Somatic symptom disorder in the context of Chinese yin-yang culture:A case report and literature review
10.11817/j.issn.1672-7347.2020.200655
- VernacularTitle:中国阴阳文化背景下的躯体症状障碍1例并文献复习
- Author:
Peng CHENG
1
;
Yiling SHI
;
Lizhi XU
;
Ying ZHOU
;
Weihui LI
Author Information
1. 中南大学精神卫生研究所,国家精神心理疾病临床医学研究中心,精神疾病诊治技术国家地方联合工程实验室,精神病与精神卫生学湖南省重点实验室,长沙410011
- Keywords:
somatic symptom disorder;
Chinese yin-yang culture;
sexual dysfunction
- From:
Journal of Central South University(Medical Sciences)
2020;45(9):1142-1148
- CountryChina
- Language:Chinese
-
Abstract:
Somatic symptom disorder (SSD) is a somatic disorder characterized by excessive anxiety over various somatic symptoms for a long time, which makes patients feel very painful and the quality of personal life significantly decreased. Previous studies have shown that there is a connection between the clinical manifestations of SSD patients and their cultural background. The patient in this case report was highly affected by Chinese yin-yang culture, displaying obvious Chinese characteristics. We report a patient with SSD, whose clinical manifestations were mainly sexual dysfunction and mood symptoms which were closely related to the Traditional Chinese culture of Yin and Yang. In this case, Hamilton Anxiety Scale, Hamilton Depression Scale, and International Erectile Function Questionnaire were used to evaluate the patients ' anxiety, depression, and sexual function, and the scores were 32, 33, and 9, respectively. The patient was treated with a combination of venlafaxine and mirtazapine. After 5 weeks of treatment, the patient's clinical symptoms improved significantly. The clinical manifestations of some Chinese SSD patients have obvious characteristic relevance to Chinese theory of Yin and Yang, making SSD easily to be misdiagnosed. Therefore, clinicians should pay atlention to this situation. In addition, the combination of venlafaxine and mirtazapine may have a better effect on SSD patients with chronic pain and sexual dysfunction.
