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Psychiatric illness in patients with persistent somatisation

P Fink1

  • 1Department of Psychiatric Demography, Aarhus Psychiatric Hospital, Risskov, Denmark.

The British Journal of Psychiatry : the Journal of Mental Science
|January 1, 1995
PubMed
Summary

Persistent somatisation, characterized by frequent hospital admissions, is linked to significant mental illness, including substance dependence and personality disorders. These patients heavily utilize mental health services.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Somatisation Disorders

Background:

  • Persistent somatisation is a complex condition.
  • Understanding its mental health implications is crucial.

Purpose of the Study:

  • To investigate the prevalence and characteristics of mental illness in persistent somatisers.
  • To analyze their engagement with mental health services.

Main Methods:

  • Study included individuals with ≥10 non-psychiatric admissions over 8 years.
  • Compared persistent somatisers (n=56) with other frequent service users (n=57).

Main Results:

  • 82% of somatisers saw a psychiatrist; 16% had mental retardation.
  • High rates of substance dependence (48%) and personality disorder (48%) were observed.

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  • Common diagnoses included anxiety (54%), depression (30%), phobias (18%), and psychoses (20%).

    • Conclusions:

    • Persistent somatisation correlates with severe, diverse psychiatric conditions.
    • These patients represent a substantial burden on mental health care systems.