Literature Collection

8721

Somatisation in primary care in Spain. 1. Estimates of prevalence and clinical characteristics

Type: Journal Article

Authors: A. Lobo, J. Garcia-Campayo, R. Campos, G. Marcos

Year: 1996

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8722

Somatization among older primary care attenders

Type: Journal Article

Authors: B. Sheehan, C. Bass, R. Briggs, R. Jacoby

Year: 2003

Publication Place: England

Abstract: BACKGROUND: The importance of somatization among older primary care attenders is unclear. We aimed to establish the prevalence, persistence and associations of somatization among older primary care attenders, and the associations of frequent attendance. METHOD: One hundred and forty primary care attenders over 65 years were rated twice, 10 months apart, on measures of somatization, psychiatric status, physical health and attendance. RESULTS: The syndrome of GMS hypochondriacal neurosis had a prevalence of 5% but was transient. Somatized symptoms and attributions were persistent and associated with depression, physical illness and perceived poor social support. Frequent attenders (top third) had higher rates of depression, physical illness and somatic symptoms, and lower perceived support. CONCLUSION: Somatization is common among older primary care attenders and has similar correlates to younger primary care somatizers. Psychological distress among older primary care attenders is associated with frequent attendance. Improved recognition should result in benefits to patients and services.

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8723

Somatization in acute care pediatrics: Respecting the mind–body connection

Type: Journal Article

Authors: Jenkins Willough, Katharine Smart

Year: 2020

Publication Place: London

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8724

Somatization in cross-cultural perspective: a World Health Organization study in primary care

Type: Journal Article

Authors: O. Gureje, G. E. Simon, T. B. Ustun, D. P. Goldberg

Year: 1997

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8725

Somatization in primary care: A comparative survey of immigrants from various ethnic groups in Rome, Italy

Type: Journal Article

Authors: M. Aragona, L. Tarsitani, F. Colosimo, B. Martinelli, H. Raad, B. Maisano, S. Geraci

Year: 2005

Publication Place: United States

Abstract: OBJECTIVES: Those responsible for interviewing immigrants in primary care settings often underestimate the importance of somatic symptoms arising from psychological distress. This study investigates the current prevalence of somatization in immigrants, and evaluates the comparative rates of somatic complaints in four ethnic groups (Caucasians, Asians, South/Center Americans, and Africans). METHODS: We studied the 301 consecutive outpatients (aged between 16 and 70 years) attending the "Caritas" primary care unit for immigrants in Rome (Italy) from January to December 2003, all of whom completed the 21-item version of the Bradford Somatic Inventory (BSI-21). Patients scoring 14 or more on the BSI-21 were considered at risk for somatization. RESULTS: The current prevalence of somatization was 35.2%; 62.3% of the somatizers were women. A multiple regression analysis adjusting for the possible confounding effects of sex, age, education, and months of stay in Italy showed that South/Central Americans had significantly higher somatization scores than the other three groups. CONCLUSIONS: These findings suggest a high probability of somatization syndromes in immigrant patients. South/Central Americans tend to somatize more than other ethnic groups. A psychosomatic approach may be useful for immigrants in primary care settings.

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8726

Somatization in the primary care setting

Type: Web Resource

Authors: R. M. McCarron

Year: 2006

Publication Place: URL

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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8727

Somatization, heartsink patients, or functional somatic symptoms? Towards a clinical useful classification in primary health care

Type: Journal Article

Authors: M. Rosendal, P. Fink, F. Bro, F. Olesen

Year: 2005

Publication Place: URL

Abstract: Several definitions of somatization exist and try to deal with the fundamental problem that a large group of patients present with physical symptoms for which a conventional pathology cannot be identified. However, the concept remains somewhat confusing. The prevalence of somatization is high in general practice. Nevertheless, patients do not receive proper treatment and risk iatrogenic somatic fixation and harm, the doctor-patient relationship is often negatively affected and the overall healthcare system suffers from high expenditure on unnecessary physical investigations and treatments. During the last decade research has shown that somatization may be treated effectively in specialist care. Little is known about effective treatment in primary care but the Reattribution Model and the Extended Reattribution and Management Model have shown promising results. The development and evaluation of new treatment strategies is, however, hampered by the confusion of definitions and concepts. In this article an overview is presented of the various concepts relevant to the clinical work and research in primary health care. It is important to realize that somatizing patients in primary health care present a broader spectrum of severity than patients seen in a specialist setting. Hence, primary care cannot apply definitions from specialist care directly but needs a definition that also includes the mild cases. We need classifications and agreed definitions applicable in primary health care in order to develop appropriate management strategies, to predict prognosis, and to enable rigorous research concerning the large group of somatizing patients in primary health care.

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8728

Somatized depression in primary care attenders

Type: Journal Article

Authors: Enric Aragones, Antonio Labad, Josep Li Pinol, Carme Lucena, Yolanda Alonso

Year: 2005

Publication Place: Netherlands: Elsevier Science

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8729

Somatizing frequent attenders in primary health care

Type: Journal Article

Authors: S. Jyvasjarvi, M. Joukamaa, E. Vaisanen, P. Larivaara, S. Kivela, S. Keinanen-Kiukaanniemi

Year: 2001

Publication Place: England

Abstract: OBJECTIVE: The aim of this case-control study was to investigate the association of somatization with frequent attendance in primary health care. METHODS: Frequent attenders in a health center (FAs) (N=112) and age- and sex-matched controls (COs) (N=105) constituted the study series. Data were collected from annual statistics, medical records, postal questionnaires and personal interviews. Psychological distress was assessed using Symptom Checklist-36 (SCL-36), alexithymia was measured with Toronto Alexithymia Scale-20 (TAS-20) and hypochondriasis was screened with Whiteley Index (WI). RESULTS: About one-third of FAs were somatizers when a cut-off point of eight symptoms on the SCL-36 somatization subscale was used as a criterion. The significant association of somatization with frequent attendance disappeared in multivariate analyses when adjusted for age, sex and chronic somatic illnesses. Hypochondriacal beliefs and psychiatric comorbidity were connected with FAs' somatization. Hypochondriacal beliefs explained somatizers' frequent attendance. A significant interaction effect between somatization and hypochondriacal beliefs was found when explaining frequent attendance. CONCLUSION: The results emphasize the need to use a comprehensive approach of somatization, including hypochondriacal beliefs, when treating somatizing FA patients in primary health care.

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8730

Somatoform disorder in primary care: course and the need for cognitive-behavioral treatment

Type: Journal Article

Authors: I. A. Arnold, M. W. de Waal, J. A. Eekhof, A. M. van Hemert

Year: 2006

Publication Place: United States

Abstract: Medically unexplained physical symptoms are prevalent in primary care. Of all patients attending the family physician, 16% have a somatoform disorder as described by DSM-IV. Cognitive-behavioral treatment has been demonstrated to be effective in secondary care. However, the course of somatoform disorders and their need for treatment have not yet been established in primary care. In this study, data from 1,046 attendees in family practice were analyzed for prevalence, course, and eligibility for treatment. Over a 6-month follow-up, the prevalence of somatoform disorder decreased from 16.1% to 12.3%. After assessment of eligibility, about 5% of patients demonstrated a need for treatment.

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8731

Somatoform disorder in primary care: The influence of co‐morbidity with anxiety and depression on health care utilization

Type: Journal Article

Authors: Paul Hüsing, Bernd Lowe, Katharina Piontek, Meike Shedden‐Mora

Year: 2018

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8732

Somatoform disorders

Type: Book Chapter

Authors: Barbara A. Golden, Clint C. Stankiewicz, Jeanne R. Kestel

Year: 2010

Publication Place: New York, NY

Topic(s):

,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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8733

Somatoform disorders in primary care and inpatient settings

Type: Journal Article

Authors: W. Rief, A. Nanke

Year: 2004

Publication Place: Switzerland

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8734

Somatoform disorders: a help or hindrance to good patient care?

Type: Journal Article

Authors: M. Sharpe, R. Mayou

Year: 2004

Publication Place: England

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8735

Some states' initiatives in MAT rely heavily on primary care

Type: Journal Article

Year: 2014

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8736

Something Republicans and Democrats can agree on: Support for integrated behavioral health

Type: Journal Article

Authors: S. B. Gold, S. L. Wong, L. A. Green, W. P. Dickinson

Year: 2021

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8737

Sort of a nice distance: a qualitative study of the experiences of therapists working with internet-based treatment of problematic substance use

Type: Journal Article

Authors: V. Ekström, M. Johansson

Year: 2019

Abstract:

BACKGROUND: Internet interventions have been developed and tested for several psychiatric and somatic conditions. Few people with substance use disorders receive treatment and many drug users say that they would prefer getting help from online tools. Internet interventions are effective for reducing alcohol and cannabis use. The aim of the current study is to understand differences between internet-based and face-to-face treatment of problematic substance use. The concept of alliance will be used as a theoretical frame for understanding differences between internet-based treatment and face-to-face treatment, as perceived by therapists. METHOD: The study has a qualitative design and is based on 3 focus group interviews with 12 therapists working with internet-based treatment for alcohol or cannabis use problems within five different programs. RESULTS: The analysis revealed five themes in the differences between internet-based and face-to-face treatment: communication, anonymity, time, presence and focus. Treatment online in written and asynchronous form creates something qualitatively different from regular face-to-face meetings between patients and therapists. The written form changes the concept of time in treatment, that is, how time can be used and how it affects the therapist's presence. The asynchronous (i.e. time delayed) form of communication and the lack of facial expressions and body language require special skills. CONCLUSIONS: There are important differences between internet-based treatment and face-to-face treatment. Different aspects of the alliance seem to be important in internet-based treatment compared to face-to-face.

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8738

Sorting through life: evaluating patient-important measures of success in a medication for opioid use disorder (MOUD) treatment program

Type: Journal Article

Authors: M. K. Reed, K. R. Smith, F. Ciocco, R. W. Hass, A. L. Cox, E. L. Kelly, L. C. Weinstein

Year: 2023

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8739

South Asian women, psychological distress and self-harm: Lessons for primary care trusts

Type: Journal Article

Authors: Carolyn Chew-Graham, Col Bashir, Khatidja Chantler, Erica Burman, Janet Batsleer

Year: 2002

Publication Place: United Kingdom

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8740

Spatial access to buprenorphine-waivered prescribers in the HEALing communities study: Enhanced 2-step floating catchment area analyses in Massachusetts, Ohio, and Kentucky

Type: Journal Article

Authors: S. Shrestha, M. R. Lindstrom, D. Harris, P. Rock, S. Srinivasan, J. C. Pustz, R. Bayly, T. J. Stopka

Year: 2023

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