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Can somatic symptom disorder be an iatrogenic disease?
Mathilde Horn1, Thomas Fovet2, Vincent Sobanski3,4
1Centre Lille Neuroscience & Cognition (INTERACTIONS), Univ. Lille, INSERM U1172, CHU Lille, 59000, Lille, France. horn.mathilde@gmail.com.
Early diagnosis of Somatic Symptom Disorder (SSD) is crucial. This case highlights that SSD can persist even after treating the underlying physical cause, emphasizing timely intervention for better outcomes.
Area of Science:
- Psychiatry
- Medical Psychology
Background:
- Somatic Symptom Disorder (SSD) involves persistent somatic symptoms with excessive health-related thoughts and behaviors.
- The biopsychosocial model suggests SSD arises from vulnerabilities to precipitating and maintaining factors.
- Understanding SSD's progression from acute distress to chronic conditions is key.
Purpose of the Study:
- To report a case of Somatic Symptom Disorder developing after medical treatment for pheochromocytoma.
- To emphasize the importance of early SSD diagnosis.
Main Methods:
- Case report detailing a patient's experience with persistent somatic symptoms.
- Analysis of symptom progression after successful treatment of an underlying physical condition (pheochromocytoma).
Main Results:
- The patient developed SSD following medical care for pheochromocytoma.
- Somatic symptoms and distress persisted even after surgical resolution of the pheochromocytoma.
Conclusions:
- Early diagnosis of SSD is vital, especially when patients exhibit excessive health-related thoughts or behaviors.
- Treating SSD early may alleviate physical symptoms irrespective of their origin.
- Diagnosing SSD and investigating physical symptoms should be complementary, not mutually exclusive.
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