Number Of Somatic Symptoms Research Articles

Somatic symptoms in sexually abused children.

Contrasted a nonabused sample of 3 to 12-year-old children (n = 847) with a sexually abused sample (n = 252) with regards to somatic symptoms assessed via parent report, including the Child Behavior Checklist. Using ANCOVA, and controlling for family income, maternal education, age, and sex, the girls 3-6 years old who were abused and the boys 7-12 years old who were abused were reported to have the greatest number of somatic symptoms. Force and number of perpetrators were abuse-specific variables directly related to the number of somatic symptoms. Results suggest that for some children sexual abuse is related to an increased report of subjective somatic complaints.

Somatization Disorder in Elderly Patients

Little is known about the prevalence, characteristics, or natural history of somatization disorder in elderly patients. The authors evaluated 353 adult women (from outpatient psychiatric and medical clinics) for somatization disorder. Twenty-four percent of patients were 55 years old or older. The sample of older women did not differ from younger women in the proportion who were positive for somatization disorder, the number of somatic symptoms, or characteristics of the disorder. The authors compare these findings with prior literature and make suggestions for future prospectively designed studies.

Somatization Disorder in Elderly Patients

Little is known about the prevalence, characteristics, or natural history of somatization disorder in elderly patients. The authors evaluated 353 adult women (from outpatient psychiatric and medical clinics) for somatization disorder. Twenty-four percent of patients were 55 years old or older. The sample of older women did not differ from younger women in the proportion who were positive for somatization disorder, the number of somatic symptoms, or characteristics of the disorder. The authors compare these findings with prior literature and make suggestions for future prospectively designed studies. Little is known about the prevalence, characteristics, or natural history of somatization disorder in elderly patients. The authors evaluated 353 adult women (from outpatient psychiatric and medical clinics) for somatization disorder. Twenty-four percent of patients were 55 years old or older. The sample of older women did not differ from younger women in the proportion who were positive for somatization disorder, the number of somatic symptoms, or characteristics of the disorder. The authors compare these findings with prior literature and make suggestions for future prospectively designed studies.

Medical and psychiatric symptoms in women with childhood sexual abuse.

Although there is increasing awareness of the short-term psychological and social adaptations to childhood sexual abuse, little is known about the long-term effects of such abuse, particularly its effect on subsequent medical utilization and the experience and reporting of physical symptoms. We re-analyzed data from a previous study of 100 women scheduled for diagnostic laparoscopy (50 for chronic pain, 50 for tubal ligation or infertility evaluation) who received structured, physician-administered psychiatric and sexual abuse interviews. Women were regrouped by severity of childhood sexual abuse, and we compared the groups with respect to lifetime psychiatric diagnoses and medically unexplained symptom patterns. Unadjusted odds ratios showed that risk for lifetime diagnoses of major depression, panic disorder, phobia, somatization disorder and drug abuse, and current diagnoses of major depression and somatoform pain disorder were significantly higher in the severely abused group compared with women with no abuse or less severe abuse. Logistic regression analysis demonstrated that number of somatization symptoms, lifetime panic disorder and drug dependence were predictive of a prior history of severe childhood sexual abuse. Psychiatric disorders and medical symptoms, particularly chronic pelvic pain, are common in women with histories of severe childhood sexual abuse. Clinicians should inquire about childhood sexual and physical abuse experiences in patients with multiple medical and psychiatric symptoms, particularly patients with chronic pelvic pain.

Somatization and psychiatric disorder in the NIMH Epidemiologic Catchment Area study

Somatization has often been viewed as a defense against awareness of emotional distress or as a masked version of depression. This report examines whether community residents with high levels of functional somatic symptoms also report overt psychological distress and whether somatization is associated with any specific psychiatric disorder. Analyses used data from the community sample of the National Institute of Mental Health Epidemiologic Catchment Area (ECA) study, a population-based survey of psychiatric morbidity among more than 18,000 residents of five U.S. communities. Increasing number of somatization symptoms was strongly associated with overt expression of psychological distress and psychiatric symptoms. Among ECA respondents with five or more current functional somatic symptoms, 63% reported current psychological symptoms and 50% met criteria for a current psychiatric diagnosis (compared to 7% and 6%, respectively, among those with no current somatization symptoms). Somatization symptoms showed strongest associations with anxiety and depressive symptoms, intermediate association with symptoms of psychotic disorders, and weakest associations with symptoms of substance abuse and antisocial personality. ECA study respondents with high levels of somatization symptoms typically reported overt psychological distress, especially anxiety and depression. Patterns of response do not support a dissociation between physical and emotional symptoms. Functional somatic symptoms appear to be common expressions of distress instead of defenses against awareness.