OBJECTIVE Our aim was to evaluate the effect of an educational program designed to improve care for somatizing patients in primary care. METHOD Evaluation was performed during routine clinical care in a cluster randomized controlled trial. Patients were included consecutively, and those with a high score on rating scales for somatization were selected for follow-up (n=911). Follow-up was cond...

Doctor Heinrich is chief, Psychiatric Consultation Service and assistant professor of Psychiatry at the Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin. Please address correspondence to Thomas Heinrich, MD, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226; phone 414.456.8950; fax 414.456.6...

BACKGROUND Childhood trauma and battering have been associated with adult psychopathology. AIM To explore the relationship between childhood trauma, somatization, post traumatic stress disorder (PTSD), affective disorder and borderline personality disorder in hospitalized patients of four Chilean hospitals. MATERIAL AND METHODS Five hundred five patients were screened by a short seven item ...

background: today investing about the role of contributing emotional factors in etiology and treatment of functional gastrointestinal disorders was an interesting subject for many researches. the purpose of the present study was to assess the relationship between emotional intelligence and somatization in patients with functional gastrointestinal disorders. materials and method: this study was ...

BACKGROUND The Four-Dimensional Symptom Questionnaire (4DSQ) is a self-report questionnaire that has been developed in primary care to distinguish non-specific general distress from depression, anxiety and somatization. The purpose of this paper is to evaluate its criterion and construct validity. METHODS Data from 10 different primary care studies have been used. Criterion validity was asses...

CONTEXT Somatoform disorders are an important determinant of medical care utilization, but their independent effect on utilization is difficult to determine because somatizing patients frequently have psychiatric and medical comorbidity. OBJECTIVES To assess the extent of the overlap of somatization with other psychiatric disorders; to compare the medical utilization of somatizing and nonsoma...