somatization disorder


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somatization

 [so″mah-tĭ-za´shun]
in psychiatry, the conversion of mental experiences or states into bodily symptoms.
somatization disorder a somatoform disorder characterized by multiple vague, recurring somatic complaints that cannot be fully explained by any known general medical condition or the direct effect of a chemical substance, but are not intentionally feigned or produced; it usually begins before age 30 and persists for several years. The patient may simply complain of being ill or may have specific symptoms, but the complaints will include a combination of at least multiple pain symptoms, multiple gastrointestinal symptoms, a sexual symptom, and a neurological symptom. Typical complaints include double vision, fainting, abdominal pain, bowel problems, painful menstruation, and sexual indifference. The complaints are often presented in a dramatic and exaggerated manner, but the patient is vague about their exact nature. The patient may visit many health care providers, sometimes several simultaneously, and undergo numerous diagnostic procedures, unnecessary treatments, and even surgery. Most such patients are anxious and depressed and have difficulty in personal relationships; many have traits of histrionic personality disorder. They are seldom free of symptoms in spite of frequent medical attention; in fact, the repeated, unnecessary diagnostic procedures or surgery may only add to their suffering. The outlook for these patients is poor. Called also Briquet's syndrome.

so·ma·ti·za·tion dis·or·der

1. a mental disorder characterized by presentation of a complicated medical history and of physical symptoms referring to a variety of organ systems, but without a detectable or known organic basis.
2. a DSM diagnosis that is established when the specified criteria are met.

somatization disorder

n.
A psychiatric disorder marked by multiple, recurring, or persistent physical complaints that have no identifiable causes. No longer in clinical use.

somatization disorder

Psychiatry A chronic disorder that begins before age 30, more in ♀, characterized by multiple and recurrent Sx and complaints of various body systems, for which the Pt regularly seeks medical attention for unexplained somatic complaints; Sx suggesting organ dysfunction(s) but not supported by lab data or clinical findings, are often vague, don't appear to be voluntary and may fulfill a psychological need Clinical Sx are severe enough to lead to visits to health professionals, require medication, or interfere with living; Sx begin or worsen after stress–eg, loss of job, close relative, or friend; Pts believe themselves to be sickly, have pseudoneuralgias–visual defects, dysphagia, voice loss, urinary retention, convulsions, seizures, GI Sx–colicky pain, N&V, dysmenorrhea, ↓ libido, pain–low back, genitalia, joints, cardiopulmonary Sx–eg, dyspnea, palpitations, chest pain; SD results from psychological, behavioral, interpersonal, and social factors, making treatment complex and multimodal. Cf Factitious diseases, Hypochondriasis.

so·ma·ti·za·tion dis·or·der

(sō'mă-tī-zā'shŭn dis-ōr'dĕr)
A mental disorder characterized by presentation of a complicated medical history and of physical symptoms referring to a variety of organ systems, but without a detectable or known organic basis.
See also: conversion, hysteria, conversion disorder

somatization disorder

The current term for HYSTERIA, adopted as a euphemism.

Patient discussion about somatization disorder

Q. Can depression cause your sight to narrow and your vision to be very spacey? Can depression cause your sight to narrow and your vision to be very spacey? If not what else may be the factor? If it did not seem to be that you were actually losing your vision and that you needed glasses.

A. Depression may be part of a wider problem. Perhps stress headaches or migraine headaches or something like that is causing the vision problem. Tension will cause your muscles to lock up. Some of the tension headaches I have had made me think I was not seeing so good. It was like a pain all the way around and across the top of my nead. My doctor readily recognized that symptom and gave me a presscription for them, and it has worked well on them, something called Dolgic.

More discussions about somatization disorder
References in periodicals archive ?
In such cases, where the appropriate non-somatoform diagnosis would be Factitious Disorder With Predominantly Physical Signs or Malingering, intentionally produced symptoms "should not count toward a diagnosis of Somatization Disorder. However, the presence of some factitious or malingered symptoms, mixed with other nonintentional symptoms, is not uncommon" and may require a diagnosis of both Somatization Disorder and one of those non-somatoform conditions.
We found that Puerto Ricans had more somatization disorder, but less affective and alcohol disorders as compared with US-born Mexican Americans or non-Hispanic whites.
Rule out primary and secondary causes of pain and screen for somatization disorders. Consider medication and psychotherapeutic treatment options.
SOMS-7 is a 53 items scale that provides rating of symptoms' severity of Somatization Disorder on five-point Likert scale ranges from not at all (0) to very severe (4) (Rief and Hiller, 2003).
Cognitive-behavioral therapy for somatization disorder. Archives of Internal Medicine, 166, 1512-1518.
A case of somatization disorder is reported, which produced an alter personality during progress of treatment with hypnotherapy.
When investigators revisited patients who had somatization disorder in one study, they found less than a quarter had somatization a year later.
The patient may have "fibromyalgia syndrome" (musculo-ligamentous disease) or somatization disorder or bizarre hysteric findings.
In addition, antisocial personality disorder afflicted four times as many men as women, but more women had symptoms of depression, anxiety and somatization disorder, a form of hypochondria.
This was followed by panic attack with a rate of 36.5%, specific phobia with a rate of 32.4%, somatization disorder and inattentive subtype of ADHD with a rate of 21.6%.
Present research investigated parental rejection and comorbid disorders in adolescents with somatization disorder. It was hypothesized that adolescents with somatization disorder are likely to report more parental rejection and have developed comorbid disorders compared to the normal controls.
Preliminary progress reports by the DSM-V work group suggest that the somatoform group classifications (e.g., Somatization Disorder and Hypochondriasis) may be replaced with one diagnostic label-Complex Somatic Symptom Disorder.