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[Hypochondriasis and somatisation in elderly].

Philippe Thomas1, Cyril Hazif-Thomas, Maurice Pareaud

  • 1Service hospitalo-universitaire de psychogériatrie et Centre mémoire de ressources et de recherches, 87025 Limoges Cedex, France. philippe.thomas@ch-esquirol-limoges.fr

La Revue Du Praticien
|January 16, 2009
PubMed
Summary
This summary is machine-generated.

Hypochondriasis, a somatoform disorder, often presents with unexplained medical symptoms in the elderly, frequently linked to anxiety and depression. Effective treatment requires a combination of supportive care, psychotherapy, and antidepressants.

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Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • Psychosomatic Medicine

Context:

  • Somatization and hypochondriasis are prevalent in the elderly population.
  • Hypochondriasis, defined by the DSM-IV as a somatoform disorder, involves excessive worry about serious illness.
  • This condition affects approximately 3% of the population and incurs significant healthcare costs.

Purpose:

  • To explore the relationship between unexplained medical symptoms in elderly individuals experiencing generalized anxiety and somatoform disorders.
  • To highlight the common co-occurring conditions in elderly patients with hypochondriasis, including depression, obsessive-compulsive disorder, generalized anxiety, and somatization disorder.

Summary:

  • Hypochondriasis is characterized by excessive preoccupation with having a serious illness, classified as a somatoform disorder.
  • Elderly individuals with hypochondriasis frequently exhibit somatization, anxiety, or masked depression.
  • Common comorbidities include depression, obsessive-compulsive disorder, generalized anxiety, and somatization disorder.

Impact:

  • Emphasizes the necessity of integrated treatment approaches for elderly patients with hypochondriasis.
  • Highlights the importance of supportive care and psychotherapy alongside antidepressant medication for managing these conditions.