Somatization in frequent attenders of general practice

Portegijs, Piet J. M.; Horst, F. G. van der; Proot, Ireen M.; Kraan, H. F.; Günther, Nicole; Knottnerus, J. A.

doi:10.1007/bf00789119

Cited by 58 publications

(44 citation statements)

References 21 publications

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“…Considering that childhood sexual abuse has been linked to increased rates of various disorders, it would appear unlikely that single adverse childhood events are related to single outcomes. Studies that have examined the effects of multiple adversities have noted that childhood adversities often occur in clusters, making it difficult to pinpoint any one particular adversity as the critical determinant of subsequent adult disorders [68,69].…”

Section: Childhood Abuse and Fibromyalgiamentioning

confidence: 99%

The role of psychiatric disorders in fibromyalgia

McBeth

Silman

2001

Curr Rheumatol Rep

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The cardinal features of fibromyalgia are chronic widespread pain in the presence of widespread tenderness as measured by multiple tender points. Despite extensive investigations, the etiology of this syndrome remains unclear. Increased rates of psychiatric disorders, particularly depressive, anxiety, and somatoform disorders, are apparent in clinic populations. Epidemiologic evidence suggests that this is also true for community subjects. Depression, generalized psychological distress, and other psychological factors have been shown to be associated with the onset and persistence of fibromyalgia symptoms. However, the bodily processes through which such factors may lead to the onset of fibromyalgia are unclear. Recent investigations have demonstrated altered stress system responsiveness, most notably the hypothalamic-pituitary-adrenal stress axis, in patients with fibromyalgia. These findings, and one promising avenue for investigating the interaction between psychological and biological factors in the onset of chronic pain syndromes including fibromyalgia, are discussed.

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Section: Childhood Abuse and Fibromyalgiamentioning

confidence: 99%

The role of psychiatric disorders in fibromyalgia

McBeth

Silman

2001

Curr Rheumatol Rep

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“…The table divides somatization reactions into those reactions that are related to acute situational stress, reactions that are related to acute psychiatric disorders, and reactions that are related to chronic psychiatric disorders. In somatization related to acute psychiatric disorder, the somatization is actually part of the psychiatric disorder, eg, depression [9,10,[12][13][14][15][16][17][18][19].…”

Section: Table 1 Criteria For Persistent Somatizationmentioning

confidence: 99%

Somatization, secondary gain, and chronic pain: Is there a relationship?

Fishbain

1998

Current Review of Pain

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“…Muy frecuentemente la somatización ha sido asociada con el trastorno depresivo (Escobar Burneim, Karno, Forsythe y Golding, 1987;Hállstrom, 1998;Katon, Lin, Von Korff, Lipscomb y Bush, 1991;Kellner 1986;OMS, 1992;Portegijs, 1996;Simón y VonKorff, 1991), hallándose una importante relación tanto para población psiquiátrica (p.ej. Hiller, Rief y Fichter, 1997) como en atención primaria (p.ej.…”

Section: La Somatización Cómo Un Síntoma De Depresiónunclassified

La somatización como síntoma y como síndrome : una revisión del trastorno de somatización

Santiago¹,

Belloch²

2002

RPPC

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El uso del termino somatización está muy extendido en el campo de la psicopatología y la clínica psicológica y psiquiátrica, a pesar de que su significado y delimitación diagnóstica no están claramente establecidos. El presente trabajo tiene como objetivo profundizar en el estudio del trastorno de somatización. En primer lugar se lleva a cabo una revisión de los distintos significados que se han venido otorgando al término somatización en la literatura científica. Se incluye un análisis de la interpretación de la somatización como un lenguaje de expresión de malestar psíquico, la distinción entre somatización y psicosomática, el estudio del concepto de depresión enmascarada, el concepto de conducta de enfermedad y, por último, se propone la utilización de una definición descriptiva del término somatización. En la segunda parte, el objetivo es examinar el trastorno de somatización como categoría diagnóstica. Se estudian su evolución y validez nosológica, y se presentan propuestas alternativas para la conceptuación del trastorno. Finalmente, se sugieren algunas líneas de investigación que, en opinión de los autores, es necesario desarrollar para lograr una definición más útil y operativa del trastorno de somatización.Palabras clave: Trastorno de somatización, trastornos somatomorfos, síntomas somáti-cos funcionales, psicosomática, histeria, síndrome de Briquet. Somatization as a syndrome and as a symptom: A review of somatization disorderThe term somatization is largely used in psychopathology as well as in the fields of clinical psychology and psychiatry. However, its meaning and diagnostic characterization are not clearly established. The aim of the present work has been to review the main relevant topics relatad to the somatization disorder. With this purpose we have analyzed, firstly, the different meanings adscribed to the term, including the following ones: the interpretation of somatization as an expression of psychological distress, the distinction between somatization and psychosomatic disorders, the study of the masked depression concept, and the illness behaviour construct. Secondly, we review the somatization disorder as a diagnostic category, with an emphasis on its evolution and nosological validity. Finally, some suggestions for future research on the somatization disorder are discussed, in order to achieve a more useful conceptualisation of the disorder.Key words: Somatization disorder, somatoform disorders, functional somatic symptoms, psychosomatics, hysteria, Briquet's syndrome.La utilización del término «somatización» está bastante extendida, tanto por parte del profesional de la salud mental como en el uso común o habitual del lenguaje. De un modo genérico el térmi-no refiere a una queja física, que ocasioCorrespondencia: José López Santiago, c/ Rosario 72, 02003 Albacete. Correo-e: joselosa@hotmail.com na malestar, en ausencia de hallazgos clínicos que permitan postular una causa orgánica que pueda explicarla completamente.Desde un punto dé vista psicopatoló-gico, la presencia de somatizacion...

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Somatization in frequent attenders of general practice

Cited by 58 publications

References 21 publications

The role of psychiatric disorders in fibromyalgia

The role of psychiatric disorders in fibromyalgia

Somatization, secondary gain, and chronic pain: Is there a relationship?

La somatización como síntoma y como síndrome : una revisión del trastorno de somatización

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