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Psychosocial Dysfunction in Somatising Patients

Published online by Cambridge University Press:  02 January 2018

R. K. Chadda ,
M. S. Bhatia ,
S. Shome  and
K. N. Thakur
R. K. Chadda*
Affiliation:
Department of Psychiatry, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi-110095, India
M. S. Bhatia
Affiliation:
Department of Psychiatry, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi-110095, India
S. Shome
Affiliation:
Department of Psychiatry, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi-110095, India
K. N. Thakur
Affiliation:
Department of Psychiatry, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi-110095, India
*
∗Correspondence
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Abstract

Somatising patients present with a variety of psychosocial dysfunctions. Using the Dysfunctional Analysis Questionnaire and the Global Assessment of Functioning scale, we studied the nature and severity of psychosocial dysfunction in a group of somatising patients. Dysfunction was less marked in the cognitive area than in social, vocational, personal and familial areas. Patients with depressive disorders showed more dysfunction than those with somatoform disorders in all psychosocial areas except cognitive.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 163 , Issue 4 , October 1993 , pp. 510 - 513
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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References

American Psychiatric Association (1960) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Barsky, A. J., Wyshak, G. & Kuerman, G. L. (1986) Medical and psychiatric determinants of outpatient medical utilisation. Medical Care, 15, 59–73.Google Scholar
Bridges, R. N. & Goldberg, D. P. (1985) Somatic presentation of DSM-III psychiatric disorders in primary care. Journal of Psychosomatic Research, 29, 563–569.Google Scholar
Chavan, B. S. & Kulhara, P. (1988) Outcome of reactive psychosis: a prospective study from India. Acta Psychiatrica Scandinavica, 77, 477–482.Google Scholar
Escobar, J. I., Burnam, A., Karno, M., et al (1987a) Somatisation in the community. Archives of General Psychiatry, 44, 713–718.Google Scholar
Escobar, J. I., Burnam, A., Karno, M., Golding, J. M., Hough, R. L., et al (1987b) Somatisation in the community: relationship to disability and use of services. American Journal of Public Health, 77, 837–840.CrossRefGoogle ScholarPubMed
Escobar, J. I., Burnam, A., Karno, M., Golding, J. M., Hough, R. L., & Canino, G. (1989) Unexplained physical complaints: psychopathology and epidemiological correlates. British Journal of Psychiatry, 154 (suppl. 4), 24–27.Google Scholar
Escobar, J. I., Burnam, A., Karno, M., Golding, J. M., Hough, R. L., & Canino, G., Rubio-Stipec, M., Canino, G., et al (1989) Somatic Symptom Index (SSI): a new and abridged somatisation construct - prevalence and epidemiological correlates in two large community samples. Journal of Nervous and Mental Diseases, 177, 140–146.Google Scholar
German, G. A. (1972) Aspects of clinical psychiatry in Sub-Saharan Africa. British Journal of Psychiatry, 121, 461–479.Google Scholar
Jain, A., Pershad, D. & Avasthi, A. (1990) Psychosocial dysfunctioning in psychiatric patients. Indian Journal of Social Psychiatry, 6, 10–16.Google Scholar
Katon, W., Lin, E., Korff, M. V., et al (1991) Somatisation: a spectrum of severity. American Journal of Psychiatry, 148, 34–40.Google Scholar
Kirmayer, L. J. (1984) Culture, affect and somatisation. Transcultural Psychiatric Research, 21, 159–188.CrossRefGoogle Scholar
Lipowski, Z. J. (1988) Somatisation: the concept and its application. American Journal of Psychiatry, 145, 1358–1368.Google Scholar
Mumford, D. B., Bavington, J. T., Bhatanagar, K. S., et al (1991) The Bradford Somatic Inventory: a multi-ethnic inventory of somatic symptoms reported by anxious and depressed patients in Britain and the Indo-Pakistan subcontinent. British Journal of Psychiatry, 158, 379–386.Google Scholar
Pershad, D., Verma, S. K., Malhotra, A., et al (1983) Further validation of Dysfunctional Analysis Questionnaire. Indian Journal of Clinical Psychology, 16, 64–67.Google Scholar
Pershad, D., Verma, S. K., Malhotra, A., et al (1985) Measurement of Dysfunction and Dysfunctional Analysis Questionnaire. Agra: National Psychological Corporation.Google Scholar
Pershad, D., Malhotra, A., & Verma, S. K. (1989) Measurement of change in psychosocial functioning following illness and therapeutic intervention. Indian Journal of Clinical Psychology, 16, 64–67.Google Scholar
Sabhesan, S., Arumugham, R., Ramaswamy, P., et al (1987) Persistent alcohol abuse and late outcome in head injury. Indian Journal of Psychological Medicine, 10, 61–65.CrossRefGoogle Scholar
Schurman, R. A., Kramer, P. D. & Mitchell, J. B. (1985) The hidden mental health network. Archives of General Psychiatry, 42, 89–94.Google Scholar
Sigvardsson, S., Von Knorring, A. L., Bohman, M., et al (1984) An adoption study of somatoform disorders-1. The relationship of somatisation to psychiatric disability. Archives of General Psychiatry, 41, 853–862.Google Scholar
Smith, G. R., Monson, R. A. & Ray, D. C. (1986) Patients with multiple unexplained symptoms - their characteristics, functional health, and health care utilisation. Archives of Internal Medicine, 146, 69–72.Google Scholar
Varma, V. K., Nehra, R., Malhotra, A., et al (1987) Psychosocial adjustment of cannabis users. Indian Journal of Social Psychiatry, 3, 170–185.Google Scholar
Wallen, J., Pincus, H. A., Goldman, H. H., et al (1987) Psychiatric consultations in short term general hospitals. Archives of General Psychiatry, 44, 163–168.CrossRefGoogle ScholarPubMed
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