Tags

Type your tag names separated by a space and hit enter

Approach to the patient with multiple somatic symptoms.
Med Clin North Am. 2014 Sep; 98(5):1079-95.MC

Abstract

Primary care providers play a crucial role in the recognition and appropriate treatment of patients with multiple somatic complaints. Both the number of somatic symptoms and the persistence of symptoms are associated with co-occurring depression or anxiety disorders. It can be challenging to simultaneously address possible medical causes for physical symptoms while also considering an associated psychiatric diagnosis. In this article, strategies to improve the care and outcomes among these patients are described, including collaboration, education about the interaction between psychosocial stressors and somatic symptoms, regularly scheduled visits, focus on improving functional status, and evidence-based treatment of depression and anxiety.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Croicu C
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 359911, 325 Ninth Avenue, Seattle, WA 98104, USA. Electronic address: croicu@u.washington.edu.
Chwastiak L
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 359911, 325 Ninth Avenue, Seattle, WA 98104, USA.
Katon W
Division of Health Services and Psychiatric Epidemiology, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, 1959 Northeast Pacific, Seattle, WA 98195, USA.

MeSH

Antidepressive AgentsAnxiety DisordersCausalityCognitive Behavioral TherapyDepressionDiagnostic and Statistical Manual of Mental DisordersHumansMedical History TakingPatient Care TeamPhysical ExaminationPhysician-Patient RelationsPrimary Health CareReferral and ConsultationRisk FactorsSeverity of Illness IndexSomatoform DisordersStress, PsychologicalSurveys and Questionnaires

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25134874

Citation

Croicu, Carmen, et al. "Approach to the Patient With Multiple Somatic Symptoms." The Medical Clinics of North America, vol. 98, no. 5, 2014, pp. 1079-95.
Croicu C, Chwastiak L, Katon W. Approach to the patient with multiple somatic symptoms. Med Clin North Am. 2014;98(5):1079-95.
Croicu, C., Chwastiak, L., & Katon, W. (2014). Approach to the patient with multiple somatic symptoms. The Medical Clinics of North America, 98(5), 1079-95. https://doi.org/10.1016/j.mcna.2014.06.007
Croicu C, Chwastiak L, Katon W. Approach to the Patient With Multiple Somatic Symptoms. Med Clin North Am. 2014;98(5):1079-95. PubMed PMID: 25134874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Approach to the patient with multiple somatic symptoms. AU - Croicu,Carmen, AU - Chwastiak,Lydia, AU - Katon,Wayne, Y1 - 2014/07/09/ PY - 2014/8/20/entrez PY - 2014/8/20/pubmed PY - 2014/10/11/medline KW - Anxiety KW - Collaborative care KW - Depression KW - Somatic symptoms KW - Somatization SP - 1079 EP - 95 JF - The Medical clinics of North America JO - Med Clin North Am VL - 98 IS - 5 N2 - Primary care providers play a crucial role in the recognition and appropriate treatment of patients with multiple somatic complaints. Both the number of somatic symptoms and the persistence of symptoms are associated with co-occurring depression or anxiety disorders. It can be challenging to simultaneously address possible medical causes for physical symptoms while also considering an associated psychiatric diagnosis. In this article, strategies to improve the care and outcomes among these patients are described, including collaboration, education about the interaction between psychosocial stressors and somatic symptoms, regularly scheduled visits, focus on improving functional status, and evidence-based treatment of depression and anxiety. SN - 1557-9859 UR - https://www.unboundmedicine.com/medline/citation/25134874/Approach_to_the_patient_with_multiple_somatic_symptoms_ DB - PRIME DP - Unbound Medicine ER -