TY - JOUR
KW - Comorbidity
KW - Cross-Cultural Comparison
KW - Diagnosis, Differential
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Humans
KW - International Classification of Diseases
KW - Mental Disorders/diagnosis/epidemiology/psychology
KW - Primary Health Care
KW - Referral and Consultation
KW - Sick Role
KW - Somatoform Disorders/diagnosis/epidemiology/psychology
KW - Syndrome
AU - J. I. Escobar
AU - A. Interian
AU - A. Diaz-Martinez
AU - M. Gara
A1 - 
AB - Worldwide, patients with common mental disorders, such as depression and anxiety, have a tendency to present first to primary care exhibiting idiopathic physical symptoms. Typically, these symptoms consist of pain and other physical complaints that remain medically unexplained. While in the past, traditional psychopathology emphasized the relevance of somatic presentations for disorders, such as depression, in the last few decades, the "somatic component" has been neglected in the assessment and treatment of psychiatric patients. Medical specialties have come up with a variety of "fashionable" labels to characterize these patients and the new psychiatric nomenclatures, such as the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, attempt to classify these patients into a separate "somatoform disorders" category. These efforts fall short, and revisionists are asking altogether for the elimination of "somatoform disorders" from future nomenclatures. This review emphasizes the importance of idiopathic physical symptoms to the clinical phenomenology of many psychiatric disorders, offers suggestions to the diagnostic conundrum, and provides some hints for the proper assessment and management of patients with these common syndromes.
BT - CNS spectrums
C5 - Medically Unexplained Symptoms
CP - 3
CY - United States
IS - 3
JF - CNS spectrums
N2 - Worldwide, patients with common mental disorders, such as depression and anxiety, have a tendency to present first to primary care exhibiting idiopathic physical symptoms. Typically, these symptoms consist of pain and other physical complaints that remain medically unexplained. While in the past, traditional psychopathology emphasized the relevance of somatic presentations for disorders, such as depression, in the last few decades, the "somatic component" has been neglected in the assessment and treatment of psychiatric patients. Medical specialties have come up with a variety of "fashionable" labels to characterize these patients and the new psychiatric nomenclatures, such as the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, attempt to classify these patients into a separate "somatoform disorders" category. These efforts fall short, and revisionists are asking altogether for the elimination of "somatoform disorders" from future nomenclatures. This review emphasizes the importance of idiopathic physical symptoms to the clinical phenomenology of many psychiatric disorders, offers suggestions to the diagnostic conundrum, and provides some hints for the proper assessment and management of patients with these common syndromes.
PP - United States
PY - 2006
SN - 1092-8529; 1092-8529
SP - 201
EP - 210
EP - 
T1 - Idiopathic physical symptoms: a common manifestation of psychiatric disorders in primary care
T2 - CNS spectrums
TI - Idiopathic physical symptoms: a common manifestation of psychiatric disorders in primary care
U1 - Medically Unexplained Symptoms
U2 - 16575377
VL - 11
VO - 1092-8529; 1092-8529
Y1 - 2006
ER -