“由于其他躯体疾病所致的人格改变”随访治疗
这位患者接受过器官移植，在第一次访谈时诊断为“由于其他躯体疾病所致的人格改变”。在这次随访中，她仍对自己的慢性疾病状态感到焦躁不安。在医生的咨询后，她逐渐意识到虽然不能改变生病的事实，而且还要终生服用免疫抑制剂，但她愿意接受自己这种状态跟其他慢性疾病如关节炎或糖尿病是相似的。同时医生鼓励患者对生活的积极方面进行反思，如家庭的正性支持、医疗费用的保障和其他战胜疾病的资源。作为生物-心理-社会的全面干预，医生还提醒患者应该避免需要长期待命的高压工作，并与同事和睦相处，以降低焦虑水平、减少失眠的情况。...
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| Published in | 四川精神卫生 Vol. 29; no. 3; pp. 281 - 285 |
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| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
美国伊利诺伊大学精神医学系，伊利诺伊州，芝加哥 IL 60612
2016
美中心理文化学会，伊利诺伊州，芝加哥 IL 60608%美中心理文化学会，伊利诺伊州，芝加哥 IL 60608 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1007-3256 |
| DOI | 10.11886/j.issn.1007-3256.2016.03.023 |
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| Summary: | 这位患者接受过器官移植，在第一次访谈时诊断为“由于其他躯体疾病所致的人格改变”。在这次随访中，她仍对自己的慢性疾病状态感到焦躁不安。在医生的咨询后，她逐渐意识到虽然不能改变生病的事实，而且还要终生服用免疫抑制剂，但她愿意接受自己这种状态跟其他慢性疾病如关节炎或糖尿病是相似的。同时医生鼓励患者对生活的积极方面进行反思，如家庭的正性支持、医疗费用的保障和其他战胜疾病的资源。作为生物-心理-社会的全面干预，医生还提醒患者应该避免需要长期待命的高压工作，并与同事和睦相处，以降低焦虑水平、减少失眠的情况。 |
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| Bibliography: | In follow - up treatment,patient who received an organ transplant and was diagnosed with personality change due to another medical condition returned due to frustration with the chronic nature of her condition. After talk therapy,patient became normalized to the situation. Although her condition is life - long,she accepted the analogy that it was similar to a chronic illness,such as arthritis or diabetes. She was encouraged to take anti - anxiety medication and to reflect on the positive aspects of her life,such as having a supportive family,health insurance,and other resources to combat this illness. As a bio - psycho - social intervention, patient should avoid high - pressured jobs with long on - call hours and conflicts with co - workers to reduce anxiety and insomnia. Personality Change Due to Another Medical Condition;Follow - up treatment 51-1457/R ZHANG Xiao - mei, ZHANG Dao - long（1. Chinese American Association for Psychology and Culture, Chicago IL 60608 ;2. Department of Psychiatry, University of Illi |
| ISSN: | 1007-3256 |
| DOI: | 10.11886/j.issn.1007-3256.2016.03.023 |