Abstract：
:Somatization is a common phenomenon that has been defined in many ways. The two most widely used diagnoses, Somatization Disorder (SD) and Abridged Somatization Disorder (ASD), are based on lifetime unexplained symptoms. However, reports indicate instability in lifetime symptom recall among somatizing patients. Multisomatoform disorder (MSD) is a new diagnosis based on current unexplained symptoms. To understand how knowledge about SD and ASD translates to MSD, we examined the diagnostic concordance, impairment and health care utilization of these groups in a sample from the Somatization in Primary Care Study. The diagnostic concordance was high between MSD and SD, but lower between MSD and ASD. All three groups reported considerable physical impairment (measured using the PCS subscale of the SF-36). The mental health (MCS) scores for the three groups were only slightly lower than those of the general population. Over the course of one year, physical functioning fell significantly for all three groups. Mental functioning did not change significantly for any of the three groups over this period. Utilization patterns were very similar for the three groups. The high prevalence, serious impairment, and worsening physical functioning over the course of one year suggest the importance of developing interventions in primary care to alleviate the impaired physical functioning and reduce utilization in somatizing patients. MSD should be a useful diagnosis for targeting these interventions because it identifies a sizable cohort of somatizing patients reporting impairment of comparable severity to full SD, using a more efficient diagnostic algorithm based on current symptoms.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Dickinson WP,Dickinson LM,deGruy FV,Candib LM,Main DS,Libby AM,Rost Kdoi
10.1016/s0163-8343(02)00247-5subject
Has Abstractpub_date
2003-01-01 00:00:00pages
1-7issue
1eissn
0163-8343issn
1873-7714pii
S0163834302002475journal_volume
25pub_type
临床试验,杂志文章,随机对照试验abstract：OBJECTIVE:To explore the hypothesis that environmental stress in the form of construction on a postpartum ward may be associated with enhanced maternal anxiety. METHODS:Four hundred twenty-two mothers delivering at a university hospital were screened prior to discharge for anxiety using the State Scale of the State Tr...
journal_title：General hospital psychiatry
pub_type： 杂志文章
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abstract：:The psychosocial skills of 24 PGY I medical residents receiving psychiatric training every other week during the internship year were evaluated and compared to a control group of 13 PGY I residents. After the internship year, the psychiatrically trained residents showed an increase in their ability to recognize emotio...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(86)90088-5
更新日期：1986-03-01 00:00:00
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journal_title：General hospital psychiatry
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abstract：:Forty consecutive patients with disabling tinnitus were interviewed using a structured psychiatric interview and were asked to complete the Hopkins Symptom Checklist (SCL-90), the Chronic Illness Problem Inventory, and the Revised Ways of Coping Checklist. They were compared to a control group of 14 patients attending...
journal_title：General hospital psychiatry
pub_type： 杂志文章
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更新日期：1988-07-01 00:00:00
abstract：:We report that infertile women in Japan as well as in the Western world have high levels of emotional distress, anxiety, and depression. The reasons for anxiety and depression in infertile women are easy to presume but remain unclear. We conducted the present study to assess the relationship between the anxiety and de...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2004.05.002
更新日期：2004-09-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 临床试验,杂志文章,随机对照试验
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pub_type： 杂志文章
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更新日期：2014-05-01 00:00:00
abstract：:Preoperative risk factors of postoperative delirium were evaluated in 260 patients admitted for open heart surgery. The incidence of delirium was 11.5%. Independent predictors included cognitive impairment, atrial fibrillation, a history of peripheral vascular disease major depression and advanced age. Aforementioned ...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2006.08.007
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journal_title：General hospital psychiatry
pub_type： 杂志文章
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更新日期：2006-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2017-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2006.05.009
更新日期：2006-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2000-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：1980-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2005-07-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2006.10.001
更新日期：2007-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
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更新日期：1980-12-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1998-09-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
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更新日期：1993-03-01 00:00:00
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更新日期：1985-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-03-01 00:00:00
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更新日期：2001-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2013-09-01 00:00:00
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更新日期：2005-09-01 00:00:00
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journal_title：General hospital psychiatry
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更新日期：2011-05-01 00:00:00
abstract：:The Ras-Raf-mitogen-activated protein kinase/extracellular signal-regulated kinase (ERK) kinase (MEK)-ERK cascade is important in the intra-cellular transduction of neurotransmitters, such as dopamine and glutamate. Sorafenib (Nexavar), a multi-kinase inhibitor targeting Raf kinase, vascular endothelial growth factor ...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2012.03.001
更新日期：2014-07-01 00:00:00
