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 dis-cussion,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 impor-tance of the multi-disciplinary treatment team for somatic symptoms(disorders).
关键词
慢性疼痛/影响躯体疾病的心理行为因素/痛风/多学科协作诊疗
Key words
chronic pain/psychological factors affecting other medical conditions/gout/multi-disciplinary treatment