何嘉丽,钟舒明,卢倩怡,赖顺凯,贾艳滨.CBT治疗以发作性腹痛为特征的转换障碍1例[J].四川精神卫生杂志,2021,(1):87-91.
CBT治疗以发作性腹痛为特征的转换障碍1例
CBT treatment of conversion disorder characterized by paroxysmal abdominal pain: a case report
投稿时间:2020-06-27  
DOI:10.11886/scjsws20200627002
中文关键词:  发作性腹痛  转换障碍  认知行为治疗
英文关键词:Paroxysmal abdominal pain  Conversion disorder  Cognitive behavioral therapy
基金项目:国家自然科学基金面上项目(项目名称:抑郁症工作记忆损伤的Gamma神经振荡网络与Atp7a基因多态性相关机制研究,项目编号:81671351);国家自然科学基金青年项目(项目名称:Gamma神经振荡异常与决策认知损伤影响双相障碍自杀行为的机制研究,项目编号:81801347);广东省科技计划重大项目(项目名称:基于虚拟现实的抑郁症认知功能检测平台及眼动脱敏和再加工干预系统的开发,项目编号:2017B020227011)
作者单位邮编
何嘉丽 暨南大学附属第一医院广东 广州 510630 510630
钟舒明 暨南大学附属第一医院广东 广州 510630 510630
卢倩怡 广东金融学院会计学院广东 广州 510521 510521
赖顺凯 暨南大学附属第一医院广东 广州 510630 510630
贾艳滨 暨南大学附属第一医院广东 广州 510630 510630
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中文摘要:
      本文探讨以发作性腹痛为特征的转换障碍的诊治要点、误诊原因及治疗方案。以躯体不适为主要症状的转换障碍在综合医院中易被误诊,且缺乏有效的对症治疗手段,造成患者身心痛苦及医疗资源浪费。本文回顾性分析1例以发作性腹痛为主要症状的转换障碍患者的发病原因、诊断过程、治疗方案及治疗效果。案例提示,转换障碍患者以躯体不适为主诉时,会影响早期正确诊断和治疗,临床医生需提高对转换障碍的诊断及鉴别诊断能力;认知行为治疗(CBT)对转换障碍的治疗及预防复发有效。
英文摘要:
      This paper aims to explore the main points of diagnosis, treatment and misdiagnosis of conversion disorder characterized by paroxysmal abdominal pain. The general hospitals had a high misdiagnose rate and no effective symptomatic treatment for conversion disorder patients with physical discomfort as main symptoms, which leading to heavy physical and mental burden of patients and waste of medical resources, so this paper retrospectively analyzed the etiology, diagnostic process, treatment and therapeutic effect of a case of conversion disorder with paroxysmal abdominal pain as the main symptom. Case analysis showed that the physical discomfort as chief complain of conversion disorder patients affected the rate of early correct diagnosis and treatment, so clinicians' ability of diagnosis and differential diagnosis of conversion disorder needs to be strengthened. At the same time, cognitive behavioral therapy (CBT) is effective in the clinical treatment and recurrence prevention of conversion disorder.
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