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Related Experiment Videos

Somatization disorder: a practical review.

François Mai1

  • 1Ottawa General Hospital, Ontario. francois.mai@sdc-dsc.gc.ca

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|November 25, 2004
PubMed
Summary

Somatization disorder (SD) is common and often poorly managed. Cognitive-behavioural therapy (CBT) is the most effective treatment, requiring trained clinicians in community and tertiary care settings.

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Area of Science:

  • Psychiatry
  • Internal Medicine

Background:

  • Somatization disorder (SD) is a prevalent condition frequently encountered by nonpsychiatric physicians.
  • Patients with SD often experience fragmented care within the healthcare system, leading to significant costs.

Purpose of the Study:

  • To review the current understanding of somatization disorder's etiology, prevalence, diagnosis, and treatment.
  • To highlight the challenges in managing SD and identify effective therapeutic strategies.

Main Methods:

  • A comprehensive literature review was conducted on somatization disorder.
  • The review synthesized existing knowledge on the epidemiology, clinical presentation, and management of SD.

Main Results:

  • SD is a common disorder often misdiagnosed or inadequately treated by physicians lacking psychiatric expertise.
  • Cognitive-behavioural therapy (CBT) demonstrates the highest efficacy in treating SD.
  • Antidepressants and supportive psychotherapy can also play a role in managing SD symptoms.

Conclusions:

  • Specialized training in CBT for SD is essential for a dedicated cadre of clinicians.
  • These clinicians should be accessible in both community and tertiary healthcare settings to manage the majority of SD patients effectively.

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