Is "somatisation" a defense against the acknowledgment of psychiatric disorder?

To determine whether experiencing physical symptoms is associated with a denial of psychological distress in individuals with probable psychiatric disorder.

A nested case-control study was performed using data from a national birth cohort study. All subjects who scored above threshold on a case-finding questionnaire of psychiatric disorder were identified. Those who in a separate question endorsed the presence of psychiatric disorder ("acknowledgers") were compared with those who did not.

Acknowledgers were more likely to be female, better educated and have more severe current and past psychiatric disorder. They were also more likely to report multiple physical symptoms, even when potential confounders and severity of psychiatric disorder were controlled.

There is no evidence that experiencing multiple physical symptoms helps the individual deny the presence of psychiatric disorder.