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Related Experiment Videos

The changing faces of somatization.

D E Stewart1

  • 1Department of Psychiatry, St. Michael's Hospital, Toronto, Ontario, Canada.

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

Many patients with environmental hypersensitivity disorder also report other "fashionable" illnesses, often with psychological symptoms. This highlights the need for better physician training in managing somatization and public education on these conditions.

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Area of Science:

  • Psychiatry
  • Psychosomatic Medicine
  • Environmental Medicine

Background:

  • Environmental hypersensitivity disorder is a condition often popularized by media.
  • Patients with such disorders frequently present with a constellation of other symptoms and conditions.

Purpose of the Study:

  • To examine the prevalence of "fashionable" diseases in patients diagnosed with environmental hypersensitivity disorder.
  • To understand the co-occurrence of various conditions and their attribution by patients.

Main Methods:

  • A study of 50 consecutive patients presenting with alleged environmental hypersensitivity disorder.
  • Assessment of the prevalence of specific "fashionable" conditions including food allergies, neuromyasthenia, candidiasis hypersensitivity, and premenstrual syndrome.

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Main Results:

  • Ninety percent of patients reported at least one additional "fashionable" condition.
  • Conditions such as food allergies with psychological symptoms, postinfectious neuromyasthenia, candidiasis hypersensitivity, and severe premenstrual syndrome were endorsed by over 50% of patients.
  • Multiple condition endorsements were common, with symptom attribution varying over time.

Conclusions:

  • Patients with environmental hypersensitivity disorder frequently exhibit somatization, presenting with multiple co-occurring "fashionable" illnesses.
  • Physicians require enhanced skills in identifying and managing somatizing patients.
  • Public education on somatization and reliable information regarding "fashionable" illnesses are crucial.