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Psychosocial dysfunction in somatising patients

R K Chadda1, M S Bhatia, S Shome

  • 1Department of Psychiatry, University College of Medical Sciences, Shahdara, Delhi, India.

The British Journal of Psychiatry : the Journal of Mental Science
|October 1, 1993
PubMed
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This study examined psychosocial dysfunction in somatising patients. Cognitive functioning was least affected, while social, vocational, personal, and familial areas showed greater impairment, especially in patients with depressive disorders.

Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Somatising patients exhibit diverse psychosocial dysfunctions.
  • Understanding the nature and severity of these dysfunctions is crucial for effective treatment.

Purpose of the Study:

  • To investigate the specific patterns and extent of psychosocial dysfunction in somatising patients.
  • To compare psychosocial functioning between somatising patients with depressive disorders and those with somatoform disorders.

Main Methods:

  • Utilized the Dysfunctional Analysis Questionnaire (DAQ) to assess psychosocial functioning.
  • Employed the Global Assessment of Functioning (GAF) scale to measure overall functional severity.
  • Compared dysfunction across cognitive, social, vocational, personal, and familial domains.

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Main Results:

  • Psychosocial dysfunction was less pronounced in the cognitive domain compared to social, vocational, personal, and familial areas.
  • Patients diagnosed with depressive disorders demonstrated greater psychosocial dysfunction across most areas than those with somatoform disorders.
  • Cognitive functioning was the exception, with similar levels of dysfunction observed in both patient groups.

Conclusions:

  • Somatising patients experience significant psychosocial impairment, particularly outside of cognitive functions.
  • Depressive disorders exacerbate psychosocial dysfunction in somatising individuals more than somatoform disorders.
  • Targeted interventions addressing social, vocational, personal, and familial domains are essential for somatising patients, especially those with comorbid depression.