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The use of hospitalizations by persistent somatizing patients

Published online by Cambridge University Press:  09 July 2009

Per Fink
Per Fink*
Affiliation:
Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, Risskov, Denmark
*
1 Address for correspondence: Dr Per Fink, Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, DK-8240 Risskov, Denmark.
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Synopsis

Medical records were selected from the Danish National Patient Register in order to study individuals between the ages of 17 and 49 years in the general population who, during an 8-year period, were admitted at least 10 times to a general hospital (N = 282). Fifty-six subjects (19%) were found to be persistent somatizers, i.e. they were admitted repeatedly to general hospitals for physical symptoms without an organic basis. This corresponded to a frequency of persistent somatization in the population 0·6 per 1000 men and 3·2 per 1000 women.

Type
Original Articles
Information
Psychological Medicine , Volume 22 , Issue 1 , February 1992 , pp. 173 - 180
Copyright
Copyright © Cambridge University Press 1992

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References

Referemces

American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn revised (DSM-III-R). American Psychiatric Association: Washington, DC.Google Scholar
Bass, C. (1990). Somatization. Physical Symptoms and Psychological Illness. Blackwell Scientific Publications: Oxford.Google Scholar
Bishop, E. R. (1980). Monosymptomatic hypochondriasis. Psychosomatics 21, 731–747.CrossRefGoogle ScholarPubMed
Bridges, K. W. & Goldberg, D. P. (1985). Somatic presentation of DSM-III psychiatric disorders in primary care. Journal of Psychosomatic Research 29, 563–569.CrossRefGoogle ScholarPubMed
Carney, M. W. P. (1980). Artefactual illness to attract medical attention. British Journal of Psychiatry 136, 542–547.CrossRefGoogle ScholarPubMed
Cloninger, R. (1986). Somatoform and dissociative disorders. In The Medical Basis of Psychiatry (ed Winokur, G. and Clayton, P.), pp. 123–151. W. B. Saunders: Philadelphia.Google Scholar
Dixon, W. J. (1985). BMDP Statistical Software Manual. University of California Press: Berkeley.Google Scholar
Dworkin, S. F., von Korff, M. & LeResche, L. (1990). Multiple pains and psychiatric disturbance. An epidemiologic investigation. Archives of General Psychiatry 47, 239–244.CrossRefGoogle ScholarPubMed
Escobar, J. I., Burnham, A., Karno, M., Forsythe, A. & Golding, J. M. (1987). Somatization in the community. Archives of General Psychiatry 44, 713–718.CrossRefGoogle ScholarPubMed
Fink, P. (1989). 17–49-åriges indlæggelser på somatisk afdeling i en 8-årig periode. En patientregisterundersøgelse. (With an English summary). Ugeskr Laeger 151, 307–310.Google Scholar
Fink, P. (1990 a). Mental illness and utilization of admission to general hospital. A register investigation. Acta Psychiatrica Scandinavica 82, 458–462.CrossRefGoogle ScholarPubMed
Fink, P. (1990 b). Physical disorders associated with mental illness. A register investigation. Psychological Medicine 20, 829–834.CrossRefGoogle ScholarPubMed
Fink, P. (1991). Physical complaints and symptoms of somatizing patients. Journal of Psychosomatic Research 35, 1–12.Google Scholar
Fink, P. & Jensen, J. (1990). Clinical characteristics of the Munchausen syndrome. A review and 3 new case histories. Psychotherapy and Psychosomatics 52, 164–171.CrossRefGoogle Scholar
Ford, C. V. (1983). The Somatizing Disorders. Illness as a Way of Life. Elsevier Biomedical: New York.Google Scholar
Fulop, G., Strain, J. J., Vita, J., Lyons, J. S., Hammer, J. S. (1987). Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report. American Journal of Psychiatry 144, 878–882.Google ScholarPubMed
Katon, W., Ries, R. K. & Kleinman, A. (1984). Part II: a prospective DSM-III study of 100 consecutive somatization patients. Comparative Psychiatry 25, 305–314.CrossRefGoogle Scholar
Kellner, R. (1987). Hypochondriasis and somatization. Journal of the American Medical Association 258, 2718–2722.CrossRefGoogle ScholarPubMed
Kroenke, K., Arrington, M. E., Mangelsdorff, A. D. (1990). The prevalence of symptoms in medical outpatients and the adequacy of therapy. Archives of Internal Medicine 150, 1685–1689.CrossRefGoogle ScholarPubMed
Kroenke, K. & Mangelsdorff, D. (1989). Common symptoms in ambulatory care: incidence, evaluation, therapy, and outcome. American Journal of Medicine 86, 262–266.CrossRefGoogle ScholarPubMed
Lipowski, Z. J. (1986). Somatization: a borderland between medicine and psychiatry. Canadian Medical Association Journal 135, 609–613.Google ScholarPubMed
Lipowski, Z. J. (1988). Somatization: the concept and its clinical application. American Journal of Psychiatry 145, 1358–1368.Google ScholarPubMed
McKegney, F. P. (1967). The incidence and characteristics of patients with conversion reactions. I. A general hospital consultation service sample. American Journal of Psychiatry 124, 542–545.CrossRefGoogle Scholar
Mayou, R. & Hawton, K. (1986). Psychiatric disorder in the general hospital. British Journal of Psychiatry 149, 172–190.CrossRefGoogle ScholarPubMed
Robins, L. N. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry 41, 949–958.CrossRefGoogle ScholarPubMed
Slavney, P. R. & Teitelbaum, M. L. (1985). Patients with medically unexplained symptoms: DSM-III diagnoses and demographic characteristics. General Hospital Psychiatry 7, 21–25.CrossRefGoogle ScholarPubMed
Smith, G. R., Monson, R. A. & Ray, D. C. (1986). Psychiatric consultation in somatization disorder. A randomized controlled study. New England Journal of Medicine 314, 1407–1413.CrossRefGoogle ScholarPubMed
Sundhedsstyrelsen (1984). Evaluering of Landspatientregisteret. Sundhedsstyrelsen (II: 19: 1984): København. (The National Board of Health (1984). Evaluation of the National Patient Register. The National Board of Health (II: 19: 1984): Copenhagen.)Google Scholar
Swartz, M., Blazer, D., George, L. & Laderman, R. (1986). Somatization disorder in the community population. American Journal of Psychiatry 143, 1403–1408.Google ScholarPubMed
Weissman, M. M., Myers, J. K. & Harding, P. S. (1978). Psychiatric disorders in a US urban community. 1975–1976. American Journal of Psychiatry 135, 459–462.Google Scholar
World Health Organization (1977). International Classification of Diseases. Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death. 8th revision. (Danish version used.) World Health Organization: Geneva.Google Scholar