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Helping the hypochondriac.

American Family Physician

|June 1, 1978

Summary

This summary is machine-generated.

Hypochondriasis, a condition often seen in women over 40, requires specific family physician therapeutic approaches. A supportive strategy benefits both patients and physicians, unlike dismissal or confrontation.

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Area of Science:

Psychiatry
Family Medicine
Psychosomatic Medicine

Background:

Hypochondriasis presents unique challenges for family physicians.
Patients often exhibit a long history of unexplained medical symptoms.
A strong conviction of illness is central to patient self-esteem.

Purpose of the Study:

To outline a reliable identification method for hypochondriasis.
To describe an effective therapeutic approach for family physicians.
To differentiate beneficial strategies from detrimental ones.

Main Methods:

Clinical identification of hypochondriasis in primary care settings.
Analysis of patient characteristics (demographics, history, psychological traits).
Evaluation of physician-patient interaction outcomes.

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Main Results:

Hypochondriasis is reliably identifiable by family physicians.
Patients are typically women over 40 with chronic, unexplained medical issues.
Pride in suffering and self-sacrifice are common traits.

Conclusions:

Dismissing or confronting a patient's conviction of illness is counterproductive.
A supportive therapeutic approach is beneficial for both the physician and the patient.
Effective management of hypochondriasis enhances medical service efficiency.