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Somatization disorder in a family practice.

F deGruy, L Columbia, P Dickinson

    The Journal of Family Practice
    |July 1, 1987
    PubMed
    Summary

    Somatization disorder, marked by unexplained physical complaints, affects 9% of family practice patients. These patients, predominantly women, incur higher healthcare costs and strain physician resources.

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    Area of Science:

    • Family Medicine
    • Psychiatry
    • Healthcare Management

    Background:

    • Somatization disorder involves multiple unexplained physical symptoms.
    • It poses diagnostic and management challenges in primary care.

    Purpose of the Study:

    • Determine the prevalence of somatization disorder in a family practice setting.
    • Characterize affected patients and assess their impact on practice resources.

    Main Methods:

    • Interviewed a sample of ill patients in a family practice office.
    • Identified definite and borderline somatization disorder cases based on symptom count.
    • Compared somatizers with matched controls on demographic and practice utilization data.

    Main Results:

    • Prevalence: 5% definite, 4% borderline somatization disorder.
    • Demographics: Affected patients were women, more likely to live in single-parent households and lower socioeconomic classes.
    • Practice Impact: Somatizers had 50% more visits, higher charges, thicker charts, more diagnoses, and lower physician satisfaction.

    Conclusions:

    • Somatization disorder is a prevalent issue in family practice.
    • It represents a significant financial and clinical burden on physicians.
    • Effective identification and management strategies are needed for these patients.

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