Illness perception in patients with somatic symptom disorder:a qualitative study
10. 3760/cma. j. issn. 1674-6554. 2019. 10. 007
- VernacularTitle:躯体症状障碍患者疾病认知的质性研究
- Author:
Chenghui YANG
1
;
Bo ZHOU
;
Fan ZHOU
;
Shuya PAN
;
Luyao WANG
;
Xuemei ZHONG
;
Yulan HUANG
;
Jinyu WANG
Author Information
1. 四川省医学科学院·四川省人民医院心身医学中心
- Keywords:
Somatic symptom disorder;
Illness perception;
Qualitative research;
Compli-ance;
Intervention
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(10):898-902
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the perception and evaluation of patients with somatic symptom disorder about their own diseases and treatment,and to provide theoretical basis for design of illness percep-tion questionnaire for patients with somatic symptoms disorder. Methods A semi-structured interview was conducted among 15 initial and untreated patients with somatic symptom disorder using the descriptive quali-tative study. The data were sorted,encoded,classified,summarized and refined using MAXQDA10 software. Results Three main themes and six sub-themes of illness perception in patients with somatic symptom dis-order were analyzed and sorted out:(1) symptom recognition:including three sub-themes,low understanding of the disease and denial of somatic symptoms as mental illness;(2)drug taking concerns:including two sub-themes worrying about side effects of drugs,drug addiction and having difficulty to stick to the long-term reg-ular medication;(3)emotional reaction:including the obvious negative emotions of depression and helpless-ness sub-theme. Conclusion Patients with somatic symptom disorder have a general bias in illness percep-tion,which has a potential adverse effect on treatment compliance. Therefore,it is necessary for clinical med-ical staff to early estimate patients’illness perception,and carry out mental health education and rational e-motional behavior therapy.
