|
|
|||||||||||
The British Journal of Psychiatry 173: 262-266 (1998)
© 1998 The Royal College of Psychiatrists
JI Escobar, M Gara, RC Silver, H Waitzkin, A Holman and W Compton
Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, Piscataway 08854-5635, USA.
BACKGROUND: Somatisation is a common and frustrating clinical problem in primary care. METHOD: Using structural diagnoses and functional measures, we examined the prevalence and associated features of somatisation disorder defined by three current nosologies and an abridged construct in subjects using primary care services. RESULTS: Somatisation disorder, diagnosed according to the standard criteria, was found to have a very low prevalence (range 0.06-0.5%), while more than one-fifth of the sample (22%) met the criteria for the abridged diagnosis. There was poor agreement between succeeding versions of the DSM system for identifying cases of somatisation disorder, each system ending up with rather disparate sets of individuals as well as variable levels of psychopathology and disability. CONCLUSIONS: According to these data, standard somatisation disorder diagnoses add little to the prediction of disability/psychopathology beyond the contributions of an abridged construct of somatisation.
This article has been cited by other articles:
![]() |
J. L. Jackson and K. Kroenke Prevalence, Impact, and Prognosis of Multisomatoform Disorder in Primary Care: A 5-Year Follow-up Study Psychosom Med, May 1, 2008; 70(4): 430 - 434. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Kroenke, M. Sharpe, and R. Sykes Revising the Classification of Somatoform Disorders: Key Questions and Preliminary Recommendations Psychosomatics, August 1, 2007; 48(4): 277 - 285. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Salmon, G. M. Humphris, A. Ring, J. C. Davies, and C. F. Dowrick Why Do Primary Care Physicians Propose Medical Care to Patients With Medically Unexplained Symptoms? A New Method of Sequence Analysis to Test Theories of Patient Pressure Psychosom Med, July 1, 2006; 68(4): 570 - 577. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Y. Konijnenberg, E. R. de Graeff-Meeder, J. van der Hoeven, J. L. L. Kimpen, J. K. Buitelaar, C. S.P.M. Uiterwaal, and and the Pain of Unknown Origin in Children Study G Psychiatric Morbidity in Children With Medically Unexplained Chronic Pain: Diagnosis From the Pediatrician's Perspective Pediatrics, March 1, 2006; 117(3): 889 - 897. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Escalona, G. Achilles, H. Waitzkin, and J. Yager PTSD and Somatization in Women Treated at a VA Primary Care Clinic Psychosomatics, August 1, 2004; 45(4): 291 - 296. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. W. M. De Waal, I. A. Arnold, J. A. H. Eekhof, and A. M. Van Hemert Somatoform disorders in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders The British Journal of Psychiatry, June 1, 2004; 184(6): 470 - 476. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Ring, C. Dowrick, G. Humphris, and P. Salmon Do patients with unexplained physical symptoms pressurise general practitioners for somatic treatment? A qualitative study BMJ, May 1, 2004; 328(7447): 1057. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Rief, A. Hessel, and E. Braehler Somatization Symptoms and Hypochondriacal Features in the General Population Psychosom Med, July 1, 2001; 63(4): 595 - 602. [Abstract] [Full Text] [PDF] |
||||
![]() |
K Poikolainen, T Aalto-Setälä, M Marttunen, A Tuulio-Henriksson, and J Lönnqvist Predictors of somatic symptoms: a five year follow up of adolescents Arch. Dis. Child., November 1, 2000; 83(5): 388 - 392. [Abstract] [Full Text] |
||||
![]() |
M. Ritsner, A. Ponizovsky, R. Kurs, and I. Modai Somatization in an Immigrant Population in Israel: A Community Survey of Prevalence, Risk Factors, and Help-Seeking Behavior Am J Psychiatry, March 1, 2000; 157(3): 385 - 392. [Abstract] [Full Text] |
||||
![]() |
J. I. Escobar Immigration and Mental Health: Why Are Immigrants Better Off? Arch Gen Psychiatry, September 1, 1998; 55(9): 781 - 782. [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Psychiatric Bulletin | Advances in Psychiatric Treatment | All RCPsych Journals |