4 results on '"somatic symptom disorder"'
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2. Functional somatic syndromes and DSM-5: An evaluation from the standpoint of mind-body approach
- Author
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Burak Duruk and Özlem Sertel Berk
- Subjects
mind-body integration ,somatization ,functional somatic syndromes ,dsm-5 ,somatic symptom disorder ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Clinical phenomena, classically expressed as “Somatization” or “Psychosomatic” have become to be evaluated under the title of “Functional Somatic Syndromes” in the current literature. However, biomedical dualism which still remains valid in today’s medical practice prevents these clinical phenomena from being approached in a complete mind-body integrity. In the diagnosis of these syndromes and symptoms, emphasis on “medically unexplained” of DSM-IV had a central role. Indeed, this kind of approach makes the understanding and addressing of Functional Somatic Syndromes in a multidisciplinary fashion difficult. On the other hand, the revisions on DSM-5 by APA in 2013 seem to have initiated an important reconceptualization of these clinical phenomena. These revisions seem promising for solving main problems in handling Functional Somatic Syndromes caused by a dualistic approach. Therefore, this review aimed to discuss the critical role of DSM-5 on Functional Somatic Syndromes and summarize current approaches about them by proposing a full “mind-body integration."
- Published
- 2019
- Full Text
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3. 'Somatic Symptom Disorder', a neglected issue in the health system
- Author
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AYDIN TASLI, Begüm and HOCAOGLU, Cicek
- Subjects
Psychiatry ,Bedensel belirti bozukluğu ,tanı ,ayırıcı tanı ,Somatic symptom disorder ,diagnosis ,differential diagnos ,Psikiyatri - Abstract
Bedensel belirti bozukluğu, kişinin ciddi bir hastalığa sahip olduğuna dair sanrısal olmayan düşüncelerinin altı ay ya da daha uzun süre devam etmesi durumudur. Özellikle kadın cinsiyet, düşük sosyoekonomik düzeye sahip bireylerde görüldüğü belirtilmiştir. Bedensel belirti bozukluğunun sosyal, kültürel ve psikolojik yönleri mevcuttur. Bedensel belirti bozukluk tanılı bireyler, sağlık hizmetlerine çok sık başvurma eğilimindedir. Bu hastalar psikiyatrik destek almaktan kaçınırken, daha çok genel tıbbi hizmetlere yönelirler. Birinci basamak sağlık hizmetlerine başvuruların yarısından fazlasını bedensel belirtilere sahip bireylerin oluşturduğu gösterilmiştir. Bu hastaların tanı ve ayırıcı tanısında güçlükler yaşanmakta olup, hastalara çok sayıda girişimsel ve girişimsel olmayan tetkikler uygulanmaktadır. Sağlık sistemi için önemli bir ekonomik maliyete de yol açan bu durum sıklıkla hastaların tanısının atlanmasına ve tedavinin gecikmesine neden olmaktadır. Mevcut durum hekimler için hayal kırıklığı, çaresizlik gibi duygulara yol açarken hastalarda da hekimlere ve sağlık sistemine karşı memnuniyetsizliğe neden olur. Bedensel belirti bozukluğu önemli derecede yaşam kalitesinde bozulmaya, yeti yitimine yol açan bir ruhsal bozukluktur. Genel toplumda oldukça yaygın görüldüğü bildirilen bedensel belirti bozukluğunun etiyolojisi, tanı ve tedavi yaklaşımları tam olarak bilinmemektedir. BBB depresyon, anksiyete bozuklukları ile eş tanılı durumlara da neden olmaktadır. Bu nedenle BBB erken tanı ve tedavisi önem arz etmektedir. Biz de yazıda son beş yıl içinde ağrı yakınması nedeni 230‘dan fazla hekim başvurusu olan bir 51 yaşındaki erkek hastayı sunuyoruz. Ağrı yakınması nedeni ile başvurduğu sağlık kurumlarında hastaya çok sayıda girişimsel ve girişimsel olmayan tıbbi tetkik uygulanmış olması dikkat çekici bir durumdur. Hastanın belirgin düzeyde iş, ekonomik ve sosyal yaşamındaki işlev kaybı da mevcuttur. Bedensel belirti bozukluğu tanısı konusundaki farkındalığın artması hastaların yaşam kalitesini arttıracak, sağlık sistemi üzerinde olumlu katkılar sağlayacaktır., Somatic symptom disorder is a condition which non-delusional thoughts that a person has a serious illness persist in six months or longer. It has been stated that it is especially seen in individuals with female gender and low socioeconomic level. Somatic symptom disorder has social, cultural and psychological aspects. Individuals who have somatic symptom disorders tend to apply to health services very frequently. Although these patients avoid getting psychiatric support, they mostly turn to general medical services. It has been shown that more than half of the applications to primary health care services are made up of individuals with somatic symptoms. Difficulties are experienced in the diagnosis and differential diagnosis of these patients, and many invasive and non-invasive tests are applied to the patients. This situation, which also causes a significant economic cost for the health system, often leads to missed diagnosis of patients and delayed treatment. While the current situation causes feelings such as disappointment and helplessness for physicians, it also causes dissatisfaction with physicians and the health system in patients. Somatic symptom disorder is a mental disorder that causes significant deterioration in quality of life and disability. The etiology, diagnosis and treatment approaches of somatic symptom disorder, which is reported to be quite common in the general population, are not fully known. Somatic symptom disorder also causes comorbid conditions with depression and anxiety disorders. Therefore, early diagnosis and treatment of Somatic symptom disorder is important. In this article, we present a 51-year-old male patient who had more than 230 visits to a physician due to pain in the last five years. It is noteworthy that many invasive and non-invasive medical examinations were applied to the patient in the health institutions he applied for due to pain. There is also a significant loss of function in the patient's work, economic and social life. Increasing awareness about the diagnosis of somatic symptom disorder will increase the quality of life of patients and make positive contributions to the health system.
- Published
- 2022
4. Traces of trauma with genosociogram in a group of patients with somatic symptom disorder
- Author
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Gülfizar Sözeri Varma, Osman Özdel, and Şahabettin Çetin
- Subjects
Somatic Symptom Disorder ,Genosociogram ,Trauma - Abstract
The effects of traumatic life events and losses can be passed down from generation to generation through intergenerational and/or transgenerational transmission. The genosociogram is a family tree study enriched with important life events and connections. With the Genosoyogram study, it is possible to trace unresolved and incomplete traumas and ensure their completion. It is known that traumas have an important role in the etiopathogenesis of somatic symptom disorder. In this case report, it is aimed to present the results of the genosociogram study of 22 patients with somatic symptom disorder. Most of the patients had traumatic lives during childhood. It was determined that approximately one third of the patients had similar somatic symptom history, and 2 patients had anniversary reactions. It can be said that in patients with somatic symptom disorder, the genosoyogram study enables a detailed examination of the trauma and its effects, and to recognize the burdens transferred from past generations. It is also possible to see and remember positive elements such as strength, hope and commitment to life transferred from our ancestors. Studies using comprehensive and standardized measurement tools are needed on this subject. © 2020 The Author(s).
- Published
- 2021
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