躯体化症状患者求医体验的质性研究

A Qualitative Study of Help-seeking Experiences for Patients with Somatization Symptoms

探索躯体化症状患者的病症感知及其求医过程体验、疾病相关的认知及态度的变化。应用半结构式深入访谈法,访谈12名躯体化症状为主诉的临床心理科患者;并对访谈资料进行录音、转录。转录资料依据诠释现象学分析法进行分析。结果归纳出躯体化症状患者求医体验的三个核心主题:与症状引发的困惑,症状对当下生活的影响,及曲折的诊疗经历。研究提示躯体化症状患者的病症体验具有“具身”属性,专业人员在干预中应关注其自我解释系统,提高患者的确定感及自主性。

This study was to explore the help-seeking experience of patients with somatization symptoms and the change of their cognitions and attitudes towards the somatization symptoms.Semi-structured in-depth interviews were used to interview 12 participants with somatization symptoms from clinical psychology department.Interviews were recorded on audio-tape with participants'permission and then transcribed verbatim.The transcribed interviews were analyzed according to interpretative phenomenological analysis.Three superordinate themes emerged including the confusion caused by symptoms,the impact of symptoms on current life,and tortuous experience about the diagnosis and treatment.This study suggested that the symptom experience of patients with somatization had the attribute of"embodiment".Professionals should pay attention to their self-explanation system in the intervention to improve the patients'sense of certainty and autonomy.