Somatik Belirti Bozukluğu: Tarihsel Süreç ve Biyopsikososyal Yaklaşım

Öz

Somatizasyon zihin-beden ilişkisinin derinden hissedildiği bir kavramdır. Ortaya çıkmasında biyolojik, bilişsel, psikodinamik ve kültürel etmenlerin katkısı bulunmaktadır. Bir ruhsal bozukluğun belirtisi olarak somatizasyonun tanımı, oluş nedenleri, sürdürücü etkenleri ve tedavisi çok yönlü ve karmaşıktır. Bu bozukluk tarihsel süreçte üzerinde en çok tartışılan konulardan biridir. DSM’nin son baskısı ile birlikte “Somatik Belirti Bozuklukları ve İlişkili Bozukluklar” başlığıyla sınıflandırmada yer almıştır. Somatik belirti bozukluğu yaşam kalitesinin azalmasına, yeti kaybına ve sağlık hizmetlerinde yüksek maliyete yol açmaktadır. Bu haliyle hastalıkla ilgili belirtileri biyopsikososyal bütünlük içinde ele almak kaçınılmaz olmaktadır. Bu çalışmada somatik belirti bozukluğunun tarihsel sürecinin özetlenmesi, oluş nedenlerinin ve temel tedavi yaklaşımının biyopsikososyal bütünlük içinde sunulması amaçlanmıştır.

Anahtar Kelimeler

• Somatoform Bozukluklar
• Sınıflandırma
• Psikosomatik Tıp

Somatic Symptom Disorder: Historical Process and Biopsychosocial Approach

Öz

Somatization is a concept in which the mind-body relationship is deeply felt. Biological, cognitive, psychodynamic and cultural factors contribute to its emergence. The definition of somatization as a symptom of a mental disorder, its etiopathogenesis, maintenance factors and treatment are multifaceted and complex. This is one of the most discussed mental disorders in the historical process. It was included in the classification with the title of “Somatic Symptom Disorders and Related Disorders” with the last edition of DSM. Somatic symptom disorder causes a decrease in the quality of life, loss of disability and high costs in health services. Therefore, it is necessary to consider the symptoms of the disease in a biopsychosocial integrity.In this study, it is aimed to summarize the historical process of somatic symptom disorder, to present its causes and basic treatment approach in biopsychosocial integrity.

Anahtar Kelimeler

• Somatoform Disorders
• Psychosomatic Medicine
• Classification

Kaynakça

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