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Related Experiment Videos

The somatizing patient.

D Servan-Schreiber1, R Kolb, G Tabas

  • 1Department of Psychiatry, University of Pittsburgh; The Family Medicine and Internal Medicine Residency Programs, University of Pittsburgh Medical Center Shadyside, Pittsburgh, PA 15232, USA.

Primary Care
|May 11, 1999
PubMed
Summary
This summary is machine-generated.

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Somatization, the experience of physical symptoms from emotional distress, requires a positive diagnosis for effective treatment. Management involves patient explanation, avoiding unnecessary tests, and regular, brief physician visits.

Area of Science:

  • Psychosomatic Medicine
  • General Internal Medicine

Background:

  • Somatization is a prevalent condition causing significant patient and physician frustration.
  • It is associated with high healthcare costs and diagnostic challenges.

Purpose of the Study:

  • To outline a diagnostic and treatment strategy for somatization.
  • To emphasize a positive diagnostic approach over exclusion.

Main Methods:

  • The study proposes a shift from a diagnosis of exclusion to a positive diagnosis of somatization.
  • Recommended treatment involves providing patients with a clear explanation of their symptoms.
  • Avoiding unnecessary medical interventions and scheduling regular, brief follow-up appointments are key.

Main Results:

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  • A positive diagnostic approach facilitates effective management of somatization.
  • Structured, regular physician contact can reduce the need for patients to develop new symptoms to seek medical attention.

Conclusions:

  • Successful somatization treatment hinges on a physician's ability to provide an acceptable explanation and establish a therapeutic relationship.
  • This approach aims to reduce patient distress and healthcare resource utilization.