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ICD9 = | ICDO = | OMIM = | MedlinePlus = 000955 | eMedicineSubj = ped | eMedicineTopic = 3015 | MeshID = D013001Somatization disorder (also 'Briquets disorder or, in antiquity, hysteria''') is a psychiatric diagnosis applied to patients who chronically and persistently complain of varied physical symptoms that have no identifiable physical origin. One common general etiological explanation is that internal psychological conflicts are unconsciously expressed as physical signs.
Criteria Somatization disorder is a somatoform disorder. The DSM-IV establishes the following five criteria for the diagnosis of this disorder: American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC.
Prevalence Somatization disorder is not common in the general population. It is thought to occur in 0.2% to 2% of females,deGruy F, Columbia L, Dickinson P. (1987) "Somatization disorder in a family practice," J Fam Pract., 25(1):45–51.Lichstein, P. R. (1986). "Caring for the patient with multiple somatic complaints," Southern Medical Journal, 79(3), 310-314Gordon, G.H. (1987). "Treating somatizing patients," Western Journal of Medicine, 147, 88-91.Farley J, Woodruff RA, Guze SB (1968). "The prevalence of hysteria
and conversion symptoms," The British Journal of Psychiatry, 114:1121–1125 (1968). and, according to the DSM-IV, 0.2% of males.American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC. There is usually co-morbidity with other psychological disorders, particularly mood or anxiety disorders. This condition is chronic and has a poor prognosis.
Treatment No one treatment has been found to cure somatization disorder. However, setting up a physician that screens complaints from patients before they are allowed to see a specialist significantly cuts down on cost of the disorder. AntidepressantsStahl, S.M. (2003). Antidepressants and somatic symptoms: Therapeutic actions are expanding beyond affective spectrum disorders to functional somatic syndromes. Journal of Clinical Psychiatry, 64(7), 745-746. and cognitive behavioral therapy have been shown to help treat the disorder.Collaboration between a psychiatrist and primary care physician may help.
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