CAJ | 학술논문

心身疾病的心理病理与心理生理机理和临床特征不同于精神疾病。影响心身疾病患者的易损性、病程、预后、康复的心理社会因素的评估受到日益关注。提出心身疾病临床多轴诊断系统（ MAS），心身医学研究的诊断标准（ DCPR）临床诊断概念和结构框架。 DCPR将来源于心身研究的心理变量转变成用以鉴别诊断的可操作性诊断标准。 DCPR是一个简单、有效和可靠的定式访谈工具，可用于筛查、诊断心身疾病和心理生理障碍，补充ICD-10、DSM、CCMD的临床诊断应用的不足。包含了十二组心身疾病综合症，将影响躯体状况预后和治疗价值中的心理变量转化为客观的心身医学研究用诊断标准用工具。十二组症状包括健康焦虑、死亡恐惧症、疾病恐惧症、疾病否认、持续的躯体化症状、转换性障碍、继发于精神障碍的功能性躯体症状、周年反应、精神消沉、易激惹心境、A型行为和述情障碍。
심신질병적심리병리여심리생리궤리화림상특정불동우정신질병。영향심신질병환자적역손성、병정、예후、강복적심리사회인소적평고수도일익관주。제출심신질병림상다축진단계통（ MAS），심신의학연구적진단표준（ DCPR）림상진단개념화결구광가。 DCPR장래원우심신연구적심리변량전변성용이감별진단적가조작성진단표준。 DCPR시일개간단、유효화가고적정식방담공구，가용우사사、진단심신질병화심리생리장애，보충ICD-10、DSM、CCMD적림상진단응용적불족。포함료십이조심신질병종합증，장영향구체상황예후화치료개치중적심리변량전화위객관적심신의학연구용진단표준용공구。십이조증상포괄건강초필、사망공구증、질병공구증、질병부인、지속적구체화증상、전환성장애、계발우정신장애적공능성구체증상、주년반응、정신소침、역격야심경、A형행위화술정장애。
[Abstarct] The psychological pathology and psychological physiological mechanism of psychosomatic diseases are different from mental diseases.So are the clinical characteristics.Evaluation of psychological social factors that affect the vulnerability, the course of the disease, the prognosis and the recovery in patients with psychosomatic disease has been attracted an increasing attention.The con-cept and structure framework of clinical diagnosis such as clinical multiaxial system( MAS) of psychosomatic disease and diagnostic cri-teria for psychosomatic research( DCPR) have been proposed.The DCPR that derives from the psychological variables in psychosomatic research will translate into operational diagnostic criteria for differential diagnosis.DCPR is a simple, effective and reliable stereotypes interview tool that can be used for screening and diagnosing the psychosomatic diseases and psychophysiological disorders.This can also replenish the deficiency of ICD-10, DSM and CCMD in clinical diagnostic application.A set of 12 syndromes will affect the prognosis of body conditions and diagnostic criteria tools used for psychological variables translating into the objective study of psychosomatic medi-cine in therapeutic value.The syndromes include health anxiety, thanatophobia, disease phobia, illness denial, persistent somatiza-tion, conversion symptoms, functional somatic symptoms secondary to a psychiatric disorder, anniversary reaction, demoralization, irri-table mood, type A behavior and alexithymia.