Do medically unexplained somatic symptoms predict depression in older Chinese?

2011 ◽  
Vol 27 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Doris S.F. Yu ◽  
Diana T.F. Lee
Keyword(s):  
Somatic Symptoms ◽  
Medically Unexplained ◽  
Older Chinese ◽  
Medically Unexplained Somatic Symptoms

Attachment and medically unexplained somatic symptoms: The role of mentalization

2018 ◽  
Vol 268 ◽  
pp. 108-113 ◽  
Author(s):  
Madelon M.E. Riem ◽  
Emmy N.E.M. Doedée ◽  
Suzanne C. Broekhuizen-Dijksman ◽  
Eugenie Beijer
Keyword(s):  
Somatic Symptoms ◽  
Medically Unexplained ◽  
Medically Unexplained Somatic Symptoms

scholarly journals Attachment and Crying in Patients with Medically Unexplained Somatic Symptoms

2019 ◽  
Vol 1 (12) ◽  
pp. 1065-1072
Author(s):  
R. Jansman ◽  
M. M. E. Riem ◽  
S. Broekhuizen-Dijksman ◽  
C. Veth ◽  
E. Beijer ◽  
...  
Keyword(s):  
Symptom Severity ◽  
Somatic Symptom ◽  
Somatic Symptoms ◽  
Negative Attitude ◽  
Attachment Anxiety ◽  
Negative Attitudes ◽  
Medically Unexplained ◽  
History Of ◽  
And Behavior ◽  
Medically Unexplained Somatic Symptoms

AbstractMentalization deficits and disturbances in emotional functioning may contribute to somatization in patients with medically unexplained somatic symptoms (MUSS). The present study aimed to increase understanding the psychological factors that contribute to somatization by examining associations between attachment, crying attitudes and behavior, and somatic symptoms in these patients. Attachment security was measured with the Experiences in Close Relationships Questionnaire in sixty-eight outpatients diagnosed with MUSS. Somatic symptom severity was measured with the RAND-36, crying frequency, and attitudes with the Adult Crying Inventory. Patients were asked to evaluate photographs of crying individuals in order to assess the perception of crying and empathic responses to crying. Attachment anxiety was significantly related to somatic symptom severity and negative attitudes toward crying. In addition, somatic symptom severity was related to a more negative attitude toward crying and less awareness of the interpersonal impact of crying on others. The association between attachment anxiety and somatic symptoms was, however, not mediated by crying or negative attitude toward crying. Neither were there significant associations between attachment, somatic symptoms, and empathic responses to crying. Altered attitudes to crying may stem from a history of insecure attachment experiences and may reflect maladaptive emotion strategies in MUSS patients.

Medically Unexplained Somatic Symptoms in Different Cultures

1995 ◽  
Vol 64 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Mohan Isaac ◽  
Aleksandar Janca ◽  
Kimberly Christie Burke ◽  
Jorge Alberto Costa e Silva ◽  
Stanley Wilson Acuda ◽  
...  
Keyword(s):  
Somatic Symptoms ◽  
Medically Unexplained ◽  
Different Cultures ◽  
Medically Unexplained Somatic Symptoms

scholarly journals A hierarchical classes analysis (HICLAS) of primary care patients with medically unexplained somatic symptoms

1998 ◽  
Vol 81 (1) ◽  
pp. 77-86 ◽  
Author(s):  
Michael A Gara ◽  
Roxanne Cohen Silver ◽  
Javier I Escobar ◽  
Alison Holman ◽  
Howard Waitzkin
Keyword(s):  
Primary Care ◽  
Somatic Symptoms ◽  
Hierarchical Classes ◽  
Medically Unexplained ◽  
Primary Care Patients ◽  
Medically Unexplained Somatic Symptoms

CS03-04 - Concept of somatoform disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 1777-1777
Author(s):  
H.-P. Kapfhammer
Keyword(s):  
Anxiety Disorders ◽  
Somatoform Disorders ◽  
Diagnostic Category ◽  
Somatic Symptoms ◽  
Somatoform Disorder ◽  
The Other ◽  
Critical Issues ◽  
Medically Unexplained ◽  
The One ◽  
Medically Unexplained Somatic Symptoms

Patients presenting with bodily symptoms and complaints that are not sufficiently explained by organic pathology or well known pathophysiological mechanisms present a major challenge to any health delivery system. From a perspective of psychiatric classification these medically unexplained somatic symptoms may be diagnosed as primary psychiatric disorders such as depressive and anxiety disorders on the one hand, as somatoform disorders on the other. Among medical specialties a separate diagnostic approach is taken to conceptualize functional somatic syndromes. Unfortunately, both diagnostic systems do not conform to each other very well.The concept of somatoform disorders as outlined in DSM-III to DSM-IV-TR and in ICD-10 refers to a group of heterogeneous disorders with prominent somatic symptoms or special body-focussed anxieties, or convictions of illness. These disorders seem to indicate medical conditions that cannot, however, fully be explained either in terms of medical diagnostics or of other primary psychiatric disorders. There is one major conceptual assumption that postulates a decisive impact of psychosocial stress on the origin, onset and/or course of these somatic symptoms and complaints. And there is one major path of diagnostic steps to be taken, i.e. just to count the number of medically unexplained somatic symptoms, to determine their reference to any main organ system, to prove that they are not self-induced, to put special stress on prevailing pain symptoms and to separately assess dominant health anxieties or illness convictions.Since introduction of the diagnostic concept of somatoform disorders there have been arising many critical issues regarding the soundness of this diagnostic category. These issues, among other things, refer to a problematic mind-body dichotomy overemphasizing psychosocial and psychological factors and neglecting major neurobiological processes, to the impracticable criterion of “medically unexplained”, to the demand of conceptual clarity and coherence of this diagnostic category, to the rather trivial diagnostic procedure of just counting the number of medically unexplained somatic symptoms whereas not assessing typical dimensions of illness behaviour in a corresponding way, to the major overlap between subgroups of somatoform disorders on the one hand and factitious disorders, anxiety disorders and depressive disorders on the other, to a principal focus on the epidemiologically rare condition of somatisation disorder as core disorder thereby undervaluing much more prevalent subthreshold conditions, to the difficult communication of the whole diagnostic group to medical colleagues dealing with the same problems by using a different conceptual approach, however.These critical issues surrounding the concept of somatoform disorder will be reflected in respect of some major revisions projected in future diagnostic classification systems of DSM-V and ICD-11.

Sign in / Sign up

Export Citation Format

Share Document