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 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Somatizing patients experience or express emotional discomfort and psychosocial distress as physical symptoms. Somatization occurs in a broad spectrum of illnesses, in association with a wide variety of mental disorders, including depression, anxiety, and the somatoform disorders. Primary care providers must detect and treat these patients. Diagnosis is based on positive criteria. Care rests upon conservative medical management and evaluation; a physician-patient relationship based on acceptance, caring, and trust; reinforcement of positive behaviors and elimination of destructive ones; and the gradual use of the relationship to promote healthy relating in the patient.
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PMID:Somatization in primary care: patients with unexplained and vexing medical complaints. 328 44

This study investigated the factor structure of the SCL-90R using an outpatient psychology clinic population. Six relatively homogeneous and stable factors were identified: Depression, Somatization, Anger-Hostility, Paranoid-Psychoticism, Phobic Anxiety, and Obsessive-Compulsive. However, a principal component analysis revealed that the first factor accounted for a large percentage of the variance, suggesting that this instrument measures a general dimension of psychopathology. In addition, significant correlations between the SCL-90R symptom dimensions and both the BDI and several MMPI scales were found. The results of the study lead to questions regarding the utility of the SCL-90R.
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PMID:An examination of the factor structure and convergent and discriminant validity of the SCL-90R in an outpatient clinic population. 340 94

The MMPI and the Basic Personality Inventory (BPI) were administered to 235 male hospitalized psychiatric patients who were undergoing treatment for alcoholism. The 13 validity and clinical scales from the MMPI and the 12 scales from the BPI were subjected to principal axes factor analysis and Varimax rotation. The five factors retained for interpretation, which accounted for more than 96% of the common variance, each had loadings from both the MMPI and the BPI. Factors were identified as Inadequate Impulse Control, Generalized Anxiety, Depression and Somatization, Psychotic Processes, and Depressed Withdrawal. Given the high percentage of variance accounted for by the factors, it was concluded that the MMPI and BPI measure the same broad domain of psychopathology.
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PMID:Common dimensions of psychopathology from the MMPI and the Basic Personality Inventory. 369 55

Somatization, hypochondriasis, and hysteria have often been considered as associated features of the borderline personality disorder. This study was designed to characterize these three syndromes in the borderline patient. Inpatients with DSM-III borderline personality disorder were compared with controls with dysthymic disorder. Scales and items from standardized rating instruments which measured the three syndromes were scored and compared between groups. Although the hysteria-obvious and hypochondriasis scales of the MMPI and the Hamilton Depression Scale item measuring hypochondriasis were elevated in the borderline group, there were no significant differences between groups. Scores of dysthymic patients significantly exceeded those of borderline patients on four of five MMPI codetypes measuring the three syndromes. Findings are discussed in light of previous psychodynamic, empirical, and research literature.
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PMID:Characterizing somatization, hypochondriasis, and hysteria in the borderline personality disorder. 371 48

Four measures of mental health--Panic, Depression, Somatization and Well-Being--have been developed for use in a population of Southeast Asian refugees. The scales, a product of work with 1348 refugees, demonstrate conceptual significance, good reliability, concurrent validity and stability of structure across samples. They are culturally sensitive, enabling intra-cultural study as well as screening for clinical purposes. The measures also permit comparisons, for research purposes, with non-Asians.
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PMID:Measuring psychiatric disorder among Southeast Asian refugees. 376 77

Standard psychological tests generally provide a single global score that reflects multidimensional constructs, such as depression and anxiety. This single score, however, integrates a range of item contents, including cognitive/affective, somatic, and behavioral characteristics of these multidimensional constructs. The present study was designed to compare the pattern of item endorsement among chronic pain patients (N = 50), psychiatric inpatients (N = 50), and hospital employees (N = 50) on the SCL-90-R (Derogatis, Rickels, & Rock, 1976). Pain patients reported the highest SCL-90 scale level of Somatization, while the psychiatric inpatients reported the highest level of Anxiety and Depression. Additionally, the within-scale pattern of item responses on the Anxiety and Depression scales differed among groups. Although psychiatric inpatients endorsed equivalent levels of somatic and cognitive items, the pain patients' reports of psychological distress were limited primarily to somatic signs of anxiety and depression. Thus, the interpretation of pain patients' psychological profiles and subsequent treatment recommendations may be inappropriate if based on normative data obtained from psychiatric and/or normal populations.
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PMID:Cognitive and somatic item response pattern of pain patients, psychiatric patients, and hospital employees. 380 98

The purpose of this study was to compare the emotional symptoms and physical health of parents whose children had died suddenly in an accident, parents whose children had died following a chronic disease, and nonbereaved parents. Data for this retrospective survey were collected by mailed questionnaires: the Hopkins Symptom Checklist (HSCL), Bereavement Health Assessment Scale, Review of Life Experiences Scale, and a personal-situation questionnaire. Subjects were 30 bereaved parents who had experienced the death of a child following a chronic disease; 31 bereaved parents whose children died in an accident; and 81 nonbereaved parents. Findings indicated significant differences between the bereaved groups and the control group on the total scale score of the HSCL and on the subscales measuring Depression, Anxiety, Somatization, Obsession-Compulsion, and Interpersonal Sensitivity. However, there were no differences on these variables between the two bereaved groups. Bereaved parents with higher concurrent life stresses and parents from a lower socioeconomic background were at higher risk for emotional symptomatology. There were no significant differences among the three groups on the number of physician/nurse visits, number of hospital admissions, number of new or recurrent illnesses, or drug usage. Bereaved parents, however, more frequently reported appetite and sleep problems.
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PMID:Emotional symptoms and physical health in bereaved parents. 384 35

Somatization in neurotic disorders was noted as a significant complication in their classification. Besides being an aspect of other neurotic disorders somatization becomes primary and chronic neurotic problem running true to type for several years in some patients. Recent evidence indicated that the syndrome "Somatic Neurosis" occurs not only in Muslim women but in middled-aged women of other communities too. A group of 20 middle-aged women with somatic neurosis were compared with an equal number of age-matched Neurotic Depressive patients. The former had significantly lower scores on Hamilton's Rating Scale for Depression and higher scores on the Intrafamily Interpersonal Trust Scale. The groups, however, did not differ on Srole's Anomia scale scores. It was argued that the good expressed interpersonal trust with specified family members in contrast to the high anomia indexes, a particular dynamic in the family. The study points to the need for further study of this condition.
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PMID:Somatic neurosis in middle-aged Hindu women. 685 69

Factor analysis of the Faschingbauer Abbreviated MMPI (FAM) identified factors of Absence of Distress, Depression, Low Morale, Feminine Interests, Somatization, and Extroversion. These results are consistent with previous MMPI factoranalytic studies, with the first factor being a reflected factor of major psychopathological disturbance. This reflected factor is explained as a function of the elimination of clinically invalid profiles from the analysis. Implications concerning standard profile selection procedures are discussed in light of these results.
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PMID:Factor structure of the Faschingbauer Abbreviated MMPI (FAM) in a psychiatric population. 731 Jun 20

Somatization syndromes were defined in a sample of 102 psychosomatic inpatients according to the restrictive criteria of DSM-III-R somatization disorder and the broader diagnostic concept of the Somatic Symptom Index (SSI). Both groups showed a qualitatively similar pattern of psychopathological comorbidity and had elevated scores on measures of depression, hypochondriasis, and anxiety. A good discrimination between mild and severe forms of somatization was found by using the SSI criterion. SSI use accounted for a substantial amount of comorbidity variance, with rates of 15%-20% for depression, 16% for hypochondriasis, and 13% for anxiety. The results provide further evidence for the validity of the SSI concept, which reflects the clinical relevance of somatization in addition to the narrow definition of somatization disorder.
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PMID:Further evidence for a broader concept of somatization disorder using the somatic symptom index. 763 16


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