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Monosymptomatic hypochondriasis, abnormal illness behaviour and suicide.

P E Bebbington

    The British Journal of Psychiatry : the Journal of Mental Science
    |May 1, 1976
    PubMed
    Summary

    This study presents two cases of chronic psychogenic eye pain with abnormal illness behavior that were resistant to treatment. Tragically, both patients died by suicide, highlighting a critical need for better understanding and management strategies.

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    Area of Science:

    • Ophthalmology
    • Psychiatry
    • Behavioral Science

    Background:

    • Chronic monosymptomatic psychogenic eye pain is a challenging condition.
    • Abnormal illness behavior can complicate treatment and prognosis.

    Observation:

    • Two patients with chronic psychogenic eye pain and abnormal illness behavior were studied.
    • Both patients exhibited treatment resistance across various therapeutic modalities.

    Findings:

    • Despite the generally low suicidal risk associated with hypochondriasis, both patients died by suicide.
    • This outcome underscores the potential severity of untreated or undertreated psychogenic pain with abnormal illness behavior.

    Implications:

    • The findings necessitate a re-evaluation of risk assessment and management protocols for psychogenic pain disorders.

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  • Further research into the etiology, prognosis, and therapeutic interventions for these complex cases is crucial.
  • Integrated care approaches combining ophthalmological and psychiatric support may be warranted.