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Personality dysfunction among somatizing patients.

R Noyes1, D R Langbehn, R L Happel

  • 1Department of Psychiatry, University of Iowa Colleges of Medicine and Public Health, Iowa City 52242, USA. russell-noyes@uiowa.edu

Psychosomatics
|August 10, 2001
PubMed
Summary
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Somatizing patients exhibit more personality disorders and traits, particularly neuroticism and obsessive-compulsive disorder, than non-somatizers. These personality factors may increase symptom reporting and healthcare utilization.

Area of Science:

  • Psychiatry
  • Psychology
  • Internal Medicine

Background:

  • Somatization involves physical symptoms without a clear medical cause.
  • Understanding the role of personality dysfunction in somatization is crucial for effective treatment.

Purpose of the Study:

  • To investigate the relationship between personality disorders and traits and somatization.
  • To differentiate personality pathology among various somatizer subtypes.

Main Methods:

  • Administered Structured Interview for DSM-IV Personality and NEO Five-Factor Inventory.
  • Compared somatizing patients with non-somatizing controls in a general medicine clinic.

Main Results:

  • Somatizers had higher rates of DSM-IV personality disorders, especially obsessive-compulsive disorder.

Related Experiment Videos

  • Somatizers displayed more self-defeating, depressive, and negativistic traits, higher neuroticism, and lower agreeableness.
  • Initial and facultative somatizers showed greater personality pathology than true somatizers.

    • Conclusions:

    • Specific personality disorders and traits are linked to somatization.
    • Personality factors may drive increased symptom reporting and healthcare seeking in somatizing individuals.