关键词: 疾病焦虑障碍, 疑病症, 全科医生, 社区卫生服务, 疾病管理

Abstract: Illness anxiety disorder（IAD）is a common mental disease encountered by community general practitioners （GPs），which often requires long-term treatment and follow-up. Although community health services are good applicable for treating IAD owing to its continuity and comprehensiveness，community-based management strategies for IAD are very limited，and the research on community GPs' perspectives regarding coping strategies for IAD is very rare. Based on a literature view of IAD，we performed an in-depth analysis of three essentials that community GPs should master for managing IAD：differentiating IAD from other illnesses，exploring potential factors associated with symptoms，evaluating available useful medical and information resources. Furthermore，we put forward IAD managing strategies for community GPs in accordance with features and ideas of community health services，including a thorough evaluation of symptoms and psychological states，implementing shared decision-making，and delivering continuous patient health education. Our study will help to enhance community GPs' management level of IAD.

Key words: Illness anxiety disorder, Hypochondriasis, General practitioners, Community health services, Disease management