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[Medically unexplained symptoms].

Kemal Sayar1

  • 1KTU Tip Fak, Psikiyatri AD, Trabzon.

Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry
|June 10, 2003
PubMed
Summary

Medically unexplained physical symptoms are common and linked to mental health conditions like anxiety and depression. Effective management involves acknowledging symptoms, fostering collaboration, and considering treatments like cognitive-behavioral therapy.

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Area of Science:

  • Psychiatry
  • General Practice
  • Psychosomatic Medicine

Context:

  • Medically unexplained physical symptoms (MUS) are prevalent in primary care.
  • Patients with MUS often experience frustration and dissatisfaction with healthcare.
  • MUS are disproportionately high users of health resources.

Purpose:

  • To explore the associations between medically unexplained symptoms and psychiatric pathology.
  • To highlight the importance of clinician awareness regarding the cultural and social aspects of bodily experiences.
  • To discuss effective management strategies for patients with MUS.

Summary:

  • MUS are strongly linked to psychiatric conditions, particularly anxiety and depression.
  • Associated factors include personality pathology, childhood adversity, and trauma.
  • High negative affectivity and neuroticism correlate with increased physical symptoms.

Impact:

  • Clinicians should validate patients' somatic experiences and build collaborative relationships.
  • Antidepressant therapy and cognitive-behavioral psychotherapy show moderate effectiveness.
  • Addressing MUS challenges mind-body dualism in Western medicine.

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