
Psychosomatics 42:63-67, February 2001
© 2001 The Academy of Psychosomatic Medicine
Somatization
A Debilitating Syndrome in Primary Care
Lesley A. Allen, Ph.D.,
Michael A. Gara, Ph.D.,
Javier I. Escobar, M.D.,
Howard Waitzkin, M.D., and
Roxane Cohen Silver, Ph.D.
Received March 21, 2000; revised June 30, 2000; accepted July 25, 2000. From Department of Psychiatry, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey; Division of Community Medicine, University of New Mexico, Albuquerque, New Mexico; Department of Psychology and Social Behavior, School of Social Ecology, University of California, Irvine, California.. Address correspondence and reprint requests to Dr. Allen, Department of Psychiatry, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854.
Somatization is a significant problem for clinical medicine. Unlike somatization disorder, which is relatively rare, abridged somatization, a less severe form of somatization, is prevalent in primary care clinics. The authors examined the clinical status and functioning of patients diagnosed with a depression or anxiety disorder comorbid with abridged somatization and compared them with patients diagnosed with a depression or anxiety disorder alone. The authors examined severity of physical functioning and psychopathology in relation to diagnostic status. Patients diagnosed with both abridged somatization and a depression or anxiety disorder were more physically impaired and more anxious than those diagnosed with a depression or anxiety disorder alone. The results suggest that abridged somatization frequently coexists with depression and anxiety and thus complicates the presentation of these disorders.
Key Words: Primary Care Somatoform Disorders
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