“恐艾症”需要心理干预
2011-04-07 13:27:00 来源: 扬州晚报(扬州) 记者 苏扬
“阴性艾滋病”之所以能让人信以为真,并引起恐慌,关键还在于它有着明显的生理症状:淋巴肿胀、皮下出血、舌苔生绒毛等和艾滋病患者极为相像,还有免疫力下降、头疼等其他表现。
心理上的焦虑、怀疑等障碍,怎么会引起生理上明显的反应?记者就此事咨询了苏北医院心理门诊的石元洪博士。他说,这是心理暗示所致,在临床上此类病人很常见。
4月5日,石元洪遇到了一个“恐艾”病人,是个学生,他怀疑自己感染了艾滋病,渐渐出现了没劲、心慌等症状,就同艾滋病联系在一起,更加紧张。
“这实际是在不断的心理暗示下所产生的一种应激反应。”石元洪举例说,“已有抑郁症或在过去12个月内遭受抑郁症困扰的患者,比其他人出现躯体疼痛及其他症状的频率明显提高,就是受此影响。”
而这种心理暗示,还造就了医学上的一种新分科“医学无法解释的症状”。在石元洪的门诊上,经常会遇到出现各种身体问题的患者,比如胸痛、心悸、疲乏、头昏、头痛、腹痛、体重下降、咳嗽、便秘、视物旋转等,但他们都查不出具体是什么疾病。在综合性医院所有专科门诊中,此类患者约占到患者总数的30%—40%。
石元洪说:“这些‘怪病’以现在的医疗水平无法根治。但通过心理干预,对缓解患者的症状会有帮助。而这其中也包括恐艾症。”
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图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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"Fear of AIDS disease" in need of psychological intervention
2011-04-07 13:27:00 Source: Yangzhou Evening News (Yangzhou) reporter Sue Yang
"Negative AIDS" has been able to make people as true, and cause panic, the key is it has the obvious physical symptoms: lymph node swelling, subcutaneous bleeding, such as fur and hair of Health is very similar to AIDS patients, as well as decreased immunity, headaches and other performance.
Psychological anxiety, doubt and other obstacles, how to cause significant physiological response? Reporter consulted on the issue of North Jiangsu Hospital, Dr. Shi Yuanhong psychological clinic. He said that this is caused by psychological suggestion, such patients in clinical practice is common.
April 5, Dan Yuanhong encountered a "fear of AIDS" patients, is a student, he suspected that they are infected with AIDS, gradually appeared boring, palpitation and other symptoms, to link with AIDS, more nervous.
"This is actually in constant psychological cues generated by a stress response." Shiyuan Hong example, "depression or have in the past 12 months, the patients suffer from depression, distress, there body than others The frequency of pain and other symptoms markedly improved, is affected. "
And this psychological implications, but also created a new Division on Medicine, "medically unexplained symptoms." In Shiyuan Hong outpatient, and often encounter patients with the emergence of various physical problems, such as chest pain, palpitations, fatigue, dizziness, headache, abdominal pain, weight loss, cough, constipation, visual rotation, but they all check not what the specific disease. In all the specialist out-patient general hospital in such patients to the patients about 30% -40% of the total.
Dan Yuanhong said: "These 'abnormal' to the current level of medical treatment can not cure. But through psychological intervention to alleviate the symptoms will be helpful. And which also includes the fear of AIDS disease."
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