Mental Health Book

http://www.fpnotebook.com/

Somatization DisorderAka: Briquet's Syndrome, Undifferentiated Somatoform Disorder

Advertisement

  1. See Also
    1. Somatoform Disorder
    2. Somatization Risk Factors
    3. Somatization Symptoms
    4. Somatization Management
    5. Somatoform Disorder Management Pitfalls
    6. Hypochondriasis
    7. Pain Disorder
    8. Conversion Disorder
  2. Epidemiology
    1. Lifetime Prevalence (sub-threshold Prevalence is much more common)
      1. Women: 0.2 to 2%
      2. Men: 0.2%
    2. Family History
      1. Incidence 10-20% in first-degree female relatives
  3. Diagnosis: Somatization Disorder
    1. Must meet criteria for a Somatoform Disorder
      1. Unexplained physical symptoms
      2. Not due to condition of Secondary Gain (Malingering or Factitious Disorder)
      3. Causes dysfunction
    2. Specific criteria for Somatization Disorder
      1. Chronic course of symptoms longer than 2 years
      2. Unexplained physical symptom onset before age 30 years
      3. Vague or exaggerated physical symptoms dispersed over multiple organ symptoms
        1. See Somatization Symptoms
        2. Gastrointestinal (at least 2 symptoms)
        3. Pain (at least 4 symptoms)
        4. Neurologic or pseudoneurologic (at least one symptom)
        5. Sexual (at least one symptom)
      4. Other diagnostic clues suggestive of Somatization
        1. Prior non-diagnostic extensive diagnostic testing
        2. Dissatisfaction with previous physicians
  4. Diagnosis: Undifferentiated Somatoform Disorder
    1. Variant of Somatization Disorder Diagnosis
    2. Only 6 month history needed for diagnosis
    3. Only one or more unexplained physical symptoms (e.g. Fatigue) needed for diagnosis
  5. References
    1. Oyama (2007) Am Fam Physician 76(9):1333

Navigation Tree