中国社区中的心理健康案例研究——疾病焦虑障碍  

A Case Study of Mental Health in Chinese Community——Illness Anxiety Disorder

作　　者：胡雯[1,2] 甘小荣 郑亚楠[1,2,3] 李荐中[4] HU Wen;GAN Xiaorong;ZHENG Yanan;LI Jianzhong(Department of Psychology,Gannan Medical University,Ganzhou 341000,China;Psychological Counseling Clinic,the First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China;Rural Medicine Education Research Center,Gannan Medical University,Ganzhou 341000,China;School of Psychology,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]赣南医学院心理学系,江西省赣州市341000 [2]赣南医学院第一附属医院心理咨询门诊,江西省赣州市341000 [3]赣南医学院农村医学教育研究中心,江西省赣州市341000 [4]南京中医药大学心理学院,江苏省南京市210023

出　　处：《中国全科医学》2019年第4期390-394,共5页Chinese General Practice

基　　金：2017年度江西省高校人文社会科学研究青年项目(MKS17202);2017年度江西省高校人文社会科学重点研究基地项目(JD17016)

摘　　要：疾病焦虑障碍主要临床表现为持续性的躯体不适,缺乏可以解释的躯体病变。在《中国精神障碍分类与诊断标准(第3版)》(CCMD-3)中又称躯体形式自主神经紊乱,以心前区疼痛为主诉的心脏神经症是常见类型。本文报道1例29岁女性疾病焦虑障碍来访者的心理治疗过程,以期提高社区医生应用综合心理治疗与咨询的实践能力。Illness anxiety disorder is characterized by persistent physical discomfort and lack of interpretable somatic lesions.In the Chinese Classification and Diagnosis of Mental Disorders(3rd Edition)(CCMD-3),the illness anxiety disorder is also called the somatoform autonomic nerve disorder.Cardiac neurosis with precordial pain as the chief complaint is a common type of illness anxiety disorder.This paper reports the psychotherapy process of a 29-year-old female patient with illness anxiety disorder in order to improve community doctors'ability in comprehensive psychotherapy and consultation.

关 键 词：疾病焦虑障碍 心理治疗过程 全科医学 精神卫生 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R197[医药卫生—临床医学]