Somatization Disorder: A Practical Review

被引:37
作者
Mai, Francois [1 ,2 ,3 ]
机构
[1] Social Dev Canada, Med Expertise Div, Ottawa, ON, Canada
[2] Ottawa Hosp, Dept Psychiat, Ottawa, ON, Canada
[3] Ottawa Gen Hosp, Ottawa, ON K1H 8L6, Canada
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2004年 / 49卷 / 10期
关键词
somatization disorder; hysteria; Briquet's syndrome; somatization; conversion;
D O I
10.1177/070674370404901002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: This paper reviews the present state of knowledge on the etiology, prevalence, diagnosis, and treatment of somatization disorder (SD). Method: A comprehensive review of the literature on SD is described under the above headings. Results: SD is a common condition that is not well managed by many physicians. Patients with SD get caught between the cracks of the health care system, with expensive consequences. SD is a psychiatric disorder, but patients are reluctant to see and be treated by psychiatrists. They frequently are managed by nonpsychiatric physicians who have limited understanding of the condition. Cognitive-behavioural therapy (CBT) is the most efficacious treatment in SD, although antidepressants and supportive psychotherapy also have a role for some patients. Conclusions: A cadre of clinicians with training in the theory and practice of CBT for SD is required. They need to be based both in the community and in tertiary health care centres, where most patients with this condition are located. (Can J Psychiatry 2004:49:652-662)
引用
收藏
页码:652 / 662
页数:11
相关论文
共 90 条
[1]   Psychosocial treatments for multiple unexplained physical symptoms: A review of the literature [J].
Allen, LA ;
Escobar, JI ;
Lehrer, PM ;
Gara, MA ;
Woolfolk, RL .
PSYCHOSOMATIC MEDICINE, 2002, 64 (06) :939-950
[2]   RETROSPECTIVE STUDY OF OPERATIONALLY DEFINED HYSTERICS [J].
ALMGREN, PE ;
NORDGREN, L ;
SKANTZE, H .
BRITISH JOURNAL OF PSYCHIATRY, 1978, 132 (JAN) :67-73
[3]  
American Psychiatric Association, 1980, DIAGN STAT MAN PSYCH
[4]   Somatoform disorders: severe psychiatric illnesses neglected by psychiatrists [J].
Bass, C ;
Peveler, R ;
House, A .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 179 :11-14
[5]  
BRIQUET P, 1859, TRAITE HYSTERIE
[6]   Causal attributions for somatic sensations in patients with chronic fatigue syndrome and their partners [J].
Butler, JA ;
Chalder, T ;
Wessely, S .
PSYCHOLOGICAL MEDICINE, 2001, 31 (01) :97-105
[7]  
Cantor C, 1996, PHANTOM ILLNESS
[8]  
CLONINGER CR, 1986, AM J PSYCHIAT, V143, P873
[9]   THE SOUTH LONDON SOMATIZATION STUDY .2. INFLUENCE OF STRESSFUL LIFE EVENTS, AND SECONDARY GAIN [J].
CRAIG, TKJ ;
DRAKE, H ;
MILLS, K ;
BOARDMAN, AP .
BRITISH JOURNAL OF PSYCHIATRY, 1994, 165 :248-258
[10]   Patterns of referral in patients with medically unexplained motor symptoms [J].
Crimlisk, HL ;
Bhatia, KP ;
Cope, H ;
David, AS ;
Marsden, D ;
Ron, MA .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2000, 49 (03) :217-219