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PRESSS: A New Patient-Centered Name for an Old Problem.
1From the Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR (WV). wventres@uams.edu.
Journal of the American Board of Family Medicine : JABFM
|September 18, 2021
Summary
Physicians can use the term Physical Reaction to Emotional Stress of Some Sort (PRESSS) to explain somatoform disorders to patients. This patient-centered approach aids communication and reduces stigma associated with physical symptoms.
Area of Science:
- Psychiatry
- Primary Care Medicine
- Medical Communication
Background:
- Somatoform disorders are often described using complex medical jargon.
- Existing terminology can be stigmatizing and not patient-centered.
- Effective communication is crucial for managing these conditions.
Purpose of the Study:
- To propose a new, patient-centered term for somatoform disorders.
- To enhance physician-patient communication regarding physical symptoms with emotional origins.
- To reduce stigma associated with somatoform disorders.
Main Methods:
- A seasoned clinician's perspective and practical examples are used.
- The proposed term is analyzed for its simplicity, ambiguity, and directness.
- The importance of patient-centered communication is emphasized.
Main Results:
- The acronym PRESSS (Physical Reaction to Emotional Stress of Some Sort) is introduced.
- PRESSS is presented as a non-stigmatizing, patient-focused alternative.
- This approach can foster a shared therapeutic presence.
Conclusions:
- Adopting PRESSS can improve how physicians explain somatoform disorders.
- Patient-centered language like PRESSS facilitates better therapeutic relationships.
- This strategy supports patients experiencing persistent, bothersome physical symptoms.

