心身症状评估工具研究进展

邓肖祎; 袁勇贵

doi:10.12100/j.issn.2096-5494.225044

心理学通讯 >

2025 , Vol. 8 >Issue 4: 322 - 329

DOI: https://doi.org/10.12100/j.issn.2096-5494.225044

综述

心身症状评估工具研究进展

邓肖祎 ,
袁勇贵

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¹东南大学人文学院,南京 211189;
²东南大学附属中大医院心身医学科,南京 210009

邓肖祎,东南大学2024级应用心理专业硕士研究生,专业方向为心理健康教育与咨询。

网络出版日期: 2026-03-31

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Research Advances in Psychosomatic Symptom Assessment Tools

DENG Xiaoyi ,
YUAN Yonggui

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¹School of Humanities, Southeast University, Nanjing 211189, China;
²Department of Psychosomatic Medicine, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, China

Online published: 2026-03-31

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摘要

心身医学作为一门新兴的交叉学科,重点关注心理、社会与生物因素在疾病发生发展中的动态交互作用,在现代医学领域的重要性日益凸显。在临床实践中,心身症状评估工具是诊断心身障碍的关键组成部分,主要可分为他评工具和自评工具两大类。他评工具（如心身研究诊断标准及其修订版）虽然表现出较高的诊断敏感性,但由于其结构化访谈的操作流程较为复杂、耗时较长,且对评估者的专业培训要求较高,导致其在综合医院等临床场景中的推广受到一定限制。自评工具可分为心身症状专用评估工具和通用心理健康评估工具2类。专用评估工具（如心身症状清单、儿童心身症状清单、中国心身健康量表、儿童和青少年心身症状问卷、心身症状量表及简版心身症状量表）虽具有结构特异性和理论关联性,对疾病的区分度更高,但均未在临床上得到普遍应用。而通用心理健康评估工具（如躯体症状、情绪症状以及综合评估量表）虽广泛普及且操作简便,但对心身症状的特异性识别能力相对不足。文章通过分析现有评估工具的心理学测量特性和文化适应性,总结其临床应用优势与局限,并探讨其在不同医疗场景及人群中的适用性。未来心身症状评估工具应遵循国际心理测量学标准,响应国家卫生政策导向,结合多模态评估与人工智能技术进行开发和优化升级。

关键词： 心身医学; 心身症状; 评估工具

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邓肖祎 , 袁勇贵 . 心身症状评估工具研究进展[J]. 心理学通讯, 2025 , 8(4) : 322 -329 . DOI: 10.12100/j.issn.2096-5494.225044

Abstract

Psychosomatic medicine, as an emerging interdisciplinary field, focuses on the interactions among psychological, social, and biological factors in the onset and development of diseases, and has gained importance in modern medicine. In clinical practice, assessment tools are important for the diagnosis of psychosomatic disorders and mainly include interview tools and self-report scales. Interview tools such as the Diagnostic Criteria for Psychosomatic Research (DCPR) and its revised version (DCPR-R) have high diagnostic sensitivity, but their structured interview procedures are relatively complex and time-consuming and require substantial professional training, which makes them difficult to promote on a large scale in general hospitals. Self-report scales include specific assessment tools for psychosomatic symptoms like the Psychosomatic Symptom Checklist (PSC), Children's Psychosomatic Symptom Checklist (C-PSC), Chinese Psychosomatic Health Scale (CPSHS), Psychosomatic Symptoms Questionnaire (PSS), Psychosomatic Symptom Scale (PSSS), and Brief Psychosomatic Symptom Scale (BPSS). These tools offer greater structural specificity, stronger theoretical relevance, and higher differentiative ability for diseases. However, they have not been widely used clinically. In contrast, general mental health assessment tools, covering somatic symptoms, emotional symptoms, and comprehensive assessment scales, are widely used because of their convenience and accessibility. However, they show limited specificity in identifying psychosomatic symptoms. This article summarizes the advantages and disadvantages of the aforementioned tools by analyzing their psychometric properties and cultural adaptability, and examines their applicability across different medical settings and populations, aiming to provide a reference for clinical practice and research. Future assessment tools should be developed and refined based on international psychometric standards, in response to national health policies, and through the integration of multimodal assessment approaches and AI technology.

Key words： psychosomatic medicine; psychosomatic symptom; assessment tool

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