Functional somatic syndromes: A comprehensive cognitive model

被引：10

作者：

Pitron, V ^{[1
,2
]}

Ranque, B. ^{[3
,4
]}

Vulser, H. ^{[2
,4
]}

Rotge, J. Y. ^{[5
,6
,7
]}

Limosin, F. ^{[2
,4
,8
]}

Lemogne, C. ^{[2
,4
,8
]}

机构：

[1] PSL, Inst Jean Nicod, CNRS, ENS,EHESS,IEC,UMR 8129, 29 Rue Ulm, F-75005 Paris, France

[2] Hop Univ Paris Ouest, AP HP, Serv Psychiat & Addictol Adulte & Sujet Age, 20 Rue Leblanc, F-75015 Paris, France

[3] Hop Univ Paris Ouest, AP HP, Serv Med Interne, 20 Rue Leblanc, F-75015 Paris, France

[4] Univ Paris 05, Sorbonne Paris Cite, Fac Med, 12 Rue Ecole Med, F-75005 Paris, France

[5] Grp Hosp Pitie Salpetriere, AP HP, Serv Psychiat Adultes, F-75013 Paris, France

[6] Inst Cerveau & Moelle Epiniere, Inserm S 1127, CNRS UMR 7225, Equipe Neurosci Sociales & Affectives,ICM CRICM, F-75013 Paris, France

[7] Sorbonne Univ, F-75006 Paris, France

[8] Inserm U894, Ctr Psychiat & Neurosci, 102-108 Rue Sante, F-75014 Paris, France

来源：

REVUE DE MEDECINE INTERNE | 2019年 / 40卷 / 07期

关键词：

Functional somatic syndromes; Medically unexplained symptoms; Somatic Symptom Disorders; Persistent somatic symptoms; Bayesian model; MEDICALLY UNEXPLAINED SYMPTOMS; FIBROMYALGIA; MANAGEMENT; PLACEBO; PAIN; HYPOCHONDRIASIS; SOMATIZATION; PERCEPTION; MECHANISMS; RESPONSES;

D O I：

10.1016/j.revmed.2019.04.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Functional somatic syndromes are frequent in general and specialized medicine practices. Several treatments can be useful. However, the treatment program is often hampered by patients' reluctance to acknowledge the diagnosis because of erroneous lay representations. Recent advances in cognitive science offer a new understanding of the pathophysiology of functional somatic disorders, making this diagnosis more acceptable for patients and caregivers. Simply explained with practical examples, the Bayesian model in particular provides some insights into the underlying cognitive mechanisms of functional somatic syndromes and their treatments. Advantages of this approach are twofold: it is consistent with current scientific knowledge and it can facilitate the physician-patient relationship. (C) 2019 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

引用

页码：466 / 473

页数：8

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