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Somatisation and illness behaviour.

S K Chaturvedi1, S Bhandari

  • 1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.

Journal of Psychosomatic Research
|January 1, 1989
PubMed
Summary
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Psychiatric patients with unexplained physical symptoms exhibit complex illness behaviors. Younger individuals and those with neurotic disorders showed specific patterns, highlighting the intricate link between mental health and somatization.

Area of Science:

  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Illness behavior is a complex phenomenon influencing patient care.
  • Understanding the interplay between psychological factors and somatic complaints is crucial.

Purpose of the Study:

  • To evaluate illness behavior patterns in psychiatric patients with unexplained somatic complaints.
  • To examine the relationship between abnormal illness behavior and socio-demographic variables.

Main Methods:

  • Utilized the Illness Behaviour Assessment Schedule for 31 psychiatric patients.
  • Conducted psychiatric examinations and diagnoses according to ICD-9 criteria.
  • Analyzed correlations between illness behavior and socio-demographic factors.

Main Results:

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  • Younger patients more frequently exhibited disease phobia and preoccupation with illness.
  • Patients diagnosed with neurotic disorders (anxiety/depression) were more likely to attribute their symptoms to somatic origins.
  • Observed trends in religious groups regarding beliefs about the cause of somatic symptoms.

    • Conclusions:

    • The relationship between somatization and abnormal illness behavior is intricate and not fully elucidated.
    • Socio-demographic factors, such as age and psychiatric diagnosis, are associated with specific illness behavior patterns.
    • Further research is needed to understand the cause-effect relationship in somatization and illness behavior.