UNASSIGNED: In April 2022, a 21-year-old female patient, a third-year medical student, came to our clinic to be assessed and treated for FM. She presents with a diagnosis of CRMO made in 2014 and a diagnosis of FM made in 2019.
UNASSIGNED: At the psychiatric evaluation she presented symptoms of anxiety, depression, insomnia and reported widespread pain with the presence of almost daily headaches. From the psychosomatic point of view using DCPR-revised she presented diagnostic criteria for allostatic overload, related to study and periodic flare-ups of painful symptoms due to CRMO, persistent somatization, with musculoskeletal and gastroenterological symptoms, demoralization and type A behaviour.
UNASSIGNED: This case shows how useful a psychosomatic assessment of the patient can be for offering insights into what stressors at the origin of allostatic overload may be present in different FM patients.
■2022年4月,一名21岁的女性患者,一个三年级的医学生,来到我们的诊所接受FM评估和治疗。她提出了2014年对CRMO的诊断和2019年对FM的诊断。
■在精神病评估中,她出现了焦虑症状,抑郁症,失眠和报告广泛的疼痛,几乎每天都有头痛。从使用DCPR修订的心身角度来看,她提出了同种异体超负荷的诊断标准,与CRMO引起的疼痛症状的研究和周期性发作有关,持续性躯体化,有肌肉骨骼和胃肠病症状,士气低落和A型行为。
■此案例显示了对患者的心身评估对于提供对不同FM患者中可能存在的同种异体超负荷起源的应激源的见解是多么有用。