CBT治疗以发作性腹痛为特征的转换障碍1例

本文探讨以发作性腹痛为特征的转换障碍的诊治要点、误诊原因及治疗方案.以躯体不适为主要症状的转换障碍在综合医院中易被误诊,且缺乏有效的对症治疗手段,造成患者身心痛苦及医疗资源浪费.本文回顾性分析1例以发作性腹痛为主要症状的转换障碍患者的发病原因、诊断过程、治疗方案及治疗效果.案例提示,转换障碍患者以躯体不适为主诉时,会影...

CBT treatment of conversion disorder characterized by paroxysmal abdominal pain:a case report

This paper aims to explore the main points of diagnosis,treatment and misdiagnosis of conversion disorder characterized by paroxysmal abdominal pain.The general hospitals had a high misdiagnose rate and no effective symptomatic treatment for conversion disorder patients with physical discomfort as main symptoms,which leading to heavy physical and mental burden of patients and waste of medical resources,so this paper retrospectively analyzed the etiology,diagnostic process,treatment and therapeutic effect of a case of conversion disorder with paroxysmal abdominal pain as the main symptom.Case analysis showed that the physical discomfort as chief complain of conversion disorder patients affected the rate of early correct diagnosis and treatment,so clinicians'ability of diagnosis and differential diagnosis of conversion disorder needs to be strengthened.At the same time,cognitive behavioral therapy(CBT)is effective in the clinical treatment and recurrence prevention of conversion disorder.