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Managing somatic preoccupation.
Am Fam Physician. 1999 Jun; 59(11):3113-20.AF

Abstract

Somatically preoccupied patients are a heterogeneous group of persons who have no genuine physical disorder but manifest psychologic conflicts in a somatic fashion; who have a notable psychologic overlay that accompanies or complicates a genuine physical disorder; or who have psychophysiologic symptoms in which psychologic factors play a major role in physiologic symptoms. In the primary care setting, somatic preoccupation is far more prevalent among patients than are the psychiatric disorders collectively referred to as somatoform disorders (e.g., somatization disorder, hypochondriasis). Diagnostic clues include normal results from physical examination and diagnostic tests, multiple unexplained symptoms, high health care utilization patterns and specific factors in the family and the social history. Treatment may include a physician behavior management strategy, antidepressants, psychiatric consultation and cognitive-behavior therapy.

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Authors+Show Affiliations

Righter EL
Department of Family Medicine, Wright State University School of Medicine, Dayton, Ohio, USA.
Sansone RA
No affiliation info available

MeSH

Cognitive Behavioral TherapyDiagnosis, DifferentialHumansPsychiatryReferral and ConsultationSomatoform Disorders

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

10392593

Citation

Righter, E L., and R A. Sansone. "Managing Somatic Preoccupation." American Family Physician, vol. 59, no. 11, 1999, pp. 3113-20.
Righter EL, Sansone RA. Managing somatic preoccupation. Am Fam Physician. 1999;59(11):3113-20.
Righter, E. L., & Sansone, R. A. (1999). Managing somatic preoccupation. American Family Physician, 59(11), 3113-20.
Righter EL, Sansone RA. Managing Somatic Preoccupation. Am Fam Physician. 1999;59(11):3113-20. PubMed PMID: 10392593.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Managing somatic preoccupation. AU - Righter,E L, AU - Sansone,R A, PY - 1999/7/7/pubmed PY - 1999/7/7/medline PY - 1999/7/7/entrez SP - 3113 EP - 20 JF - American family physician JO - Am Fam Physician VL - 59 IS - 11 N2 - Somatically preoccupied patients are a heterogeneous group of persons who have no genuine physical disorder but manifest psychologic conflicts in a somatic fashion; who have a notable psychologic overlay that accompanies or complicates a genuine physical disorder; or who have psychophysiologic symptoms in which psychologic factors play a major role in physiologic symptoms. In the primary care setting, somatic preoccupation is far more prevalent among patients than are the psychiatric disorders collectively referred to as somatoform disorders (e.g., somatization disorder, hypochondriasis). Diagnostic clues include normal results from physical examination and diagnostic tests, multiple unexplained symptoms, high health care utilization patterns and specific factors in the family and the social history. Treatment may include a physician behavior management strategy, antidepressants, psychiatric consultation and cognitive-behavior therapy. SN - 0002-838X UR - https://www.unboundmedicine.com/medline/citation/10392593/Managing_somatic_preoccupation_ L2 - https://www.aafp.org/link_out?pmid=10392593 DB - PRIME DP - Unbound Medicine ER -