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Development of Psychosomatic Medicine in China

  • Jing WeiEmail author
  • Lan Zhang
  • Xudong Zhao
  • Kurt Fritzsche
Chapter

Abstract

There is a great need for further development of the health care in the field of psychosomatic medicine and psychotherapy in China. The prevalence rate for mental disorders in China lies between 7.0% and 17.5%. It is imperative to improve the training of non-psychiatrist, nurses, psychiatrists, and psychologists. The new mental health law promotes the role of psychiatry in assessment of mental disorders and subsequently engaging psychiatrists and clinical psychologists in their treatment. Mental health institutions are requested to regularly improve mental health services and research. The following four steps are necessary to develop psychosomatic medicine and psychotherapy in the future in China: (1) integration of training in psychosomatic medicine in the undergraduate student teaching; (2) basic and advanced training in psychosomatic medicine and psychotherapy for physicians, psychologists, and nurses; (3) assistance in setting up psychosomatic wards at the general hospital; and (4) supporting basic and clinical research in the field of psychosomatic medicine.

Keywords

China Psychosomatic medicine Mental disorders Psychotherapy Mental health law Treatment 

Literature

  1. Cyranoski D. China tackles surge in mental illness. Nature. 2010;468(7321):145.CrossRefGoogle Scholar
  2. Fritzsche K, Scheib P, Ko K, Wirsching M, Kuhnert A, Hick J, Schüßler G, Wu W, Yuan S, Cat NH, Vongphrachanh S, Linh NT, Viet NK, the ASIA-LINK Workgroup. Results of a psychosomatic training program in China, Vietnam and Laos. Successful cross-cultural transfer of a postgraduate training program for medical doctors. Bio Psycho Soc Med. 2012;6:17.  https://doi.org/10.1186/1751-0759-6-17.CrossRefGoogle Scholar
  3. Huang M, Liu Y, Wang J, Mo L, Wang Y, Chen L, Dong Z, Guo W, He N, Chen R, Luo S, Yu J, Zhang L. High rates of depression anxiety and suicidal ideation among inpatients in general hospital in China. Int J Psychiatry Clin Pract. 2019;14:1–7.  https://doi.org/10.1080/13651501.2018.1539179.CrossRefGoogle Scholar
  4. Pang Y, Tang L, Zhang Y, Song L, Goelz T, Fritzsche K, Wuensch A. Breaking bad news in China: implementation and comparison of two communication skills training courses in oncology. Psycho-Oncology. 2015;24:608–11.CrossRefGoogle Scholar
  5. Phillips MR. Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: an epidemiological survey. Lancet. 2009;373(9680):2041–53.CrossRefGoogle Scholar
  6. Phillips MR, Chen H, Diesfeld K, Xie B, Cheng HG, Mellsop G, Liu X. China’s new mental health law: reframing involuntary treatment. Am J Psychiatry. 2013;170(6):588–91.CrossRefGoogle Scholar
  7. Schaefert R, Höner C, Salm F, Wirsching M, Leonhart R, Yang JZ, Wei J, Lu W, Larisch A, Fritzsche K. Psychological and behavioral variables associated with the somatic symptom severity of general hospital outpatients in China. Gen Hosp Psychiatry. 2013;35:297–303.CrossRefGoogle Scholar
  8. Wang J, Guo WJ, Zhang L, Deng W, Wang HY, Yu JY, Luo SX, Huang MJ, Dong ZQ, Li DJ, Song JP, Jiang Y, Cheng NS, Liu XH, Li T. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry. 2017;76:87–97.  https://doi.org/10.1016/j.comppsych.2017.04.001.CrossRefPubMedGoogle Scholar
  9. Wei J, Zhang L, Zhao X, Fritzsche F. Current trends of psychosomatic medicine in China. Psychother Psychosom. 2016;85:388–90.CrossRefGoogle Scholar
  10. Wu H, Zhao X, Fritzsche K, Leonhart R, Schäfert R, Sun X, Larisch A. Quality of doctor-patient relationship in patients with high somatic symptom severity in China. Complement Ther Med. 2015;23:23–31.CrossRefGoogle Scholar
  11. Wuensch A, Tang L, Goelz T, Zhang Y, Stubenrauch S, Song L, Hong Y, Zhang H, Wirsching M, Fritzsche K. Breaking bad news in China – the dilemma of patients‘ autonomy and traditional norms. A first communication skills training for Chinese oncologists and caretakers. Psycho-Oncology. 2012;22:1192–5.CrossRefGoogle Scholar
  12. Xiong W, Phillips MR. Translated and annotated version of the 2015–2020 National Mental Health Work Plan of the People’s Republic of China. Shanghai Arch Psychiatry. 2016;28(1):4–17.PubMedPubMedCentralGoogle Scholar
  13. Zhang Y, Fritzsche K, Leonhart R, Zhao X, Zhang L, Wei J, Yang J, Wirsching M, Nater-Mewes R, Larisch A, Schaefert R. Dysfunctional illness perception and illness behaviour associated with high somatic symptom severity and low quality of life in general hospital outpatients in China. J Psychosom Res. 2014;77:187–95.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jing Wei
    • 1
    Email author
  • Lan Zhang
    • 2
  • Xudong Zhao
    • 3
    • 4
  • Kurt Fritzsche
    • 5
  1. 1.Department of Psychological MedicinePeking Union Medical College HospitalBeijingChina
  2. 2.Mental Health Center, West China HospitalSichuan UniversityChengduPeople’s Republic of China
  3. 3.Department of Psychosomatic MedicineShanghai East Hospital, Tongji UniversityShanghaiChina
  4. 4.Mental Health Center Affiliated to Tongji UniversityShanghaiChina
  5. 5.Department of Psychosomatic Medicine and PsychotherapyCenter for Mental Health, Medical Center - University of Freiburg, Faculty of Medicine, University of FreiburgFreiburgGermany

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