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題名：慢性疲勞病患之身體、精神症狀與人格特質調查
書刊名：臺灣公共衛生雜誌
作者：施嫈瑜／李世代 引用關係／郭聖達
作者(外文)：Shih, Ying-yu／Lee, Shyh-dye／Kuo, San-dar
出版日期：2003
卷期：22:5
頁次：頁362-367
主題關鍵詞：慢性疲勞；機能性身體化症候群；生理心理社會模式；Chronic fatigue；Functional somatic syndrome；Bio-psycho-social model
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:21
　　　　　目標：慢性疲勞是醫療院所最常見的病症之一，本研究旨在觀察病患所合併的身心症狀及人格特質。方法：研究蒐集102位因慢性疲勞至家庭醫學科門診就醫的病患以及70位健康對照組，施以自填式問卷調查。結果：慢性疲勞病患除具較高的精神情緒疾病(p＜0.001)、睡眠障礙(p＜0.001)、免疫力失調(p＜0.01)及消化性潰瘍病史(p＜0.05)外，其平均合併的身體心理情緒障礙症狀數高達12.13±6.36種，遠較對照組的3.03±3.63種高(p＜0.001)—半數以上的病患併有口乾、頸部僵硬、頭痛或頭暈、眼睛乾澀或模糊、記性變差、心神不寧以及注意力無法集中等症狀。病患在自評的性格上也較對照組易緊張、易操煩及易發脾氣(p＜0.05)。結論：鑒於此類病患症狀多樣化、其儀器檢查多無異樣發現，且部分病患病症與心理情緒因子有關，臨床醫師在處置病患時應採生理心理社會模式—除針對病患的生理症狀做診治外，也應顧及其心理、人個特質。
　　　　　Objectives: Chronic fatigue is one of the most common symptoms in medical care. This investigation is to explore the comorbidity of somatic & psychiatric symptoms and personality characteristic of patients. Methods: 102 patients with chronic fatigue and 70 healthy controls were evaluated by self-reported questionnaire. Results: Those with chronic fatigue had a higher prevalence of psychiatric diseases(p＜0.001), sleep disturbance(p＜0.001), immune impairment(p＜0.01), and peptic ulcer(p＜0.05). The amount of psychosomatic symptoms of patients was significantly more than the control group(12.13±6.36 vs. 3.03±3.63, p＜0.001). There were more than half of the patients suffering from mouth dryness, neck tightness, poor memory, palpitation, headache or dizziness, eye dryness or blurred vision, irritability and poor concentration. The personality of patients showed more suspiciousness, sensitivity, and radicalism (p＜0.05). Conclusions: The symptoms of chronic fatigue patients frequently covered multiple organs without clear underlying medical explanations and related with psychological factors. Clinicians should approach chronic fatigue patients with a bio-psycho-social mode, intervening in patient掇 psychosocial variables as well as biological variables.
期刊論文
1.Herrell, R.、Goldberg, J.、Hartman, S.、Belcourt, M.、Schmaling, K.、Buchwald, D.(2002)。Chronic fatigue and chronic fatigue syndrome: A co-twin control study of functional status。Quality of Life Research，11(5)，463-741。  new window
2.Leidberg, G. M.、Henriksson, C. M.(2002)。Factors of importance for work disability in women with fibromyalgia: An interview study。Arthritis Rheum，47(3)，266-274。  new window
3.Sharpe, M.、Wilks, D.(2002)。Fatigue。British Medical Journal，325，480-483。  new window
4.Grandjean, E.(1970)。Fatigue。American Industrial Hygiene Association Journal，31，401-411。  new window
5.Cathebras, P. J.、Robbins, J. M.、Kirmayer, L. J.、Hayton, B. C.(1992)。Fatigue in Primacy Care: Prevalence, Psychiatric Comorbidity, Illness Behavior, and Outcome。J General Int Med，7，276-286。  new window
6.Kroenke, K.(2001)。Studying Symptoms: Sampling and Measurement Issues。Ann Int Med，134，844-853。  new window
7.Fukuda, K.、Strauss, S.、Hickie, I.、Sharpe, M.、Dobbins, J.、Komaroff, A.(1994)。The Chronic Fatigue Syndrome: A Comprehensive Approach to Its Definition and Study。Ann Int Med，121，953-959。  new window
8.Sharpe, M. C.、Archard, L. C.、Banatvala, J. E.(1991)。Chronic Fatigue Syndrome: Guidelines for Research。J Royal Soc Med，84，118-121。  new window
9.Barsky, A. J.、Borus, J. F.(1999)。Functional Somatic Syndromes。Ann Int Med，130，910-921。  new window
10.Smith, G. R. J.、Monson, R. A.、Ray, D. C.(1986)。Patients with Multiple Unexplained Symptoms. Their Characteristics, Functional Health, and Health Care Utilization。Arch Intern Med，146，69-72。  new window
11.Steven, I. D.、McGrath, B.、Qureshi, F.、Wong, C.、Chern, I.、Pearn-Rowe, B.(2000)。General Practitioners' Beliefs, Attitudes and Reported Actions Towards Chronic Fatigue Syndrome。Aust Fam Physician，29，80-85。  new window
12.Addington, A. M.、Gallo, J. J.、Ford, D. E.、Eaton, W. W.(2001)。Epidemiology of Unexplained Fatigue and Major Depression in the Community: The Baltimore ECA Follow-Up, 1981-1994。Psychological Medicine，31，1037-1044。  new window
13.Escobar, J. I.、Hoyos-Nervi, C.、Gara, M.(2002)。Medically Unexplained Physical Symptoms in Medical Practice: A Psychiatric Perspective。Environ Health Persp，110，631-636。  new window
14.Wessely, S.(2001)。Chronic Fatigue: Symptom and Syndrome。Ann Int Med，134，838-843。  new window
15.Ehrlich, G. E.(2000)。Chronic Fatigue: Syndrome or Disease?。JAMA: The Journal of the American Medical Association，283，744-745。  new window
16.Allen, L.、Escobar, J. I.、Lehrer, P. M.、Gara, M. A.、Woolfolk, R. L.(2002)。Psychosocial Treatments for Multiple Unexplained Physical Symptoms: A Review of the Literature。Psychosoma Med，64，939-950。  new window
17.Fink, P.、Sorensen, L.、Engberg, M.、Holm, M.、Munk-Jorgensen, P.(1999)。Somatization in Primary Care. Prevalence, Health Care Utilization, and General Practitioner Recognition。Psychosomatics，40，330-338。  new window
18.Craig, T.、Kakumanu, S.(2002)。Chronic fatigue Syndrome: Evaluation and Treatment。American Family Physician，65，1083-1090。  new window
19.Nielson, W. R.、Weir, R.(2001)。Biopsychosocial Approaches to the Treatment of Chronic Pain。Clin J Pain，17，114-127。  new window
圖書
1.Wessely, S.、Hotopf, M.、Sharpe, M.(1998)。Chronic Fatigue and Its Syndromes。Chronic Fatigue and Its Syndromes。Oxford。  new window
 
 
 
 
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