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Managing somatic preoccupation.

E L Righter1, R A Sansone

  • 1Department of Family Medicine, Wright State University School of Medicine, Dayton, Ohio, USA.

American Family Physician
|July 7, 1999
PubMed
Summary
This summary is machine-generated.

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Patients with somatic preoccupation experience psychological distress through physical symptoms. This condition is common in primary care and can be managed through behavioral strategies and therapy.

Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Psychosomatic Medicine

Background:

  • Somatic preoccupation involves psychological conflicts manifesting as physical symptoms.
  • It is more prevalent in primary care than diagnosed somatoform disorders.
  • Psychological factors significantly influence physiological symptoms in these patients.

Purpose of the Study:

  • To define somatic preoccupation and its presentation in primary care.
  • To identify diagnostic clues for somatic preoccupation.
  • To outline treatment strategies for somatically preoccupied patients.

Main Methods:

  • Literature review and synthesis of existing research on somatic preoccupation.
  • Analysis of diagnostic criteria and clinical presentation.

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  • Examination of treatment modalities including behavioral, pharmacological, and psychotherapeutic approaches.

    • Main Results:

    • Somatic preoccupation encompasses a spectrum from unexplained physical symptoms to psychologic overlays on physical disorders.
    • Diagnostic indicators include normal medical workups, high healthcare utilization, and specific psychosocial history elements.
    • Commonly associated conditions include somatization disorder and hypochondriasis.

    Conclusions:

    • Somatic preoccupation is a frequent issue in primary care settings.
    • Early identification through diagnostic clues is crucial for effective management.
    • Multimodal treatment, including physician behavior management, antidepressants, and cognitive-behavior therapy, is recommended.