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KMID : 0377819930130060728
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Diagnosis and Treatment
1993 Volume.13 No. 6 p.728 ~ p.731
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SOMATIZATION DISORDER
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Abstract
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According to the DSM-III -R, the essential features of somatization disorder are recurrent and multiple somatic complaints, of several years´ duration, for which medical attention has been sought, but that apparently are not due to any physical disorder. The disorder begins be-fore the age of 30 and has a chronic but fluctuating course.
Anxious and depressed mood are extremely frequent in somatization disorder patients. Occupational, interpersonal, and marital difficulties are common. And somatization causes personal suffering and can have a deterimental effect on a person´s interactions with his or her family. It is also a burden on the community and an important matter of public health.
Some problems for diagnosing the somatization disorder were suggested by several studies about the phenomenological diagnostic criteria for this disorder. First, the diagnostic criteria may change by the individual cultural back-ground because there are some discrepancies in the symptom expressions of this disorder in each culture. Secondly, other neurotics, the patients with personality disorders, or especially depressives have also a tendency to somatization, although we care for this disorder as a separate disease entity.
Authors reported a case of somatization disorder in these context and reviewed some literature about the diagnosis and management of this disorder.
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KEYWORD
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