Consultation-Liaison Intervention in Somatization Disorder

Smith, Gary; Miller, Linda; Monson, Roberta A.

doi:10.1176/ps.37.12.1207

Cited by 6 publications

(9 citation statements)

References 10 publications

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“…24 4) Solicit ancillary support from a psychologist, or support or stress management groups. 29 These management strategies are not unique to somatization disorder. Many of them overlap with the 2011 American Urological Association IC/BPS treatment guideline.…”

Section: Discussionmentioning

confidence: 99%

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Polysymptomatic, Polysyndromic Presentation of Patients With Urological Chronic Pelvic Pain Syndrome

et al. 2012

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Purpose Somatization disorder has been described in several comorbid functional syndromes of urological chronic pelvic pain syndrome, such as irritable bowel syndrome. We investigated whether a subset of patients with urological chronic pelvic pain syndrome may have the polysymptomatic, polysyndromic presentation pattern that is common in somatization disorder. Materials and Methods A total of 70 male and female patients with urological chronic pelvic pain syndrome and 35 age matched controls without the syndrome completed a 59-item symptom checklist to assess the classic polysymptomatic, polysyndromic symptom pattern. The 2 operational tools used were the Perley-Guze derived symptom checklist and the somatic symptom algorithm used for Diagnostic and Statistical Manual, 4th Edition, Text Revision somatization disorder criteria. Results Female patients with urological chronic pelvic pain syndrome (interstitial cystitis/bladder pain syndrome) reported significantly more nonpain symptoms and pain symptoms outside the pelvis than control female urology patients (p = 0.0016 and 0.0018, respectively). Female patients with urological chronic pelvic pain syndrome were more likely to endorse a polysymptomatic, polysyndromic symptom pattern than female controls (27% vs 0%, p = 0.0071). In contrast, male patients with urological chronic pelvic pain syndrome (interstitial cystitis/bladder pain syndrome and/or chronic prostatitis/chronic pelvic pain syndrome) did not report more extrapelvic pain than male controls (p = 0.89). Male patients with urological chronic pelvic pain syndrome were not more likely than male controls to have a polysymptomatic, polysyndromic symptom pattern. Conclusions A subset of female patients with urological chronic pelvic pain syndrome endorses numerous extrapelvic symptoms across multiple organ systems. The checklist may be valuable to assess patients for this polysymptomatic, polysyndromic symptom pattern, which is common in somatization disorder. Recognizing this polysymptomatic, polysyndromic presentation will prompt clinicians to investigate further to determine whether somatization disorder may be an underlying diagnosis in a small subset of patients with urological chronic pelvic pain syndrome who complain of numerous extrapelvic symptoms.

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Section: Discussionmentioning

confidence: 99%

“…Try to develop solid rapport and gain the confidence of the patient with empathy, patience, consistent reassurance and regular office visits. 29 …”

Section: Discussionmentioning

confidence: 99%

Polysymptomatic, Polysyndromic Presentation of Patients With Urological Chronic Pelvic Pain Syndrome

et al. 2012

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“…McGoldrick & Gerson (1985) About forty-five percent of the cases in the sample fall into the category of nonorganic, meaning they cannot be conclusively traced to an organic origin. This finding is consistent with research indicating that as many as 40 percent of all patients may have somatoform disorder (Smith et al 1986), and that the majority of patient visits can be attributed to psychosocial problems that present through physical complaints (Roberts, 1994). The literature also shows that the diagnosis of somatization disorder is common In health care settings (DeGruy et al 1987).…”

Section: Chtsupporting

confidence: 90%

“…As many as 75% of all patient visits in primary care practice can be attributed to psychosocial problems that present through physical complaints (Roberts, 1994), with somatization disorder having been identified as the fourth most common diagnosis encountered in primary care (DeGruy, Columbia, & Dickinson, 1987). As many as forty percent of all patients in a typical family practice have somatoform disorder (Smith, Miller, & Monson, 1986). Research on the incidence of somatization appears limited or nonexistent, but the prevalence of somatization in this society is great motivation for increasing knowledge about the relationship between psychosocial factors and physical illness.…”

Section: Prevalence Of Somatizationmentioning

confidence: 99%

Psychosocial factors in marital and family relationships associated with physical illness: a case for collaborative health care

Jernigan

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The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor qualify illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. Oversize materials (e.g.. maps, drawings, charts) are reproduced by sectioning the original, beginning at the upper left-hand confer and continuing from left to right in equal sections with small overiaps. Photographs included in tiie original manuscript have been reproduced xerographically in this copy. Higher quality 6' x 9" black and white photographic prints are available for any photographs or illustrations appearing in this copy for an additional charge. Contact UMI directiy to order.

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“…[1][2][3][4][5] Prevalence rates for medically unexplained physical symptoms range from 4% to 30%, depending on the sample studied, the method of symptom assessment, and the type of care. [6][7][8][9] Interventions available to primary care physicians for treatment of high-utilizing patients with medically unexplained symptoms include contingency management, 10 psychiatric consultation-liaison, [11][12][13][14] reattribution/ linking therapy, [15][16][17][18] and primary intensive care. 19 These interventions are often time intensive and costly, lack validation across patient-centered variables (eg, patient satisfaction or improved mental health) and/or system factors (eg, a decrease in health care utilization), and are not available to many primary care patients.…”

Section: Introductionmentioning

confidence: 99%

Innovative Reflecting Interview: Effect on High-Utilizing Patients with Medically Unexplained Symptoms

et al. 2006

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This pilot study was conducted to determine the effect of an innovative reflecting interview on the health care utilization, physical health, mental function, and health care satisfaction of high-utilizing primary care patients with medically unexplained physical symptoms. Twenty-four high-utilizing patients met study selection criteria and were randomly assigned to a no-intervention control group or a reflecting interview intervention group. Outcomes were measured at 4 weeks, 6 months, and 1 year after the date of study enrollment. Results indicated that high-utilizing patients with medically unexplained physical symptoms who participated in a reflecting interview had reduced total health care costs, primarily through the reduction of hospitalization or inpatient expenses, despite a modest increase in outpatient primary care clinic visits. These data suggest that participation in a reflecting interview and regular visits with a primary care clinician can decrease health care utilization without adversely affecting patient satisfaction.

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Consultation-Liaison Intervention in Somatization Disorder

Cited by 6 publications

References 10 publications

Polysymptomatic, Polysyndromic Presentation of Patients With Urological Chronic Pelvic Pain Syndrome

Polysymptomatic, Polysyndromic Presentation of Patients With Urological Chronic Pelvic Pain Syndrome

Psychosocial factors in marital and family relationships associated with physical illness: a case for collaborative health care

Innovative Reflecting Interview: Effect on High-Utilizing Patients with Medically Unexplained Symptoms

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