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Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic
BACKGROUND: Somatization is produced due to the summation of psychological factors, irrespective of the presence or absence of physical factors. A group of diseases with severe pain and other disorders exhibit so-called Medically Unexplained Symptoms (MUS), and the characteristics of patients with M...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5488391/ https://www.ncbi.nlm.nih.gov/pubmed/28670335 http://dx.doi.org/10.1186/s13030-017-0104-x |
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author | Nakamura, Yuzo Takeuchi, Takeaki Hashimoto, Kazuaki Hashizume, Masahiro |
author_facet | Nakamura, Yuzo Takeuchi, Takeaki Hashimoto, Kazuaki Hashizume, Masahiro |
author_sort | Nakamura, Yuzo |
collection | PubMed |
description | BACKGROUND: Somatization is produced due to the summation of psychological factors, irrespective of the presence or absence of physical factors. A group of diseases with severe pain and other disorders exhibit so-called Medically Unexplained Symptoms (MUS), and the characteristics of patients with MUS are largely unexplained. In this paper, the characteristics of a series of new patients with somatization treated in a Japanese university hospital are discussed. METHOD: The subjects were 871 patients who newly visited the Department of Psychosomatic Medicine, Toho University Omori Medical Center between January and December of 2015. Under the assumption that the definition of somatization is same as that of MUS, the correlation between somatization and the age, sex, academic background, chief complaints, reasons for visiting the medical center, diagnosis, symptoms, presence or absence of a referral form, continued treatment after the first visit, and marital status of these patients at the time of their respective examinations were evaluated. RESULTS: Of the patients studied, 68% suffered from somatization. Among them, 11% met the definition of Functional Somatic Symptoms (FSS) and 74% had somatization associated with mood disorder or anxiety disorder. Digestive symptoms were reported by 33%, headaches by 24%, and unusual sensations by 21%. Whereas no correlation was found between somatization symptoms and the patients’ academic background, marital history, or medical history after the first visit, a positive correlation (p < 0.05) was found between somatization and patients who had been referred by their doctor. CONCLUSION: Many of the studied patients who suffered from somatization, regardless of age and sex, were referred to us by doctors from other hospitals. It was concluded that many patients difficult to diagnose or deal with are referred the Department of Psychosomatic Medicine of Japanese university hospitals, thus these hospitals must assume great responsibility for preventing mistaken diagnoses by conducting effective psychological treatment and thorough medical examinations. |
format | Online Article Text |
id | pubmed-5488391 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54883912017-06-30 Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic Nakamura, Yuzo Takeuchi, Takeaki Hashimoto, Kazuaki Hashizume, Masahiro Biopsychosoc Med Research BACKGROUND: Somatization is produced due to the summation of psychological factors, irrespective of the presence or absence of physical factors. A group of diseases with severe pain and other disorders exhibit so-called Medically Unexplained Symptoms (MUS), and the characteristics of patients with MUS are largely unexplained. In this paper, the characteristics of a series of new patients with somatization treated in a Japanese university hospital are discussed. METHOD: The subjects were 871 patients who newly visited the Department of Psychosomatic Medicine, Toho University Omori Medical Center between January and December of 2015. Under the assumption that the definition of somatization is same as that of MUS, the correlation between somatization and the age, sex, academic background, chief complaints, reasons for visiting the medical center, diagnosis, symptoms, presence or absence of a referral form, continued treatment after the first visit, and marital status of these patients at the time of their respective examinations were evaluated. RESULTS: Of the patients studied, 68% suffered from somatization. Among them, 11% met the definition of Functional Somatic Symptoms (FSS) and 74% had somatization associated with mood disorder or anxiety disorder. Digestive symptoms were reported by 33%, headaches by 24%, and unusual sensations by 21%. Whereas no correlation was found between somatization symptoms and the patients’ academic background, marital history, or medical history after the first visit, a positive correlation (p < 0.05) was found between somatization and patients who had been referred by their doctor. CONCLUSION: Many of the studied patients who suffered from somatization, regardless of age and sex, were referred to us by doctors from other hospitals. It was concluded that many patients difficult to diagnose or deal with are referred the Department of Psychosomatic Medicine of Japanese university hospitals, thus these hospitals must assume great responsibility for preventing mistaken diagnoses by conducting effective psychological treatment and thorough medical examinations. BioMed Central 2017-06-28 /pmc/articles/PMC5488391/ /pubmed/28670335 http://dx.doi.org/10.1186/s13030-017-0104-x Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Nakamura, Yuzo Takeuchi, Takeaki Hashimoto, Kazuaki Hashizume, Masahiro Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic |
title | Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic |
title_full | Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic |
title_fullStr | Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic |
title_full_unstemmed | Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic |
title_short | Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic |
title_sort | clinical features of outpatients with somatization symptoms treated at a japanese psychosomatic medicine clinic |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5488391/ https://www.ncbi.nlm.nih.gov/pubmed/28670335 http://dx.doi.org/10.1186/s13030-017-0104-x |
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