Caregiver Burden and Disability in Somatoform Disorder: An Exploratory Study

Chinneimawi, Esther; Nagarajan, Padmavathi; Menon, Vikas

doi:10.1177/0253717620957563

Cited by 5 publications

(6 citation statements)

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“…Burden and Disability in Somatoform Disorder: An Exploratory Study" W e thank Andrade et al for their interest and critical appraisal of our published article. 1 They have raised an important issue: the unexpected finding of comparable disability between somatoform disorder and schizophrenia. We agree with the explanations provided by the authors, which we also had pointed out; the study setting would have naturally biased the sample toward a more severely ill sample of patients with somatoform disorder, as is the case with all facility-based studies.…”

Section: Responses To the Comments On "Caregivermentioning

confidence: 99%

Responses to the Comments on “Caregiver Burden and Disability in Somatoform Disorder: An Exploratory Study”

Chinneimawi¹,

Nagarajan

Menon

2022

Indian Journal of Psychological Medicine

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Section: Responses To the Comments On "Caregivermentioning

confidence: 99%

Responses to the Comments on “Caregiver Burden and Disability in Somatoform Disorder: An Exploratory Study”

Chinneimawi¹,

Nagarajan

Menon

2022

Indian Journal of Psychological Medicine

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“…It has been reported that the severity of somatic symptoms was positively associated with the direct and indirect costs for patients with SFD [ 10 ]. An Indian study showed that patients with SFD experience considerable levels of disability, and that their caregivers go through various levels of burden in daily life; this burden is comparable to the one for schizophrenia [ 11 ]. Thus, early screening for patients at high risk for SFD is imperative to improve the diagnosis of SFD and to reduce the associated economic burden.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to the physical symptoms, patients with SFD often suffer from depressive symptoms. Van den Bergh and colleagues [ 11 ] suggested that persons with (MUS) SSD and persons with depression disorder share the trait of dispositional negativity as a general vulnerability for psychopathology. Therefore, this study also used two classic scales, PHQ-15 and PHQ-9, to evaluate the physical symptoms and depressive emotions of the subjects, in order to comprehensively reflect their clinical symptoms.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and economic burden of patients with somatoform disorders in Chinese general hospitals: a multicenter cross-sectional study

et al. 2023

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Background In China, patients with somatoform disorders (SFD) often seek medical treatment repeatedly in outpatient clinics of general hospitals, which increases unreasonable medical expenses. It is imperative to provide early screening to these patients and specialized treatment to reduce the unnecessary cost. This study aimed to screen patients with SFD in general hospitals using a new Chinese questionnaire and explore the characteristics and economic burden of these patients. Methods Patients (n = 1497) from the outpatient department of neurology, cardiology and gastroenterology of three large general hospitals were included. Participants were screened using a newly developed questionnaire, the Self-screening Questionnaire for Somatic Symptoms (SQSS), to identify the patients with SFD (total SQSS score ≥ 29 points). We compared the demographics and clinical information of patients with and without SFD. Logistic regression was used to explore potential factors related to medical expenses, visits to doctors and sick leave days taken. Results The frequency of detection of patients with SFD was 17.03%. There were significant differences in employment, doctor visits, symptom duration, medical expenses, sick leave days, PHQ-15 scores, and PHQ-9 scores between patients with SFD and without SFD. General nonspecific somatic symptoms were frequently present in patients with SFD. Several potential factors were associated with higher medical expenses, repeated doctor visits, and sick leave days taken in the regression analysis. Conclusion The findings indicate that patients with SFD are common in general hospitals, and their direct and indirect economic burden is higher than that of non-SFD patients, which indicates that more screening effort should be made to this group to early identify their problems. Certain characteristics were identified among patients with SFD and several factors were associated with negative consequences of SFD, all of which might be prevented by developing a preventive intervention program to reduce the economic burden of the patients.

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Pseudoceysis False Pregnancy in 25-Year-Old with Anxiety: A Case Report

Junio,

Amin

2023

Advances in Health Sciences Research

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BackgroundSomatoform disorder is a disorder characterized by the presence of multiple symptoms that cannot be explained or proven as physical symptoms. Patients with this disorder often undergo examinations and consultations with various healthcare centres about their complaints [1]. Doctors on duty in the emergency department often misdiagnose this disorder with other diagnoses. This can happen because of the need for more time to examine a patient in detail and thoroughly [2]. To establish a diagnosis of somatoform disorder, doctors require an elimination process to exclude symptoms and consider differential diagnoses for each symptom and sign, resulting in the somatoform diagnosis often being missed. The consequences of the imprecise diagnosis process of somatoform disorder on the first visit result in patients receiving a physical diagnosis that then encourages patients to focus on treating the organic disease [3]. Case report:This report discusses a 25-year-old married woman who has complaints of anxiety about her pregnancy. The patient insists that she is pregnant even though she has consulted several obstetricians. The complaints first appeared about three years ago since the beginning of her marriage. The complaints started when her family pressured the patient to have a child. The patient also complained of other symptoms, such as pain in several parts of her body, nausea, vomiting, intolerance to certain foods, and difficulty urinating despite having a strong urge to urinate. These complaints co-occurred with the patient's anxiety about her pregnancy. The patient has no history of psychiatric disorders use of illegal drugs, alcohol, or smoking. Conclusion:Somatoform disorders are characterized by one or more somatic symptoms or fear of a serious illness in the absence of physical symptoms, resulting in significant distress or functional impairment. This condition is marked by symptoms that are believed and unquestioned by the patient and have been ongoing for years. Patients with somatoform disorders may also experience symptoms from other organ systems. In this condition, there are psychological stressors that can trigger these symptoms. These symptoms are not influenced by illicit drugs, alcohol, and nicotine use.

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Caregiver Burden and Disability in Somatoform Disorder: An Exploratory Study

Cited by 5 publications

References 29 publications

Responses to the Comments on “Caregiver Burden and Disability in Somatoform Disorder: An Exploratory Study”

Responses to the Comments on “Caregiver Burden and Disability in Somatoform Disorder: An Exploratory Study”

Characteristics and economic burden of patients with somatoform disorders in Chinese general hospitals: a multicenter cross-sectional study

Pseudoceysis False Pregnancy in 25-Year-Old with Anxiety: A Case Report

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