Evolution and significance of the psychosomatic model in gastroenterology  

作　　者：Qiaoli Zhang Lixin Ding Jianxin Cao 

机构地区：[1]Institute of Psychosomatic Gastroenterology,Soochow University,Changzhou,China [2]Department of Gastroenterology,The Third Affiliated Hospital,Soochow University,Changzhou,China

出　　处：《General Psychiatry》2022年第5期297-302,共6页综合精神医学（英文）

基　　金：Changzhou Municipal Government Science and Technology support foundation(CE20215023);Psychosomatic Gastroenterology Institute start-up foundation from The Third Affiliated Hospital of Soochow University.

摘　　要：The biomedical model,which limits itself to finding the attributions of organic disease,is challenged by gastrointestinal(GI)symptoms.Simultaneously,physicians'attribution of GI symptoms to underlying psychological issues is not readily accepted by patients and can negatively affect the clinical rapport between doctor and patient.In reality,psychosocial aspects are involved in many functional disorders and organic diseases,not just in mental disorders.Time is overdue for gastroenterologists to recognise the inadequacy and limitations of conventional gastroenterology and consider the role of psychological,social and biological variables throughout the entire clinical course of the illness,as is shown in George Engel’s model.This review discusses the following:(1)the current challenges of using the conventional clinical model for both functional and organic GI illness,(2)the inadequacy and limitations of explaining GI symptoms simply as psychological disorders,(3)the exploration of the symptom-centred,stepped reattribution clinical model,(4)the clarification of psychosomatic medical concepts for use in gastroenterology,and(5)the significance of a systematic and interdisciplinary framework for a comprehensive psychosomatic model in gastroenterology.

关 键 词：gastro PSYCHOLOGICAL readily 

分 类 号：R749[医药卫生—神经病学与精神病学]