Abnormal illness behaviour: physiological, psychological and social dimensions of coping with distress.

Abstract:

PURPOSE OF REVIEW:Pilowsky introduced the term 'abnormal illness behaviour' to characterize syndromes of excessive or inadequate response to symptoms, including hypochondriasis, somatization, and denial of illness. This review summarizes recent work from sociology, health psychology and psychiatry that contributes to an understanding of the processes that may underlie abnormal illness behaviour. RECENT FINDINGS:Disturbances in the regulation of physiological systems may account for many 'unexplained' symptoms and sickness behaviour. Increased attention to bodily sensations, sensitivity to pain and catastrophizing play important roles in illness behaviour in medical illness. Developmental adversities and parental modelling of illness behaviour in childhood may increase bodily preoccupation and health care utilization. Apparent cross-national differences in illness behaviour may reflect differences in health care systems, but cultural models of illness and social stigma remain important determinants of illness denial and avoidance of mental health services. SUMMARY:Research into illness behaviour is relevant to efforts to rethink the psychiatric nosology of somatoform disorders. The discrete somatoform disorders might well be replaced by a dimensional framework that identifies specific pathological processes in cognition, perception and social behaviour that contribute to bodily distress, impaired coping, inappropriate use of health services, chronicity and disability.

journal_name

Curr Opin Psychiatry

authors

Kirmayer LJ,Looper KJ

doi

10.1097/01.yco.0000194810.76096.f2

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

54-60

issue

1

eissn

0951-7367

issn

1473-6578

pii

00001504-200601000-00011

journal_volume

19

pub_type

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