Somatoform disorders
Introduction
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Somatoform disorders are characterised by the presence of physical complaints which would otherwise suggest a physical disorder but symptoms are not, or not sufficiently, explained by a physical disorder. Absence of a physical disorder should not be considered proof of a psychological cause. Physical complaints can be caused, maintained, or aggravated by psychological factors. In the treatment of unexplained physical symptoms, the consequences of the symptoms are more important than the causes.
The DSM-IV distinguishes the following somatoform diagnoses:
• somatization disorder;
• differentiated somatoform disorder;
• conversion disorder;
• pain disorder;
• hypochondriasis;
• body dysmorphic disorder.
The amount of professional information available on the Internet is growing every day. However, it is not the quantity but the quality that counts. The links are organised into five categories: pages with links, PubMed literature searches, articles from professional journals, Internet publications, and organisations and professional publications.
Pages with links
Collections of links make searching the net more effective. We have tried to offer pages with relevant links that are frequently updated. We have evaluated the relevance of the contents of the links only on a global level.
PubMed literature searches
We have formulated a PubMed search strategy for each of the diagnostic categories. By clicking on the link you can search the recent literature regarding the subject. An ideal search strategy should yield all but only relevant articles. In practice that is impossible. We have strived for a balance between 'sensitivity' and 'specificity'. We chose a configuration by which the search is limited to the last three months. You can change this search interval by clicking on the limits button.
Articles from professional journals
A limited number of 'peer reviewed' journals provide a full text articles free of charge. For somatoform disorders, the British Medical Journal is an interesting resource. Topic relevance is the most important criterion for inclusion.
Internet publications
Various organisations provide texts that are relevant to this topic. These texts can be compared to chapters in a textbook. There are a number of internet publications for readers interested in this topic. Content of the articles has been checked for relevance and the reliability of the source.
Organisations and professional journals
Many of the professional organisations and journals are accessible via the Internet. Our objective is to provide their Internet addresses.
Contact
We welcome suggestions for interesting links. Send your comments to somatisatie@psychiatrienet.nl.
General
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PubMed: Literature search on Somatization
This link permits you to look up recent articles articles on PubMed with the keyword " somatization " in the title or abstract.
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PubMed: Literature research on somatoform disorders
This link permits you to look up recent articles articles on PubMed with the keywords "somatoform disorders" and "psychosomatic medicine" in the title or abstract.
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AllPsych Online - The Virtual Psychology Classroom: Somatoform Disorders
An internet publication with a description of the most important characteristics of somatoform disorders including body dysmorphic, conversion, hypochondriasis, pain, and somatisation disorders.
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American Family Physician: Managing somatic preoccupation
Somatic preoccupation in primary care. Full text article by Elisabeth L. Righter et al.
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British Medical Journal: Psychological medicine
Editorial on integrating psychological care into general medical practice. Full text article by Kurt Kroenke.
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British Medical Journal Collected Resources: Somatoform disorders
Nice collection of links to full text articles about somatoform disorders published in the BMJ. This journal understands how important it is to be generous with medically relevant information. Read it!
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Family Practice Notebook: Somatoform disorders
Internet publication for general practitioners. Provides a point by point overview of the relevant aspects of somatoform disorder.
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Medical Journal of Australia: Managing somatoform disorders
Clinical practice article about somatoform disorder in general practice. Full text article by Bruce S. Singh.
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Merck Manual, The: Somatoform disorders
This internet publication provides a summary of the somatoform disorders with links to chapters on hypochondriasis, somatisation, conversion, pain, and body dysmorphic disorders.
Somatisation disorder
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PubMed: literature search on somatisation disorder
This link permits you to look up recent articles on PubMed with the keyword "somatization disorder" in the title or abstract.
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Postgraduate Medicine: Simplified approach to somatisation disorder
Holloway, K.L., Zerbe, K.J. (2000). Simplified approach to somatization disorder. When less may prove to be more. Postgraduate Medicine, 108, 6. Full text article with an informative description of an effective clinical approach for patients with somatisation disorder.
Undifferentiated somatoform disorder
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PubMed: Literature search on unexplained physical complaints
This link permits you to look up recent articles articles on PubMed with the keyword "medical(ly) unexplained symptom" in the title or abstract.
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Annals of Internal Medicine: Functional somatic syndromes
Review article on the state-of-the-art. Full text article by Arthur J. Barsky and Jonathan F. Borus.
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British Medical Journal: Treating medically unexplained physical symptoms
There are effective treatments for unexplained physical complaints. Full text article by Richard Mayou and Michael Sharpe.
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British Medical Journal: Mental health interventions for common somatic symptoms
Systematic review of first- and second-line psychological interventions for chronic fatigue syndrome, spastic colon, and chronic back pain. Full text article by Rosalind Raine et al.
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British Medical Journal: Patients' perceptions of medical explanations for somatisation disorders
Patients with unexplained physical complaints feel better with "explanations that are accountable, exculpating, and involving." Full text article by Peter Salmon et al.
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British Medical Journal: RCT of disclosure of emotionally important events in somatisation
Talking about emotionally important events has no effect on the health of somatic patients treated in general practice. Full text article by Albert F. Schilte et al.
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Medical Journal of Australia: Chronic fatigue syndrome guideline
Full text article by a working group convened under the auspices of the Royal Australasian College of Physicians.
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Clinical Practice Guidelines: Medically Unexplained Symptoms
This internet publication provides a clinical guideline for the diagnosis and treatment of chronic fatigue and fibromyalgia.
Conversion disorder
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PubMed: Literature research on conversion disorder
This link permits you to look up recent articles articles on PubMed with the keyword " conversion disorder " in the title or abstract.
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Emergency Medicine: Conversion Disorder
Extensive chapter on the clinical treatment of conversion disorder.
Pain disorder
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PubMed: Literature research on pain disorder
This link permits you to look up recent articles articles on PubMed with the keyword " pain disorder(s)" in the title or abstract.
Hypochondriasis
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PubMed: Literature search on hypochondriasis
This link permits you to look up recent articles articles on PubMed with the keyword "hypochondriasis " in the title or abstract.
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Student BMJ: Hypochondriasis
A review article for medical students.
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Dr. Wilhelmsen's Homepage.: Hypochondria
Information aimed at patients (and family members).
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Dr. Wilhelmsen's Homepage.: The Whiteley Index
A simple questionnaire for hypochondria, often used in scientific research.
Body dysmorphic disorder
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PubMed: Literature search our body dysmorphic disorder
This link permits you to look up recent articles articles on PubMed with the keyword "body dysmorphic disorder" in the title or abstract.
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Butler Hospital: Body Dysmorphic Disorder (BDD) and Body Image Program Homepage
Website for patients by the prominent researcher Katharine A. Philips.
Journals
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European Journal of Pain
Journal of the EFIC, the European subsidiary of the International Association for the Study of Pain.
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General Hospital Psychiatry
Journal with articles relating to the intersection of psychiatry, hospital medicine, and primary care. It emphasises a biopsychological approach to illness and health, and emphasises the importance of psychiatry in general medicine. Unfortunately the link provides only a table of contents but you can request a free sample copy.
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International Journal of Psychiatry in Medicine
This journal provides a forum for the advancement of psychosocial and biological theory, methods, and treatment adapted to patient care.
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Journal of Psychosomatic Research
Multidisciplinary journal which publishes research about all aspects of the relationship between psychology and medicine.
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Pain
Published by the International Association for the Study of Pain, this journal is one of the most important international journals in pain research.
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Psychotherapy and Psychosomatics
Publishes editorials, review articles, and research relating to the junction between psychotherapy and medicine.
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Psychosomatic Medicine
Multidisciplinary international Journal of the American Psychosomatic Society. Publisher experimental and clinical research about diverse aspects of the relationship between social, psychological, and behavioural factors in relationship to physical processes in humans and animals.
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Psychosomatics
Journal of the Academy of Psychosomatic Medicine. Publishes articles on the subject of psychiatry and general medicine.
Associations
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Academy of Psychosomatic Medicine (APM)
The American organisation for consultation and liaison psychiatry. The annual conference is an international meeting place for consultation psychiatrists. Publisher of Psychosomatics.
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American Pain Society, The
The American suborganisation of the International Association for the Study of Pain. Publishes the fairly new Journal of Pain, which can easily be found from this site. Organises an annual scientific convention.
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American Psychosomatic Society (APS)
Publisher of the Psychosomatic Medicine and organiser of an annual worldwide convention.
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European Association of Consultation Liaison Psychiatry and Psychosomatics (EACLPP)
Announcement of the scientific meeting for consultation-liaison psychiatry and psychosomatics, June 25 - 28, 2008 in Zaragoza, Spain.
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International Association for the Study of Pain, The (IASP)
Head organisation with more than 50 chapters in participating countries. A site with a lot of information. Publisher of the journal Pain. Organises a world conference every three years.
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International College of Psychosomatic Medicine (ICPM)
International association for psychosomatic medicine. Organises an annual world conference
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International Society of Psychosomatic Obstetrics and Gynecology (ISPOG)
Publishers of the Journal of Psychosomatic Obstetrics and Gynecology. Organises an annual international conference.
Patient/client organisations and information
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Dr. Wilhelmsen's Homepage.: Hypochondria
Information aimed at patients (and family members).