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Related Experiment Videos

Somatization in patients with dissociative disorders

G N Saxe1, G Chinman, R Berkowitz

  • 1Trauma Clinic, Harvard Medical School, Boston, MA.

The American Journal of Psychiatry
|September 1, 1994
PubMed
Summary

Dissociative disorders frequently co-occur with somatization disorder, a condition marked by numerous physical symptoms. Patients with dissociative disorders showed significantly higher rates of somatization and medical interventions compared to controls.

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Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Dissociative disorders are complex mental health conditions.
  • Somatic symptoms and somatization disorder are common in psychiatric populations.

Purpose of the Study:

  • To determine the prevalence of somatic symptoms and somatization disorder in patients with dissociative disorders.
  • To investigate medical interventions in patients with dissociative disorders.

Main Methods:

  • A case-control study involving 14 psychiatric inpatients with dissociative disorders and a matched comparison group.
  • Utilized the Dissociative Disorders Interview Schedule and reviewed hospital charts for symptom and medical history data.

Main Results:

  • 64% of patients with dissociative disorders met criteria for somatization disorder, reporting an average of 12.4 somatic symptoms.

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  • Comparison patients reported significantly fewer somatic symptoms (3.1) and no cases of somatization disorder.
  • Patients with dissociative disorders had more medical hospitalizations and consultations, with a correlation between dissociation and somatization severity.

    • Conclusions:

    • Somatization disorder is a frequent and serious comorbid condition in patients with dissociative disorders.
    • The findings highlight the significant overlap and clinical implications of these two disorders.