新版心身研究诊断标准及其临床应用

Revised diagnostic criteria for psychosomatic research and its clinical amplication

心理、社会变量及其与生物学变量的互动,在各种内科疾病的患病脆性、病程和临床结局中的作用至关重要,特别是非稳态负荷相关的慢性应激。新版心身医学研究标准(DCPR)为心身医学临床研究和应用提供了新的有效方法,宏观分析是确定生物和心理社会变量与医疗干预个体目标之间关系的有用工具,对患者的个体化照料必须建立在有效的心身整体化评估基础上,个体化照料整合了各种慢性病各阶段药物和心理干预,在这方面开发新的心身评估和干预模式有着广阔的情景。心理皮肤病学、心理心脏病学和心身消化病学等心身整合医学模式的快速发展,推动了医学保健多学科融合,克服了当今生物医学模式下分科细化的缺陷。心身医学模式应从宏观理念向临床可操作的理论和实践探索。

Psychosocial variables and the interaction with biological ones play a crucial role in affecting individual vulnerability,course,and clinical outcome of medical disease,especially the allostatic load related chronic stress.Revised version of diagnostic criteria for psychosomatic research(DCPR)provide new effective modalities of patient care.Macroanalysis is a helpful tool for identifying the relationships between biological,psychosocial variables and the individual targets for medical intervention.Individualized patient care,which includes integrative intervention of medicine and psychology in different phases of various diseases,should be based on integrated assessment strategies as DCPR.The development of subspecialties,such as Psychodematology,Psychocardiology and Psychosomatic gastroenterology,promotes the multidisciplinary organization of health care to overcome defects of sub division refinement.Psychosomatic model of medical should move forward form macroscopic idea to clinical investigation and clinical application.