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Related Experiment Videos

Functional somatic symptoms and hypochondriasis among general practice patients: a pilot study.

N Pålsson1

  • 1Department of Psychiatry, University of Lund, Malmö, Sweden.

Acta Psychiatrica Scandinavica
|August 1, 1988
PubMed
Summary

Functional somatic symptoms (FSS) associated with hypochondriasis in general practice patients led to significantly higher healthcare utilization over three years. Some patients developed serious physical diseases.

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Area of Science:

  • General Practice
  • Psychosomatic Medicine
  • Healthcare Utilization Research

Background:

  • Functional somatic symptoms (FSS) are common in general practice.
  • The comorbidity of FSS with hypochondriasis requires further investigation.
  • Understanding the long-term impact of FSS subtypes is crucial for patient management.

Purpose of the Study:

  • To investigate the prevalence of FSS in a general practice setting.
  • To explore the association between FSS and hypochondriasis.
  • To examine the clinical relevance and healthcare utilization patterns of FSS patients with and without hypochondriasis over a 3-year follow-up period.

Main Methods:

  • A sample of 78 general practice patients was assessed.
  • Functional somatic symptoms (FSS) were diagnosed.

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  • The Whitely index was used to screen for hypochondriasis.
  • A 3-year follow-up evaluated clinic utilization and health outcomes.

    • Main Results:

    • 13 out of 78 patients were diagnosed with FSS.
    • Eight FSS patients (61.5%) screened positive for hypochondriasis.
    • FSS patients with hypochondriasis showed significantly higher general practice clinic utilization compared to those without hypochondriasis.
    • One patient with FSS and hypochondriasis developed a serious physical disease during follow-up.

    Conclusions:

    • Hypochondriasis is a relevant comorbidity in patients with FSS in primary care.
    • FSS patients with comorbid hypochondriasis exhibit increased healthcare seeking behavior.
    • Longitudinal studies are essential to understand the trajectory and impact of FSS subtypes.