Pain as a Model of Somatic Symptom Formation

In searching for an operational definition of aggression, five different aspects of the concept of aggression are described: aggression as an instinct, as a behavior pattern, as an emotion, as a trait of character and as a defense. Discussion of the role of aggression is made very difficult because there still exist a great many unsolved fundamental problems in quantifying each aspect of the concept. Behaviorists and psychophysiologists have made important contributions toward solving the problem of quantification. The meaning of aggression for psychosomatic disorders has been intensively studied by psychoanalysts. The psychoanalytic model poses two hypotheses which are subject to critical consideration, namely: 1) the therapeutic meaning of the abreaction of repressed and suppressed strangulated affects [1] and 2) the pensée opératoire [2]. Psychotherapeutic practice is often disappointing in providing answers, but we can look for clarification by studying the specific meaning of patient-doctor relationships in which aggression as an emotion in interaction plays a leading role. In many cases the onset of the somatic symptom may be iatrogenic; the course and recovery may also be dependent on this or analogous relationships.

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Historische Entwicklung, Diagnostik und Klassifikation der Somatoformen Störungen – Vergleich von ICD-10, DSM-IV-TR und DSM-5

Die Psychiatrie ◽

10.1055/s-0038-1670759 ◽

2014 ◽

Vol 11 (03) ◽

pp. 149-155

Author(s):

M. Zaudig

Keyword(s):

Anxiety Disorder ◽

Somatic Symptom ◽

Somatic Symptom Disorder ◽

Historische Entwicklung ◽

Dsm 5 ◽

Illness Anxiety Disorder ◽

Icd 10 ◽

Dsm Iv ◽

Illness Anxiety

ZusammenfassungDer vorliegende Artikel beschreibt die aktuellen diagnostischen Entwicklungen im Bereich der Somatoformen Störung unter Zugrundelegung der aktuellen S3-Leitlinien für „Nichtspezifische funktionelle und somatoforme Körperbeschwerden“ und der historischen Entwicklung der Somatoformen Störungen (einschließlich der Hypochondrie). Neben einem Vergleich von ICD-10 mit DSM-IV-TR und DSM-5 werden die neuen Kriterien für Somatic Symptom Disorder und Illness Anxiety Disorder (vormals Hypochondrie) nach DSM-5 vorgestellt und diskutiert.

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Validación de la escala de sintomas somáticos (SSS-8) en pacientes de una zona rural en Ecuador

Práctica Familiar Rural ◽

10.23936/pfr.v3i2.3 ◽

2018 ◽

Vol 3 (2) ◽

Author(s):

Mercy García ◽

Ernestina Tamami ◽

Giovanni Rojas-Velasco ◽

Carolina Posso ◽

Galo Sánchez del Hierro ◽

...

Keyword(s):

Mental Disorders ◽

Somatic Symptom ◽

Symptom Scale ◽

Statistical Manual ◽

Diagnostic And Statistical Manual ◽

Calidad De Vida ◽

Dsm V ◽

Scale 8

Introducción.- Los síntomas somáticos causan malestar y afectan la calidad de vida de los pacientes, incrementando la frecuencia del uso de los servicios de salud. En Ecuador no existe un instrumento validado que evalúe somatización. La escala Somatic Symtom Scale-8 (SSS-8), es un instrumento usado como medida de referencia en the Diagnostic and Statistical Manual of Mental Disorders(DSM-V), para evaluar la carga de síntomas somáticos, validada en inglés y adaptada culturalmente a los idiomas alemán y japonés. Objetivos.- En esta investigación el propósito fue validar la escala “Somatic Symptom Scale-8” y determinar sus propiedades métricas. Métodos.- Investigación descriptiva y transversal en la que se realizó la validación de la herramienta clínica SSS-8 en 401 pacientes en la consulta externa del hospital Pedro Vicente Maldonado, desde mayo a julio de 2017. Para el análisis de datos se utilizaron los programas estadísticos SPSS versión 23, Latent gold y EpiDat 3.1. Resultados.- El grupo mayoritario fue de 30 a 47 años, con ligero predominio del sexo masculino (con 52,6%) sobre el femenino (47,4%). El SSS-8 mostró adecuadas propiedades métricas (alfa de Cronbach de 0,73). Mediante este análisis se obtuvo que, los pacientes que respondieron: algo, bastante o muchísimo en las dimensiones sentirse cansado, dolor de cabeza, dolor de brazos y dolor de espalda; tenían un 99% de probabilidades de presentar somatización. Conclusiones.- En este estudio, el SSS-8 demostró ser una herramienta útil para evaluar los síntomas somáticos en pacientes que acuden a consulta externa, ya que presentó buenas propiedades métricas: consistencia interna elevada, buena validez y una apropiada capacidad discriminativa.

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The Effects of Dispositional Self-focused Attention and Focusing Manner on Somatic Symptom Among Female University Student

The Journal of Humanities and Social sciences 21 ◽

10.22143/hss21.9.4.56 ◽

2018 ◽

Vol 9 (4) ◽

pp. 797-812

Author(s):

Dahyun In ◽

Eunsun Joo

Keyword(s):

Somatic Symptom ◽

University Student ◽

Focused Attention

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Patients who complain of autonomic dysregulation: A cross-sectional study of patients with somatic symptom disorder

International Journal of Social Psychiatry ◽

10.1177/00207640211025549 ◽

2021 ◽

pp. 002076402110255

Author(s):

Chao-Ying Tu ◽

Wei-Shih Liu ◽

Yen-Fu Chen ◽

Wei-Lieh Huang

Keyword(s):

Help Seeking ◽

Somatic Symptom ◽

Health Anxiety ◽

Cross Sectional Study ◽

Psychiatric Diagnoses ◽

Somatic Symptom Disorder ◽

Autonomic Dysregulation ◽

Cross Sectional ◽

Significant Difference ◽

Patient Health

Background: Somatic symptom disorder (SSD) is common in medical settings but has been underdiagnosed. Stigma related to psychiatric illness was one of the barriers to making the diagnosis. More and more SSD patients who visited psychiatric clinics with physical complaints identify themselves as having ‘autonomic dysregulation’ in Taiwan. Aims: This study aimed to investigate the characteristics of patients with a subjective diagnosis of ‘autonomic dysregulation’. Method: We assessed the sociodemographic profile, medical/psychiatric diagnoses, subjective psychiatric diagnoses, perceived psychiatric stigma, help-seeking attitude, and healthcare utilization of 122 participants with SSD. Participants who identified themselves as having ‘autonomic dysregulation’ ( n = 84) were compared to those who did not (n=38). Results: Participants with a subjective diagnosis of ‘autonomic dysregulation’ were younger and had a higher education level than those who did not have such a subjective diagnosis. They also had higher scores on the Patient Health Questionnaire-15 (PHQ-15) and Health Anxiety Questionnaire (HAQ), whereas comorbid psychiatric diagnoses were similar in the two groups. Participants with and without a subjective diagnosis of ‘autonomic dysregulation’ did not have a significant difference in perceived psychiatric stigma and help-seeking attitude/behaviors. In a multiple logistic regression model, only age was associated with having a subjective diagnosis of ‘autonomic dysregulation’. Conclusion: Among SSD patients, those who identify themselves as having ‘autonomic dysregulation’ tend to have higher somatic distress and health anxiety than those who do not. ‘Autonomic dysregulation’ is not associated with perceived psychiatric stigma.

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