopsychosocial perspective, these results suggest that various treatment approaches with various emphases can be effective depending on the patient's complaints, his illness beliefs, and what the physician offers. The results will be verified in a larger multicenter longitudinal study.
机译:目的:对中国有医学上无法解释的症状(MUS)的患者的治疗知之甚少。这项研究调查了心身医学,生物医学和中医药(TCM)中MUS患者的治疗期望和治疗满意度。方法:在一项横断面调查中,从931名参与调查的患者中筛查出n = 96(10.3%)为多种躯体形式症状阳性。这些患者回答了有关症状持续时间,就诊次数,功能障碍,情绪困扰,治疗期望,治疗满意度和同情心的问卷。医生填写了有关应用或推荐治疗的问卷。结果:大多数心身医学患者希望接受心理治疗。在中医中,有55%的患者已经接受过中医治疗,其中大多数人希望继续中医治疗。使用生物医学的患者没有表达明确的期望。他们中的大多数以前没有接受过治疗。与心身医学和中医相比,生物医学中最普遍的治疗方法是组合治疗。从患者的角度来看,中医治疗的疗效明显优于心身医学和生物医学。心身医学的优势是善解人意的医患互动。结论:从生物社会心理学的角度来看,这些结果表明,取决于患者的主诉,他的疾病信念以及医生所提供的服务,具有不同重点的各种治疗方法可能是有效的。结果将在更大的多中心纵向研究中得到验证。

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