The Relationship Between Somatic Symptoms, Health Anxiety, and Outcome in Medical Out-Patients

School of Community Based Medicine, The University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK.
The Psychiatric clinics of North America (Impact Factor: 1.87). 09/2011; 34(3):545-64. DOI: 10.1016/j.psc.2011.05.001
Source: PubMed

ABSTRACT The author and colleagues tested cut point scores on measures of total somatic symptoms and health anxiety of new medical out-patients, to determine whether they predicted health status and number of medical consultations. High-scoring participants had significantly more impaired health status and medical consultations. High scores were associated with dissatisfaction with the doctor's explanation of their symptoms. Whether symptoms were medically explained or not made little difference to these results; anxiety and depression were not found to have effect. The author and colleagues found support for the combination of somatic symptoms and health anxiety as proposed in DSM-V complex somatic symptom disorder.

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