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:: Medically Unexplained Symptoms Cbt Techniques ::

 
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MessagePosté le: Dim 25 Sep - 03:27 (2016)    Sujet du message: Medically Unexplained Symptoms Cbt Techniques Répondre en citant




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Efficacy,,,,of,,,,treatment,,,,for,,,,somatoform,,,,disorders:,,,,a,,,,review,,,,of,,,,randomized,,,,controlled,,,,trials.,,,,[PubMed]127.,,,,[PubMed]117.,,A,,,model,,,for,,,management,,,of,,,patients,,,with,,,stroke,,,during,,,the,,,acute,,,phase:,,,outcome,,,and,,,economic,,,implications.,,,Rather,,,than,,,initially,,,delegating,,,the,,,key,,,coordinating,,,role,,,to,,,someone,,,other,,,than,,,the,,,primary,,,provider,,,,however,,,,we,,,believed,,,that,,,primary,,,care,,,providers,,,could,,,not,,,only,,,handle,,,the,,,coordinating,,,role,,,but,,,also,,,could,,,themselves,,,conduct,,,some,,,of,,,the,,,work,,,rather,,,than,,,triage,,,it.70,,,Depending,,,upon,,,their,,,skills,,,and,,,interests,,,,physicians,,,,physician,,,assistants,,,(PAs),,,,and,,,nurse,,,practitioners,,,(NPs),,,could,,,conduct,,,first-line,,,treatment,,,in,,,the,,,following,,,areas:,,,social,,,worker,,,,physical/occupational,,,therapist,,,,exercise/relaxation,,,instructor,,,,and,,,diet,,,counselor,,,,as,,,well,,,as,,,conducting,,,the,,,intervention,,,(to,,,be,,,described).,,,Sexual,,,and,,,physical,,,abuse,,,and,,,gastrointestinal,,,illness.,,,Opipramol,,,for,,,the,,,treatment,,,of,,,somatoform,,,disorders,,,results,,,from,,,a,,,placebo‐controlled,,,trial.,,,Psychiatric,,Services,,2007;58:1079–86,,[PMC,,free,,article],,[PubMed]56.,,

Hatcher,,,S,,,,Arrol,,,B.,,,Measuring,,social,,desirability,,among,,senior,,medical,,students.,,Pgina,,,,de,,,,inicio,,,,.,,,,We,,searched,,the,,medline,,database,,from,,April,,2002,,back,,to,,1966,,using,,the,,Silverplatter,,WinSPIRS,,interface.,,Depression,,Guideline,,Panel.,,[PubMed]12.,,,Although,,,a,,,full,,,discussion,,,of,,,culture,,,and,,,MUS,,,is,,,beyond,,,the,,,scope,,,of,,,this,,,paper,,,,it,,,must,,,be,,,acknowledged,,,that,,,patients,,,and,,,families,,,who,,,come,,,from,,,particular,,,cultural,,,traditions,,,may,,,link,,,social,,,conditions,,,,such,,,as,,,social,,,conflict,,,,with,,,physical,,,symptoms.107,108,,,Illness,,,narratives,,,have,,,become,,,a,,,way,,,of,,,understanding,,,the,,,cultural,,,context,,,of,,,MUS.Illness,,,narratives,,,refer,,,to,,,a,,,form,,,of,,,storytelling,,,that,,,connects,,,physical,,,symptoms,,,with,,,the,,,psychological,,,,social,,,or,,,cultural,,,context,,,of,,,these,,,symptoms.34,,,Different,,,cultures,,,tend,,,toward,,,different,,,common,,,illness,,,narratives.34,108,,,For,,,example,,,,many,,,West,,,Indian,,,(Caribbean),,,immigrants,,,to,,,Canada,,,attribute,,,their,,,MUS,,,to,,,chronic,,,overwork,,,and,,,the,,,irregularity,,,of,,,daily,,,living,,,,citing,,,symptoms,,,such,,,as,,,gas,,,,dizziness,,,,fatigue,,,,joint,,,pain,,,and,,,muscle,,,tension.109,,,Patients,,,from,,,Korea,,,may,,,explain,,,their,,,MUS,,,as,,,hwa‐byung,,,,a,,,syndrome,,,of,,,both,,,somatic,,,and,,,depressive,,,symptoms,,,,commonly,,,attributed,,,to,,,suppressed,,,anger,,,or,,,rage.108,,,The,,,coherence,,,of,,,a,,,patient's,,,illness,,,narrative,,,is,,,a,,,key,,,indicator,,,of,,,whether,,,or,,,not,,,a,,,particular,,,patient,,,develops,,,MUS,,,after,,,experiencing,,,a,,,trauma.34,,,The,,,elicitation,,,of,,,illness,,,narratives,,,is,,,a,,,way,,,of,,,understanding,,,MUS,,,in,,,culturally,,,diverse,,,populations,,,,as,,,conventional,,,western,,,attributions,,,of,,,these,,,symptoms,,,to,,,anxiety,,,and,,,mood,,,disorders,,,are,,,insufficient,,,for,,,understanding,,,the,,,experiences,,,of,,,many,,,MUS,,,patients,,,or,,,communicating,,,with,,,these,,,patients,,,and,,,their,,,families.,,,Somatising,,,Patients,,,in,,,General,,,Practice.,,,Treatment,,,approaches,,,to,,,somatizing,,,and,,,hypochondriacal,,,patients.,,,For,,example,,,important,,details,,of,,the,,interpersonal,,aspects,,of,,caring,,for,,MUS,,patients,,may,,be,,challenging,,to,,convey,,in,,print.,,

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