Stubborn Gout: Psychological and Behavioral Factors Affecting Physical Diseases

Jiarui LI; Lixia Chen; Tao LI; Yinan Jiang; Shangzhu Zhang; Xi Wang; Xulei Cui; Han Wang; Xiaoqing LI; Jing Wei

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Stubborn Gout: Psychological and Behavioral Factors Affecting Physical Diseases

VernacularTitle:顽固的痛风——影响躯体疾病的心理行为因素
Author: Jiarui LI ¹ ; Lixia CHEN ² ; Tao LI ¹ ; Yinan JIANG ¹ ; Shangzhu ZHANG ³ ; Xi WANG ⁴ ; Xulei CUI ⁵ ; Han WANG ⁶ ; Xiaoqing LI ⁷ ; Jing WEI ¹
Author Information

1. Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
2. Department of Physical Medicine & Rehabilitation, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
3. Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
4. Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
5. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
6. Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
7. Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Publication Type:Journal Article
Keywords: chronic pain; psychological factors affecting other medical conditions; gout; multi-disciplinary treatment
From: Medical Journal of Peking Union Medical College Hospital 2024;15(5):1204-1210
CountryChina
Language:Chinese
Abstract:
A middle-aged male came to Peking Union Medical College Hospital for treatment because of "pain for 10+ years, aggravated with emotional instability for 5 years". The patient's pain had a huge impact on life, with poor results even after repeated diagnosis and treatment in other hospitals. After multi-disciplinary discussion, it had been clarified that the pain was mainly caused by gout. The disease was heavily influenced by psychosocial factors. Therefore, the patient fits the diagnosis of "Psychological and Behavioral Factors Affecting Physical Diseases". The multi-disciplinary comprehensive management of the patient was carried out to identify and treat psychological factors affecting other medical conditions. After this mental treatment was performed, the patient's conditions significantly improved. The diagnosis and treatment of this patient demonstrates the importance of the multi-disciplinary treatment team for somatic symptoms (disorders).