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Managing somatization phenomena in primary care.

P A Mabe1, L R Jones, W T Riley

  • 1Department of Psychiatry & Health Behavior, Medical College of Georgia, Augusta.

Psychiatric Medicine
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Primary care physicians face challenges diagnosing patients with somatic symptoms linked to psychological distress. Effective management involves a supportive physician relationship, monitoring physical and mental health, and providing reassurance.

Area of Science:

  • Primary Care Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Patients presenting somatic symptoms often communicate psychological distress, complicating diagnosis and treatment in primary care.
  • Somatization is viewed as an illness-focused behavior with diverse origins, not a singular psychiatric disorder.
  • Somatizing behavior is linked to emotional distress, cognitive issues, and learned illness behaviors.

Purpose of the Study:

  • To explore diagnostic and treatment challenges posed by somatizing patients in primary care.
  • To provide a framework for understanding somatization as a complex behavior style.
  • To outline essential management strategies for primary care physicians.

Main Methods:

  • Comprehensive medical evaluation to rule out organic causes.

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  • Assessment of social history and the emotional significance of symptoms.
  • Consideration of underlying psychiatric etiologies for physical symptoms.

    • Main Results:

    • Recognition requires thorough medical assessment alongside psychosocial evaluation.
    • Management is etiology-dependent but hinges on a strong physician-patient relationship.
    • Key elements include monitoring health status, emotional support, and symptom reassurance.

    Conclusions:

    • The physician-patient relationship is crucial for managing somatizing patients.
    • Integrated care addressing both physical and mental health is essential.
    • Understanding somatization as a behavior style aids in tailored patient care.