| Theme | Working in Cooperation with Other Departments for Dialysis Treatment -- Centered Mainly on Easily Overlooked Conditions | |
|---|---|---|
| Title | Psychosomatic medicine : Functional somatic syndrome (FSS) and dialysis patients | |
| Publish Date | 2011/02 | |
| Author | Kenji Kanbara | Psychosomatic Medicine, Kansai Medical University |
| Author | Mikihiko Fukunaga | Psychosomatic Medicine, Kansai Medical University |
| [ Summary ] | Functional somatic syndrome (FSS) refers to several related syndromes which are characterized by persistent somatic symptoms, which can not be explained in medical terms and are difficult to treat. The core pathological concept of FSS is the discrepancy between patients' subjective perceptions of symptoms and objective explanations through medical evaluations. Based on these discrepancies, the symptoms become chronic and increasingly severe, resulting in development of various complications. Because many problems exist in relation to FSS, which upset medical staff members and create economic loss, clarification of the pathology and methods to manage this condition are hoped for. Psychosocial factors, such as anxiety and depression, doctor-patient relationships, and relationships with people in the patients' lives are important for FSS. Relationships between psychosocial factors and physical aspects are also important. Patients with FSS have common problems and disease characteristics ; physiological pathway, mood disturbance, difficult doctor-patient relationships, psychosocial stress, and lack of support systems. In addition, differences in the pathology of diseases such as irritable bowel syndrome, fibromyalgia syndrome also exist. FSS should be treated by both aspects of the similarity and the difference. |
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