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Somatization Disorder


Presentation

  • 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]
  • These were patients presenting to the family medicine clinic of the UCH between May 2009 and August 2009.[ncbi.nlm.nih.gov]
  • 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]
  • This study did not find any gender difference in the endorsement of symptoms except that males presented with head symptoms more than females.[ncbi.nlm.nih.gov]
Physician
  • The recognition and management of patients with this disorder by primary care physicians is the subject of this monograph. Primary care physicians of my acquaintance do not go looking for these patients.[annals.org]
  • Advocate Christ Medical Center FMRP Hometown, IL Copyright 2017 Family Physicians Inquiries Network, Inc.[journals.lww.com]
  • […] with nonspecific somatic symptoms similar to those of somatization. 7 The family physician frequently attends to patients with unexplained medical symptoms.[ncbi.nlm.nih.gov]
  • 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]
  • Managing somatization disorder often poses challenges to the physician. The reasons would include ignorance of the condition [ 15 ].[ncbi.nlm.nih.gov]
Weakness
  • […] dysfunction, irregular menses, excessive menstrual bleeding and/or vomiting throughout pregnancy) d) at least one pseudoneurological symptom not limited to pain ( eg, conversion symptoms such as impaired coordination or balance, paralysis or localized weakness[ichd-3.org]
  • The weakness of this study lies in the fact that a cross-sectional survey was done. A longitudinal study would have helped to follow up adolescents with psychosomatic disorders over a long time.[ncbi.nlm.nih.gov]
  • Motor responses evoked by magnetic brain stimulation in psychogenic limb weakness. J Neurol 1992 ;239: 251 – 5. Google Scholar Medline ISI 43. Rief, W, Shaw, R, Fichter, M.[journals.sagepub.com]
Fatigue
  • Assessing somatization disorder in the chronic fatigue syndrome. Psychosom Med 1996 ;58: 50 – 7. Google Scholar Crossref Medline ISI 20. Butler, J, Chalder, T, Wessely, S.[journals.sagepub.com]
  • Common symptoms of this disorder among adolescents are headaches, nausea and vomiting, abdominal pain, diarrhea or constipation, fatigue, fainting, dizziness, sleeping problems, and nervousness.[ncbi.nlm.nih.gov]
Multiple Somatic Complaints
  • "Caring for the patient with multiple somatic complaints". South. Med. J. 79 (3): 310–4. doi : 10.1097/00007611-198603000-00013. PMID 3952541. Canino G, Bird H, Rubio-Stipec M, Bravo M (2000).[en.wikipedia.org]
Movement Disorder
  • Psychogenic movement disorders. Curr Opin Neurol. 2009; 22 :430–436. doi: 10.1097/WCO.0b013e32832dc169. [ PubMed ] [ CrossRef ] [ Google Scholar ] 14. Ohaeri JU, Olatawura MO. The resilience of Somatization disorder to physical methods of treatment.[ncbi.nlm.nih.gov]
Nausea
  • […] from or during four different sites or functions ( eg, from head, chest, back, abdomen, joints, extremities and/or rectum, and/or during menstruation, sexual intercourse and/or urination) b) at least two gastrointestinal symptoms other than pain ( eg, nausea[ichd-3.org]
  • Common symptoms of this disorder among adolescents are headaches, nausea and vomiting, abdominal pain, diarrhea or constipation, fatigue, fainting, dizziness, sleeping problems, and nervousness.[ncbi.nlm.nih.gov]
Vomiting
  • […] different sites or functions ( eg, from head, chest, back, abdomen, joints, extremities and/or rectum, and/or during menstruation, sexual intercourse and/or urination) b) at least two gastrointestinal symptoms other than pain ( eg, nausea, bloating, vomiting[ichd-3.org]
  • Common symptoms of this disorder among adolescents are headaches, nausea and vomiting, abdominal pain, diarrhea or constipation, fatigue, fainting, dizziness, sleeping problems, and nervousness.[ncbi.nlm.nih.gov]
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]
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]
Constipation
  • Common symptoms of this disorder among adolescents are headaches, nausea and vomiting, abdominal pain, diarrhea or constipation, fatigue, fainting, dizziness, sleeping problems, and nervousness.[ncbi.nlm.nih.gov]
Chest 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]
Fear
  • Works on a disorder in which the patient shows unrealistic and excessive fear and anxiety about potential health problems are entered under [Hypochondria.] Subject of Billiard, Isabelle. Somatisati Goodman, Berney. When the body Kellner, Robert.[id.loc.gov]
  • […] treatment for a variety of somatoform disorders including somatization disorder. [16] [17] [18] CBT aims to help patients realize their ailments are not catastrophic and to enable them to gradually return to activities they previously engaged in, without fear[en.wikipedia.org]
  • In addition, the drive to rule out organic disease, the fear of missing organic diseases and the poverty of skills in exploring psychological issues by most physicians could contribute to the difficulties faced by them in managing an adolescent presenting[ncbi.nlm.nih.gov]
Behavior Disorder
  • The ICD-10 classification of mental and behavioral disorders. Geneva : WHO ; 1992. Google Scholar 15. Escobar, J, Waitzkin, H, Silver, R, Gara, M, Holman, A. Abridged somatization: A study in primary care. Psychosom Med 1998 ;60: 466 – 72.[journals.sagepub.com]
  • Psychopathology. 2007; 40 :394–404. [ PubMed ] [ Google Scholar ] 20. 10th revision, Classification of Mental and Behavioral Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO; 1992.[ncbi.nlm.nih.gov]
  • Primary prevention with children at risk for emotional or behavioral disorders: data on a universal intervention for Head Start classrooms. Behav Disord. 2000; 26 :70–84. [ Google Scholar ] 28. Ramey C, Ramey S.[ncbi.nlm.nih.gov]
Withdrawn
  • It is seen that when the adolescents is diagnosed with somatic problems, it makes the adolescent withdrawn from his peers and is often been stigmatized as been abnormal and psychotic.[ncbi.nlm.nih.gov]
Urinary Retention
  • retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures, dissociation symptoms such as amnesia and/or loss of consciousness other than fainting) Evidence of causation demonstrated by at least one of the[ichd-3.org]
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]
  • "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]
  • 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]
Neglect
  • […] somatization disorder. ( 28411503 ) Guo W...Zhao J 2017 9 Somatization disorder and somatoform symptoms in systematically studied survivors of 10 disasters. ( 28738098 ) Zhang G...North CS 2017 10 Somatization disorder among adolescents in southeast Nigeria: a neglected[malacards.org]
  • Somatoform disorders: Severe psychiatric illness neglected by psychiatrist. Br J Psychiatry 2001 ;179: 11 – 4. Google Scholar Crossref Medline ISI 64. Hiller, W, Fichter, M, Rief, W.[journals.sagepub.com]
  • Abstract Background Adolescents do present with somatization disorder which is often neglected by pediatricians. This could have serious consequences if not curbed early.[ncbi.nlm.nih.gov]
Dizziness
  • 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]
  • […] as a somatization symptom. 4, 6 However none of the somatizers on evaluation was anaemic despite the 60% response to complaint of dizziness.[ncbi.nlm.nih.gov]
  • Common symptoms of this disorder among adolescents are headaches, nausea and vomiting, abdominal pain, diarrhea or constipation, fatigue, fainting, dizziness, sleeping problems, and nervousness.[ncbi.nlm.nih.gov]
Behavior Problem
  • This behavioral problem among adolescents is common in all cultural groups and societies, especially in the primary care [ 4 ].[ncbi.nlm.nih.gov]
Confusion
  • The symptoms were initially described in the context of hysteria, and have always been subject to debate and conceptual confusion.[oxfordhandbooks.com]

Treatment

  • Hypnosis in the treatment of conversion and somatization disorders Edited by Amanda J. Barnier and Michael R.[oxfordhandbooks.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]
  • The relevant brain regions include the dorsolateral prefrontal, insular, rostral anterior cingulate, premotor, and parietal cortices. [14] [15] Treatments [ edit ] To date, cognitive behavioral therapy (CBT) is the best established treatment for a variety[en.wikipedia.org]
  • These treatment approaches involve a multidisciplinary approach which aims at targeting the adolescent/family’s understanding of the mind–body relationship and their acceptance of the bio-psycho-social formulation and treatment [ 13 ].[ncbi.nlm.nih.gov]

Prognosis

  • Somatization disorder-Definition, demography, cause, symptoms, treatment and prognosis. Available at: . 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]
Sex distribution
Age distribution

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

  • 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]
  • Primary prevention with children at risk for emotional or behavioral disorders: data on a universal intervention for Head Start classrooms. Behav Disord. 2000; 26 :70–84. [ Google Scholar ] 28. Ramey C, Ramey S.[ncbi.nlm.nih.gov]

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