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Managing somatization disorder.

J Morrison1

  • 1University of California, Davis.

Disease-A-Month : DM
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

Somatization disorder (SD) is a chronic illness in women with many physical complaints. While causes are unknown, therapy can help manage symptoms and improve outcomes, though suicide attempts are a serious concern.

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Area of Science:

  • Psychiatry
  • Medical Psychology

Background:

  • Somatization disorder (SD) is a chronic psychiatric condition affecting approximately 1% of adult women.
  • It is characterized by numerous, often unexplained, somatic complaints.
  • Diagnosis should be considered in women with complex medical histories, poor treatment response, or specific personality traits.

Purpose of the Study:

  • To outline the characteristics and diagnostic considerations for Somatization Disorder.
  • To discuss the etiology, prognosis, and management strategies for patients with SD.
  • To highlight the significant risk of suicide attempts in individuals with SD.

Main Methods:

  • Review of clinical presentation and diagnostic indicators for Somatization Disorder.
  • Discussion of potential genetic and environmental factors contributing to SD.

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  • Outline of a structured management approach (ABCs) for patients with SD.

    • Main Results:

    • Patients with SD often present with vague or complicated medical histories and may not respond well to conventional therapies.
    • While somatic symptoms persist, many patients show improvement with appropriate therapeutic interventions.
    • A significant proportion of patients with SD attempt suicide, necessitating careful monitoring and management.

    Conclusions:

    • Somatization disorder requires a comprehensive management plan, focusing on building rapport, behavioral modification, and addressing co-occurring conditions like depression.
    • Physician education and family involvement are crucial components of effective SD management.
    • Early recognition and a structured therapeutic approach can improve outcomes for individuals with Somatization Disorder.