Age, affective distress, and illness detection in patients evaluated for gastrointestinal complaints.

Abstract:

:A study of 260 patients was conducted in 1990 using a questionnaire that was designed to measure and assess their recall of symptom patterns, symptom distress levels, symptom interpretation, and physician-recommended treatment plans. The questionnaire was mailed 6-18 months after they had undergone a gastrointestinal workup for unexplained chest or abdominal pain. The authors found comparably high rates of both younger patients (age < 65) and older patients (age > or = 65) reporting symptom patterns sufficient to meet DSM-III criteria for panic, generalized anxiety, and depressive disorders. For younger but not older patients, the number of symptom complaints was related to their recall of a stress-related diagnosis made by the physician, which was less frequent for older patients. The older patients less often identified their symptoms as tension-related. Further research is needed concerning symptom reporting, illness attribution, and physician recognition of emotional etiology among elderly and younger patients with somatizing disorders.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Harper RG,Kane FJ,Stroehlein J

doi

10.1016/S0033-3182(94)71785-0

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

125-31

issue

2

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(94)71785-0

journal_volume

35

pub_type

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