Diagnosing somatisation disorder (P75) in routine general practice using the International Classification of Primary Care

Schaefert, Rainer; Laux, Gunter; Kaufmann, Claudia; Schellberg, Dieter; Bölter, Regine; Szécsényi, Joachim; Sauer, Nina; Herzog, Wolfgang; Kuehlein, Thomas

doi:10.1016/j.jpsychores.2010.05.003

Cited by 17 publications

(28 citation statements)

References 64 publications

(102 reference statements)

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“…This has also been found in previous research [31]. This may indicate that GPs perceive patients with severe SHC to have psychological problems, when there are no objective findings or any evident somatic disease.…”

Section: Icpc-2 Chapters % (Secondary Diagnoses)supporting

confidence: 84%

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Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

et al. 2012

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Background. A diagnosis is the basis of medical action, the key to various social privileges and national sick leave statistics. The objectives of this study were to investigate which diagnoses general practitioners in Scandinavia give patients with severe subjective health complaints, and what kind of treatments they suggested. Methods. One hundred and twenty-six self-selected general practitioners in Scandinavia diagnosed nine patients, presented as video vignettes, in a cross-sectional study. The main outcome measures were primary, secondary, and tertiary diagnoses. Results. The nine patients got between 13 and 31 different primary diagnoses and a large variety of secondary and tertiary diagnoses. Fifty-eight percent of the general practitioners chose different primary and secondary diagnoses, indicating that they judged the patients to have multimorbid complaints. The most commonly recommended treatment was referral to a psychologist, a mix of psychological and physical treatments, or treatment by the general practitioner. Conclusion. Scandinavian general practitioners give a large variety of symptom diagnoses, mainly psychological and general and unspecified, to patients with severe subjective health complaints. Referral to a psychologist or a mix of psychological or physical treatments was most commonly suggested to treat the patients.

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Section: Icpc-2 Chapters % (Secondary Diagnoses)supporting

confidence: 84%

“…There is no consensus as how to improve the systems. Several suggestions exist, including a multiaxial coding system [31] or a new category of mild-to-moderate unspecific complaints in the ICPC-2 system [29]. A new uniform diagnosis must acknowledge the multimorbidity as a key issue in these patients [20].…”

Section: Icpc-2 Chapters % (Secondary Diagnoses)mentioning

confidence: 99%

Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

et al. 2012

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“…Evidence suggests that PCPs often invest a lot of time and energy into primarily medical investigations and somatic care [38,39,41,48,55,56,59]. Reasons may include PCPs fearing missing a serious somatic diagnosis [37,45,60,61] or a reluctance to conclude that problems are psychosocial in nature [45,62]. PCPs rarely link symptoms with possible causes such as underlying psychosocial stresses [48,55] and may often feel unable to do so [43].…”

Section: Predominance Of the Biomedical Disease Modelmentioning

confidence: 99%

“…Such problems are already known to patients [35] and may ultimately affect the doctor-patient relationship [43]. Diagnoses may, in some cases, be influenced by billing considerations [62] and results suggest that some patients are concerned that PCP decisions are influenced by financial factors [36]. Finally, a lack of local mental health resources [44] may also complicate matters.…”

Section: Pcp Consultational Constraintsmentioning

confidence: 99%

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The challenge of diagnosing non-specific, functional, and somatoform disorders: A systematic review of barriers to diagnosis in primary care

Murray

Toussaint

Althaus

et al. 2016

Journal of Psychosomatic Research

118

108

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Prevalence of functional disorders across Europe: a systematic review and meta-analysis

Rometsch,

Mansueto,

Maas Genannt Bermpohl

et al. 2024

Eur J Epidemiol

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Functional Disorders (FD) refer to persistent somatic symptoms caused by changes in the functioning of bodily processes. Previous findings suggest that FD are highly prevalent, but overall prevalence rates for FD in European countries are scarce. Therefore, the aim of the present work was to estimate the point prevalence of FD in adult general populations. PubMed and Web of Science were searched from inception to June 2022. A generalized linear mixed-effects model for statistical aggregation was used for statistical analyses. A standardized quality assessment was performed, and PRISMA guidelines were followed. A total of 136 studies were included and systematically synthesized resulting in 8 FD diagnoses. The large majority of studies was conducted in the Northern Europe, Spain, and Italy. The overall point prevalence for FD was 8.78% (95% CI from 7.61 to 10.10%) across Europe, with the highest overall point prevalence in Norway (17.68%, 95% CI from 9.56 to 30.38%) and the lowest in Denmark (3.68%, 95% CI from 2.08 to 6.43%). Overall point prevalence rates for specific FD diagnoses resulted in 20.27% (95% CI from 16.51 to 24.63%) for chronic pain, 9.08% (95% CI from 7.31 to 11.22%) for irritable bowel syndrome, and 8.45% (95% CI from 5.40 to 12.97%) for chronic widespread pain. FD are highly prevalent across Europe, which is in line with data worldwide. Rates implicate the need to set priorities to ensure adequate diagnosis and care paths to FD patients by care givers and policy makers.

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Diagnosing somatisation disorder (P75) in routine general practice using the International Classification of Primary Care

Cited by 17 publications

References 64 publications

Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

The challenge of diagnosing non-specific, functional, and somatoform disorders: A systematic review of barriers to diagnosis in primary care

Prevalence of functional disorders across Europe: a systematic review and meta-analysis

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