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Epidemiological studies in psychosomatic medicine

M R Eastwood

    International Journal of Psychiatry in Medicine
    |January 1, 1975
    PubMed
    Summary

    Psychosomatic medicine research suggests a link between mental and physical health. Epidemiological models show a general psychophysical propensity to disease, though vulnerability factors remain unclear.

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    Area of Science:

    • Epidemiology
    • Psychosomatic Medicine
    • Public Health

    Background:

    • The epidemiological triad (host, agent, environment) may model psychosomatic disorders.
    • The term "psychosomatic" has multiple meanings, including specific disorders and an ecological view.
    • Challenges exist in diagnosis, measurement, and research methodology for psychosomatic illness.

    Purpose of the Study:

    • To explore the application of epidemiological models to psychosomatic disorders.
    • To examine the association between psychiatric and physical disorders.
    • To review recent efforts in epidemiological research on psychosomatic illness.

    Main Methods:

    • Conceptual modeling using the epidemiological triad.
    • Review of existing epidemiological research findings.
    • Analysis of ecological studies versus specific psychosomatic disorder studies.

    Main Results:

    • A positive relationship exists between psychiatric and physical disorders.
    • Ecological studies show more consistent results than specific disorder studies.
    • Evidence suggests a general psychophysical propensity to disease in humans.

    Conclusions:

    • Physical and mental illnesses are intimately linked.
    • The reasons for "vulnerability" and "clustering" of illness require further investigation.
    • Clarifying these areas is a key future task for psychosomatic medicine epidemiology.

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