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Somatoform Disorders


Presentation

  • METHODS: Fifty adolescents presenting to the Complex Adolescent Clinic at The Children's Hospital at Westmead, Sydney, Australia were assessed.[ncbi.nlm.nih.gov]
  • The present study investigated complaints in the general population in order to evaluate the relevance of a distinction between MUS and MES.[ncbi.nlm.nih.gov]
  • Hence, the aim of the present study was to further advance our understanding of the role of catastrophizing misinterpretations in somatoform disorders.[ncbi.nlm.nih.gov]
  • Thirty-three participants with SFD and 32 healthy controls reported whether they recognized near-threshold tactile stimuli at their fingertip, which were presented in half of the test trials.[ncbi.nlm.nih.gov]
  • RESULTS: Of the 55 patients who were enrolled in the present study, 31 completed the 2-year follow-up period. Overall, the disease severity improved significantly in patients with late-life SDs.[ncbi.nlm.nih.gov]
Non-Cardiac Chest Pain
  • A history of more than two pain-related functional somatic syndromes (e.g. non-cardiac chest pain) was found in 42% ( n   21) and functional neurological symptoms (e.g. 'claw-hand') in 42% ( n   21).[ncbi.nlm.nih.gov]
  • Among these are patients with chronic fatigue, FM, TMJ disorder, chronic headache, IBS, irritable bladder, and regional pain syndromes (such as non-cardiac chest pain).[practicalpainmanagement.com]
Stridor
  • Identification of repressive defense style in patients with stridor which has no obvious organic cause may be useful both as a possible "marker" of psychiatric disorder and as a guide to treatment.[ncbi.nlm.nih.gov]
Dermatologic Disorder
  • The great dermatologist and psychiatrist Griesemer studied the effect of emotions on dermatological disorders (pruritus, rosacea, lichen planus, atopic dermatitis, alopecia areata, seborrheic dermatitis, etc.), showing that the influences of stress and[go.galegroup.com]
Suggestibility
  • The results suggest that patients with HYP have an interim position between SFD and ANX, with slightly closer connections to ANX.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: The findings suggest that a biased implicit self-concept may be causally relevant for symptom experiences inpatients with SFDs.[ncbi.nlm.nih.gov]
  • CONCLUSION: Our findings suggest that the entity of health anxiety (HC in DSM-IV and illness anxiety disorder in DSM-5) is a clinical syndrome distinct from other psychiatric disorders.[ncbi.nlm.nih.gov]
  • A new category called Somatic Syndrome Disorders is suggested. It includes new subcategories such as "Complex Somatic Symptom Disorder" (CSSD) and "Simple Somatic Symptom Disorder" (SSSD).[ncbi.nlm.nih.gov]
  • CONCLUSIONS: Our results suggest that psychotherapeutic treatment of patients with somatoform disorders should also focus on the recognition of emotions and deal with them.[ncbi.nlm.nih.gov]
Learning Difficulties
  • SFD patients were referred later to psychiatry (P .001), had more emergency department visits (P .001) and more visits to other hospitals (P .05) and also had higher rates of learning difficulties (P .001), bullying (P .05), and trauma (P .01) compared[ncbi.nlm.nih.gov]

Workup

  • CONCLUSIONS: Among allergy workup patients with SFDs we found considerable MT. This indicates that SFD patients may tend to mistake correlation for causality in a more general way, and not just in an illness-related context.[ncbi.nlm.nih.gov]
  • Following a negative medical workup, she was admitted to a psychiatry inpatient unit, where she began talking upon arrival.[emedicine.medscape.com]
  • Diagnosis of somatoform disorders requires a thorough physical workup to exclude medical and neurological conditions, or to assess their severity in patients with pain disorder.[medical-dictionary.thefreedictionary.com]

Treatment

  • The response to treatment for late-life SDs varies from one patient to another. Treatment strategies for late-life SDs require these etiological factors to be considered.[ncbi.nlm.nih.gov]
  • We aimed to examine treatment effects across outcome domains and specifically assess the association, at study level, between short and long term treatment effects and between treatment effects in different outcome domains.[ncbi.nlm.nih.gov]
  • The recommendations for the treatment of somatoform disorders were as follows: brief dynamic psychotherapy, family therapy and excellent medical consultation are the basis for the treatment of hypochondriasis.[ncbi.nlm.nih.gov]
  • Duloxetine may be effective and well tolerated in the treatment of adolescents with somatoform disorder. Controlled trials are need.[ncbi.nlm.nih.gov]
  • Participants were assessed at baseline, 4 months and 12 months after initiating treatment. Analyses examined whether diagnosis and/or illness precipitants were related to treatment outcome.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis • The course of this disorder is usually episodic with episodes that last from months to years • There may be an obvious association between exacerbation of somatic symptoms and psychological stressors • A good prognosis is associated with:[slideshare.net]
  • Therefore, the comparison of the different approaches concerning long-term prognosis of disorder-relevant factors is of special interest.[ncbi.nlm.nih.gov]
  • This includes whatever statements and treatment notes that may have been obtained from your treating physician (a doctor who has a history of treating your condition and is, therefore, qualified to comment as to your condition and prognosis).[ssdrc.com]
  • Somatization disorders: diagnosis, treatment, and prognosis. Pediatr Rev. 2011 Feb; 32(2): 56–63. 13. Jellesma FC, Rieffe C, Terwogt MM, Kneepkens CM.[degruyter.com]

Etiology

  • Recently, cognitive decline, including executive dysfunction, has been reported as an etiological factor of late-life SDs. The response to treatment for late-life SDs varies from one patient to another.[ncbi.nlm.nih.gov]
  • RESULTS: The complaints frequently prompted participants to seek medical health care (several pain and pseudoneurological symptoms led to a doctors' visit in 80 % of cases), although etiological findings rarely suggested a medical pathology (occasionally[ncbi.nlm.nih.gov]
  • Three cases of adolescents with respiratory stridor of psychiatric etiology are described. All three fulfilled DSM-III-R criteria for diagnoses of somatoform disorders and showed characteristics of repressive defense style.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: Health anxiety and symptom-related disability should be further considered when investigating potential etiological factors of increased health care use. Copyright 2016 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]

Epidemiology

  • KEYWORDS: elderly; epidemiology; somatoform disorders[ncbi.nlm.nih.gov]
  • The modern epidemiological evidences of mentioned conditions are also considered which indicate on progressive increase of these diseases for recent 20 years.[ncbi.nlm.nih.gov]
  • METHODS: In the present study, we used data from the Dresden Predictor Study (N 1538), in which an epidemiologic sample of young German women was tested at two time points approximately 17 months apart.[ncbi.nlm.nih.gov]
  • At the international symposium "Rethinking Somatoform Disorders," this problem was addressed by specialists working in somatoform disorders, psychiatric nosology, epidemiology, and biological and cross-cultural psychiatry.[springer.com]
  • (p. 996) Epidemiology of somatoform disorders and other causes of unexplained medical symptoms While nearly every psychiatric syndrome may include some somatic signs or symptoms, a specific group of syndromes has been traditionally defined as somatoform[oxfordmedicine.com]
Sex distribution
Age distribution

Pathophysiology

  • Raap, Ulrike, Stander, Sonja, Metz, Martin, Pathophysiology of Itch and New Treatments, Current Opinion in Allergy and Clinical Immunology, October 2011, 15. Stoudemire, Alan, MD & Barry S.[go.galegroup.com]

Prevention

  • We have also discussed the standardized methods of prevention, differential diagnosis and treatment of somatoform diseases.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: MAS patients meeting the profile of being elderly, suffering from comorbid MAS disorders or a somatoform disorder, with cluster B personality traits, and a poor reported general health may need special preventive measures to minimise the[ncbi.nlm.nih.gov]
  • These findings implicate that a disorder-specific combination of action and relapse-prevention-oriented interventions might optimize outcome in inpatients with different psychiatric disorders. (c) 2012 APA, all rights reserved.[ncbi.nlm.nih.gov]
  • Understanding factors that affect treatment adherence may help to prevent non-adherence and increase the quality of care as well as cost-effectiveness. 2010 Blackwell Publishing Ltd.[ncbi.nlm.nih.gov]
  • You should choose a program that uses treatment methods backed by research and that has a post-treatment program to help prevent relapses. Make sure that the program has expertise in your type of mental illness.[recovery.org]

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