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Abridged somatization: a study in primary care

J I Escobar1, H Waitzkin, R C Silver

  • 1Department of Psychiatry, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway 08854-5635, USA.

Psychosomatic Medicine
|August 26, 1998
PubMed
Summary
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Abridged somatization is common in primary care, affecting one-fifth of patients. This condition strongly links to increased psychopathology and physical disability, highlighting its clinical significance.

Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Medical Sociology

Background:

  • Somatization is a frequent presentation in primary care settings.
  • Understanding its correlates and predictive value is crucial for effective patient management.

Purpose of the Study:

  • To determine the prevalence, correlates, and predictive value of an abbreviated somatization index in primary care patients.
  • To explore the utility of specific symptom thresholds for identifying somatization.

Main Methods:

  • A survey instrument, including the Composite International Diagnostic Interview (CIDI), was used to interview 1456 primary care patients.
  • Statistical analyses assessed the relationship between abridged somatization and physical functioning, demographics, and psychiatric diagnoses.

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Main Results:

  • Approximately one-fifth of the primary care sample met the abridged somatization criteria.
  • Patients meeting these criteria exhibited significantly higher psychiatric comorbidity and disability.
  • Unexplained symptoms across four or more organ/body systems demonstrated the strongest association with negative outcomes.

Conclusions:

  • Abridged somatization is a prevalent syndrome in primary care, closely linked to psychopathology and physical disability.
  • New subtypes of abridged somatization may aid in differentiating psychopathologies and guiding future research.