[Psychosomatic medicine in primary care].
Patients commonly visit their primary care physician (PCP) because of body symptoms. However, neither the PCP nor his patient can tell immediately whether or not psychosocial factors play a role in the disease manifestation. If this is the case, only a patient-centred approach and basic knowledge in biopsychosocial skills will help the PCP to diagnose and treat his patient appropriately. This article gives a comprehensive overview on how the PCP can approach patients with psychosomatic diseases (i.e. somatic symptoms exacerbated by psychosocial factors, medically unexplained symptoms, functional somatic syndromes, somatic manifestation of psychiatric diseases). Adopting this approach will allow the PCP to be challenged but not overburdened by, on an average, 30-50% of his patients presenting with psychosomatic symptoms.
von Känel
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Abteilung für Psychosomatische Medizin C.L. Lory-Haus, Klinik für Aligemeine Innere Medizin, Inselspital, Universitätsspital Bern. roland.vonkaenel@insel.ch
D006801:Humans; D010348:Patient Care Team; D009629:Person-Centered Psychotherapy; D011320:Primary Health Care; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D012017:Referral and Consultation; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy