Medically Unexplained Symptoms: A Treacherous Foundation for Somatoform Disorders?

被引:9
|
作者
Dimsdale, Joel E. [1 ]
机构
[1] Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92093 USA
关键词
Psychiatric diagnosis; Medically unexplained; Pain;
D O I
10.1016/j.psc.2011.05.003
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Medically unexplained symptoms (MUS) provide a shaky foundation for the diagnosis of psychosomatic disorders. While MUS may be a key constituent of disorders such as conversion, such symptoms are better viewed as an accompanying feature rather than the basis of diagnosis. Medically unexplained can also be viewed as medically ignored, medically unexamined, or medically misunderstood. Reliability of this assessment is problematic. More importantly, features such as preoccupations about illness may provide a more sound basis for understanding and treating psychosomatic disorders.
引用
收藏
页码:511 / +
页数:4
相关论文
共 50 条
  • [31] Making sense of children's medically unexplained symptoms: Managing ambiguity, authenticity and responsibility
    Morris, Alana
    Ogden, Jane
    PSYCHOLOGY HEALTH & MEDICINE, 2012, 17 (03) : 285 - 294
  • [32] Linguistic and interactional aspects that characterize consultations about medically unexplained symptoms: A systematic review
    Stortenbeker, Inge
    Stommel, Wyke
    van Dulmen, Sandra
    Lucassen, Peter
    Das, Enny
    Hartman, Tim Olde
    JOURNAL OF PSYCHOSOMATIC RESEARCH, 2020, 132
  • [33] Brain dysfunction behind functional symptoms: neuroimaging and somatoform, conversive, and dissociative disorders
    Garcia-Campayo, Javier
    Fayed, Nicolas
    Serrano-Blanco, Antoni
    Roca, Miquel
    CURRENT OPINION IN PSYCHIATRY, 2009, 22 (02) : 224 - 231
  • [34] Epistemological and methodological paradoxes: secondary care specialists and their challenges working with adolescents with medically unexplained symptoms
    Ostbye, Silje Vagli
    Wang, Catharina Elisabeth Arfwedson
    Granheim, Ida Pauline Hoilo
    Kristensen, Kjersti Elisabeth
    Risor, Mette Bech
    INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS, 2018, 12
  • [35] Recognition of patients with medically unexplained physical symptoms by family physicians: results of a focus group study
    den Boeft, Madelon
    Huisman, Danielle
    van der Wouden, Johannes C.
    Numans, Mattijs E.
    van der Horst, Henriette E.
    Lucassen, Peter L.
    Hartman, Tim C. Olde
    BMC FAMILY PRACTICE, 2016, 17
  • [36] Exploring Self-Efficacy and Attitudes Among Pediatricians in Managing Medically Unexplained Physical Symptoms
    Broekhuijsen-van Henten, Dorien M.
    Luitse, Gert H. J.
    Knottnerus, Andrieke C.
    van den Heuvel, Meta
    CLINICAL PEDIATRICS, 2015, 54 (14) : 1391 - 1393
  • [37] Acceptance and Cognitive Reappraisal as Regulation Strategies for Symptom Annoyance in Individuals with Medically Unexplained Physical Symptoms
    Kleinstaeuber, Maria
    Gottschalk, Japhia-Marie
    Ruckmann, Judith
    Probst, Thomas
    Rief, Winfried
    COGNITIVE THERAPY AND RESEARCH, 2019, 43 (03) : 570 - 584
  • [38] A biological substrate for somatoform disorders: Importance of pathophysiology
    Dimsdale, Joel E.
    Dantzer, Robert
    PSYCHOSOMATIC MEDICINE, 2007, 69 (09): : 850 - 854
  • [39] Pain in somatoform disorders: is somatoform pain disorder a valid diagnosis?
    Birket-Smith, M
    Mortensen, EL
    ACTA PSYCHIATRICA SCANDINAVICA, 2002, 106 (02) : 103 - 108
  • [40] Depression, pain, and somatoform disorders
    Henningsen, P
    Löwe, B
    CURRENT OPINION IN PSYCHIATRY, 2006, 19 (01) : 19 - 24