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07-SEPTEMBER-2008 03:17:44 - Somatization disorder Somatization disorder Classification and external resources ICD-10 F45.0 ICD-9 300.81 DiseasesDB 1645 MedlinePlus 000955 eMedicine ped/3015 MeSH D013001 Somatization disorder also Briquet's disorder or, in antiquity, hysteria is a psychiatric diagnosis applied to patients who chronically and persistently complain of varied physical symptoms that have no identifiable physical origin. One common general etiological explanation is that internal psychological conflicts are unconsciously expressed as physical signs. Patients with Somatization Disorder will typically visit many doctors trying to get the treatment they think they need. Contents 1 Criteria 2 Prevalence 3 Treatment 4 References 5 See also Criteria Somatization disorder is a somatoform disorder.1 The DSM-IV establishes the following five criteria for the diagnosis of this disorder: 2 a history of somatic symptoms prior to the age of 30 pain in at least four different sites on the body two gastrointestinal problems other than pain such as vomiting or diarrhea one sexual symptom such as lack of interest or erectile dysfunction one pseudoneurological symptom similar to those seen in Conversion disorder such as fainting or blindness. Such symptoms cannot be related to any medical condition. The symptoms do not all have to be occurring at the same time, but may occur over the course of the disorder. If a medical condition is present, then the symptoms must be excessive enough to warrant a separate diagnosis. Two symptoms cannot be counted for the same thing e.g.if pain during intercourse is counted as a sexual symptom it cannot be counted as a pain symptom. Finally, the symptoms cannot be being feigned out of an effort to gain attention or anything else by being sick, and they cannot be deliberately induced symptoms. It is important to note that people suffering from temporal lobe epilepsy are often misdiagnosed as having somatization disorder. This occurs because their seizures are not convulsive, sometimes involve hallucinations, and are often difficult to capture on an EEG. Prevalence Somatization disorder is not common in the general population. It is thought to occur in 0.2% to 2% of females,3456 and, according to the DSM-IV, 0.2% of males.7 There is usually co-morbidity with other psychological disorders, particularly mood or anxiety disorders. This condition is chronic and has a poor prognosis. Treatment Not one treatment has been found to cure somatization disorder. However, setting up a physician that screens complaints from patients before they are allowed to see a specialist significantly cuts down on cost of the disorder. Antidepressants8 and cognitive behavioral therapy910 have been shown to help treat the disorder. Collaboration between a psychiatrist and primary care physician may help.11 References ^ Noyes R, Stuart S, Watson DB, Langbehn DR 2006. Distinguishing between hypochondriasis and somatization disorder: a review of the existing literature. Psychother Psychosom 75 5: 270-81. doi:10.1159/000093948. PMID 16899963. ^ American Psychiatric Association. 1994. Diagnostic and statistical manual of mental disorders 4th ed.. Washington, DC. ^ deGruy F, Columbia L, Dickinson P. 1987 Somatization disorder in a family practice, J Fam Pract., 251:45-51. ^ Lichstein, P. R. 1986. Caring for the patient with multiple somatic complaints, Southern Medical Journal, 793, 310-314 ^ Gordon, G.H. 1987. Treating somatizing patients, Western Journal of Medicine, 147, 88-91. ^ Farley J, Woodruff RA, Guze SB 1968. The prevalence of hysteria and conversion symptoms, The British Journal of Psychiatry, 114:1121-1125 1968. ^ American Psychiatric Association. 1994. Diagnostic and statistical manual of mental disorders 4th ed.. Washington, DC. ^ Stahl, S.M. 2003. Antidepressants and somatic symptoms: Therapeutic actions are expanding beyond affective spectrum disorders to functional somatic syndromes. Journal of Clinical Psychiatry, 647, 745-746. ^ Allen LA, Woolfolk RL, Escobar JI, Gara MA, Hamer RM 2006. Cognitive-behavioral therapy for somatization disorder: a randomized controlled trial. Arch. Intern. Med. 166 14: 1512-8. doi:10.1001/archinte.166.14.1512. PMID 16864762. ^ Mai F 2004. Somatization disorder: a practical review. Can J Psychiatry 49 10: 652-62. PMID 15560311. ^ Smith GR, Monson RA, Ray DC 1986. Psychiatric consultation in somatization disorder. A randomized controlled study. N. Engl. J. Med. 314 22: 1407-13. PMID 3084975. 12. www.epilepsyfoundation.org - the leading organization dedicated to helping those with epilepsy and funding epilepsy research in the United States See also Culture-bound syndrome Psychosomatic illness v d e WHO ICD-10 mental and behavioral disorders F · 290-319 Neurological/symptomatic Dementia Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia, Elopement, Sundowning, Wandering · Delirium · Post-concussion syndrome · Organic brain syndrome Psychoactive substance alcohol drunkenness, alcohol dependence, alcoholic hallucinosis, Alcohol withdrawal, delirium tremens, Korsakoff's syndrome, alcohol abuse · opioids opioid dependency · sedative/hypnotic benzodiazepine withdrawal · cocaine cocaine dependence · general Intoxication, Drug abuse, Physical dependence, Withdrawal Psychotic disorder Schizophrenia disorganized schizophrenia · Schizophreniform disorder · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood affective Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety, Social phobia · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder Ganser syndrome · Somatoform disorder Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia · Neurasthenia Physiological/physical behavioral Eating disorder: Anorexia nervosa · Bulimia nervosa Sleep disorder: Dyssomnia Hypersomnia, Insomnia · Parasomnia REM behavior disorder, Night terror · Nightmare Sexual dysfunction: Erectile dysfunction · Premature ejaculation · Vaginismus · Dyspareunia · Hypersexuality · Female sexual arousal disorder Postpartum depression · Postnatal psychosis Adult personality and behavior Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation · Fetishism Mental retardation Mental retardation Psychological development developmental disorder Specific: speech and language expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp · Scholastic skills dyslexia, dysgraphia, Gerstmann syndrome · Motor function developmental dyspraxia Pervasive: Autism · Rett syndrome · Asperger syndrome Behavioral and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech stuttering · cluttering Retrieved from http://en..org/wiki/Somatization_disorder Categories: Somatoform disorders Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Ελληνικά Español Deutsch �slenska Nederlands Polski This page was last modified on 18 July 2008, at 01:31
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