Presentation
These were patients presenting to the family medicine clinic of the UCH between May 2009 and August 2009. [ncbi.nlm.nih.gov]
The presentation of conversion symptoms mimics a broad spectrum of neurological diseases. The symptoms were initially described in the context of hysteria, and have always been subject to debate and conceptual confusion. [oxfordhandbooks.com]
Description: Headache occurring as part of the symptomatic presentation of a somatization disorder. [ichd-3.org]
The essential feature of somatization disorder and related disorders is that the patient presents multiple, medically unexplained symptoms or functional somatic symptoms. [oxfordmedicine.com]
Entire Body System
- Multiple Somatic Complaints
somatic symptoms including headache), it was decided that it would be possible to assert attribution only when headache was part of a larger pattern of multiple somatic complaints. [ichd-3.org]
Somatization disorder is a mental disorder characterized by recurring, multiple, and current, clinically significant complaints about somatic symptoms, although it is no longer considered a clinical diagnosis. [en.wikipedia.org]
Gastrointestinal
- Abdominal Pain
The main symptoms in these children include headache, abdominal pain, and poor early rising. Children having two or more symptoms were reported to range about 20–30%. [ncbi.nlm.nih.gov]
Musculoskeletal
- Back Pain
Symptoms include gastric and/or other intestinal problems or dysfunctions, back pain, pain in the arms, legs or joints, headaches, chest pain and/or dyspnoea, dizziness, feeling tired and/or having low energy, and sleep troubles. [ichd-3.org]
"Meta-analysis of psychological interventions for chronic low back pain". Health Psychol. 26 (1): 1–9. doi : 10.1037/0278-6133.26.1.1. PMID 17209691. ^ Kato K, Sullivan PF, Evengård B, Pedersen NL (March 2009). [en.wikipedia.org]
Neurologic
- Headache
[…] somatic symptoms including headache), it was decided that it would be possible to assert attribution only when headache was part of a larger pattern of multiple somatic complaints. [ichd-3.org]
After other causes can be ruled out this problem with headaches may then be diagnosed as somatic. [alleydog.com]
Majority had crawling sensation, "headache", unexplained limb ache, pounding heart, lump in the throat and insomnia. [ncbi.nlm.nih.gov]
Hypochondriasis Hypochondriasis is a disorder in which sufferers constantly worry about perceived symptoms and are convinced they have a serious illness The affected person may have a headache or another minor symptom and think they have a brain tumor [treatment4addiction.com]
"Behavioral management of headache triggers: Avoidance of triggers is an inadequate strategy". Clin Psychol Rev. 29 (6): 483–95. doi : 10.1016/j.cpr.2009.05.002. PMID 19556046. ^ Pribor E. F.; Yutzy S. H.; Dean J. T.; Wetzel R. D. (1993). [en.wikipedia.org]
- Tingling
(Fig. 1 ) Occurrence of somatization screening symptoms amongst the respondent Statistics of the WHO (SDS) diagnostic criteria showed that complaints of bothersome tingling sensation ranked topmost (90%), 81% complained of pains in arms or legs other [ncbi.nlm.nih.gov]
Treatment
Hypnosis in the treatment of conversion and somatization disorders Edited by Amanda J. Barnier and Michael R. [oxfordhandbooks.com]
The doctor can coordinate their health care, offer treatments to relieve symptoms, see them regularly, and protect them from unnecessary tests and treatments. [merckmanuals.com]
Paroxetine for treatment of somatization disorder. J Neuropsychiatry Clin Neurosci 2002 ;14: 464 – 5. Google Scholar | Crossref | Medline | ISI [journals.sagepub.com]
This is where a person experiences medical symptoms and will continually see physicians until a doctor agrees with them and provides medical help and treatment. [alleydog.com]
Prognosis
Somatization disorder-Definition, demography, cause, symptoms, treatment and prognosis. Available at: http://www.minddisorders.com/index.html. 2007. [(accessed on 21/6/08)]. 6. Kleinman A, Eisenberg L, Good B. [ncbi.nlm.nih.gov]
Epidemiology
"The epidemiology of mental disorders in the adult population of Puerto Rico". Revista Interamericana de Psicologia. 34 (1X): 29–46. ^ Noyes R, Stuart S, Watson DB, Langbehn DR (2006). [en.wikipedia.org]
Unexplained physical complaints: Psychopathology and epidemiological correlates. Br J Psychiatry 1989 ;154( Suppl 4 ): 24 – 7. Google Scholar | Crossref 49. Kirmayer, LJ, Young, A. [journals.sagepub.com]
Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosom Med. 1998; 60 :420–430. doi: 10.1097/00006842-199807000-00006. [ PubMed ] [ CrossRef ] [ Google Scholar ] 11. Ibeziako P, Bujoreanu S. [ncbi.nlm.nih.gov]
Pathophysiology
Cause [ edit ] Although somatization disorder has been studied and diagnosed for more than a century, there is debate and uncertainty regarding its pathophysiology. [en.wikipedia.org]
Prevention
Symptoms may help patients avoid responsibilities but may also prevent pleasure and act as punishment, suggesting underlying feelings of unworthiness and guilt. [msdmanuals.com]
They should ensure a holistic approach to health care delivery at every contact with these patients so as to prevent iatrogenic worsening of the symptoms and ensure effective management. REFERENCES 1. Oyama O, Paltoo C, Greengold J. [ncbi.nlm.nih.gov]