临床躯体症状的心身医学分类及诊疗共识（第3版）

目录/Contents

序/Preface

**章 心身医学理论框架下临床躯体症状分类的相关问题 1

**节 临床躯体症状分类的必要性 1

第二节 躯体症状的心身医学概念 3

第三节 躯体症状心身分类的具体建议 6

第二章 《西部精神医学协会（WCPA）临床躯体症状分类量表》（第二版）的医学临床多中心现场测试 11

**节 方法简介 11

第二节 临床躯体症状的临床治疗结果及分析 14

第三节 现场测试结果的解读 20

第四节 优化治疗方案推荐说明 21

第五节 躯体症状心身分类治疗结果及解读 29

第三章 各类躯体症状诊疗案例 41

**节 工伤后所出现的激越和认知性躯体症状 41

第二节 以奥迪括约肌功能紊乱为特征的激越性躯体症状 43

第三节 以感觉异常为特征的认知性躯体症状 45

第四节 以皮肤损害为特征、带节律障碍倾向的激越性躯体症状 47

第五节 以耳鸣为特征的激越性躯体症状 49

第六节 以眩晕为主要表现的激越性躯体症状 50

第七节 以“偏头痛”为主要表现的激越性躯体症状 52

第八节 以述情障碍为病理心理基础的激越性躯体症状 54

第九节 以幻觉为特征的认知性躯体症状 56

第十节 以顽固性咳嗽为特征的激越性躯体症状 57

第四章 心身医学理论框架下临床躯体症状分类诊断工具研制 59

**节 《WCPA临床躯体症状分类量表》（第二版）修订 59

第二节 心身医学理论框架下的《WCPA临床躯体症状分类诊断量表》的信度、效度及其相关问题 69

第三节 《WCPA临床躯体症状分类诊断量表》诊断值的探索研究 75

第四节 心身医学理论框架下的《WCPA临床躯体症状分类诊断量表》使用说明 84

第五章 “共识”总结 100

Chapter 1 Related issues of somatic symptom classification under the theoretical framework of psychosomatic medicine 102

Section 1 The necessity of clinical somatic symptom classification 102

Section 2 Psychosomatic concepts of somatic symptoms 105

Section 3 Specific recommendations for psychosomatic classification of somatic symptoms 109

Chapter 2 Multi-center on-site investigation of WCPA-SSCS(second edition) under the theoretical framework of psychosomatic medicine 115

Section 1 A brief introduction to the method 115

Section 2 Results of the on-site investigation 119

Section 3 The interpretation of on-site investigation results 125

Section 4 Optimization of treatment recommendations 127

Section 5 The results and interpretation of treatment of somatic symptoms 137

Chapter 3 Case sharing 153

Section 1 The agitated and cognitive somatic symptoms after a workrelated injury 153

Section 2 Agitated somatic symptoms characterized by dysfunction of the Oddi sphincter 156

Section 3 Cognitive somatic symptoms characterized by paresthesia 159

Section 4 Agitated somatic symptoms characterized by skin lesions and predisposition to dysrhythmia 161

Section 5 Agitated somatic symptoms characterized by tinnitus 164

Section 6 Agitated somatic symptoms characterized by dizziness 166

Section 7 Agitated somatic symptoms characterized by “migraine” 169

Section 8 Agitated somatic symptoms characterized by alexithymia as pathological psychological basis 172

Section 9 Cognitive somatic symptoms characterized by hallucinations 174

Section 10 Agitated somatic symptoms characterized by intractable cough 176

Chapter 4 Development of diagnostic tools for clinical somatic symptom classification under the framework of psychosomatic medical theory 179

Section 1 Revision of WCPA-SSCS (second edition) 179

Section 2 Reliability， validity and related problems of WCPAClassification & Diagnostic Scale of Somatic Symptoms 190

Section 3 Study on diagnostic value of WCPAClassification & Diagnostic Scale of Somatic Symptoms 197

Section 4 The instruction of WCPAClassification & Diagnostic Scale of Somatic Symptoms under the theoretical framework of psychosomatic medicine 208

Chapter 5 Conclusion: the consensus 227

参考文献/References 229