躯体症状障碍相关研究进展  

Advances of research on somatic symptom disorders

作　　者：郑恩雨 王可 冯雪竹 朱维莉[1] 陆林[1,3] 时杰[1] 李素霞[1] ZHENG En-yu;WANG Ke;FENG Xue-zhu;ZHU Wei-li;LU Lin;SHI Jie;LI Su-xia(National Institute on Drug Dependence,Peking University,Beijing Key Laboratory of Drug Dependence Research,Beijing 100191,China;Peking University School of Basic Medical Sciences,Beijing 100191,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100191,China)

机构地区：[1]北京大学中国药物依赖性研究所,药物依赖性研究北京市重点实验室,北京100191 [2]北京大学医学部基础医学院,北京100191 [3]北京大学第六医院,北京大学精神卫生研究所,国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100191

出　　处：《中国药物依赖性杂志》2022年第6期407-410,416,共5页Chinese Journal of Drug Dependence

基　　金：国家自然科学基金面上项目(81871071)。

摘　　要：躯体症状障碍临床表现复杂,与心理因素密切相关。精神障碍诊断与统计手册第五版(DSM-5)将原有分类系统中的躯体形式障碍修改为躯体症状障碍,删去医学无法解释症状的要求,增加心理标准,合并和简化亚型,以改善该诊断标准的临床应用。躯体症状障碍涉及临床多个科室,但尚无有效的特异性疗法。本文综述了躯体症状障碍的相关进展,以提高医务人员及大众对躯体症状障碍的认识。The clinical manifestations of somatic symptom disorders are complex, and somatic symptoms are closely related to psychological factors. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition(DSM-5) modified the original classification system of somatoform disorders to somatic symptom disorders, deleted the requirement of medically unexplained symptoms, added psychological criteria, and combined and simplified subtypes to improve the clinical applications of this diagnostic criterion. Somatic symptom disorders involve several clinical departments, but there are still no effective specific therapies. This article reviews the advances of somatic symptom disorders in order to improve the awareness of somatic symptom disorders among medical staff and the general public.

关 键 词：躯体症状障碍 躯体形式障碍 DSM-5 发病机制 治疗进展 

分 类 号：R749[医药卫生—神经病学与精神病学]