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Somatic symptom disorder

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1071:(ECT) has been used in treating somatic symptom disorder among the elderly; however, the results were still debatable with some concerns around the side effects of using ECT. Overall, psychologists recommend addressing a common difficulty in patients with somatic symptom disorder in the reading of their own emotions. This may be a central feature of treatment; as well as developing a close collaboration between the GP, the patient and the mental health practitioner. 1094:
somatic symptom disorder are common during adolescence. A community study of adolescents found that 5% had persistent distressing physical symptoms paired with psychological concerns. In the primary care patient population, the rate rises to around 17%. Patients with functional illnesses such as fibromyalgia, irritable bowel syndrome, and
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activity have been shown to be linked in those who experienced stressful life events for an extended period of time. It is further claimed that increased activity of the anterior cingulate cortex, which acts as a bridge between attention and emotion, leads to increased sensitivity of unwanted stimuli
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to be more threatening and, therefore, exhibit stronger cognitive, emotional, and behavioral awareness of such symptoms. In addition, evidence suggests that negative psychological factors have a significant impact on the impairments and behaviors of people suffering from somatic symptom disorder, as
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The cause of somatic symptom disorder is unknown. Symptoms may result from a heightened awareness of specific physical sensations paired with a tendency to interpret these experiences as signs of a medical ailment. The diagnosis is controversial, as people with a medical illness can be mislabeled as
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Manifestations of somatic symptom disorder are variable; symptoms can be widespread, specific, and often fluctuate. Somatic symptom disorder corresponds to the way an individual views and reacts to symptoms rather than the symptoms themselves. Somatic symptom disorder may develop in those who suffer
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reported respondents who had been unwell for most of their lives and complained of a variety of symptoms from various organ systems. Despite many appointments, hospitalizations, and tests, symptoms continue. Somatic symptom disorder was later dubbed "Briquet Syndrome" in his honor. Over time, the
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Somatic symptom disorder is typically persistent, with symptoms that wax and wane. Chronic limitations in general function, substantial psychological impairment, and a reduction in quality of life are all common. Some investigations suggest people can recover; the natural history of the illnesses
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has been linked to significant improvements in patient-reported function and somatic symptoms, a reduction in health-care expenses, and a reduction in symptoms of depression. CBT aims to help patients realize their ailments are not catastrophic and to enable them to gradually return to activities
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or medical condition. When a somatic symptom disorder coexists with another medical ailment, people overreact to the ailment's adverse effects. They may be unresponsive toward treatment or unusually sensitive to drug side effects. Those with somatic symptom disorder who also have another physical
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Somatic symptom disorder affects 5% to 7% of the general population, with a higher female representation, and can arise throughout childhood, adolescence, or adulthood. Evidence suggests that the emergence of prodromal symptoms often begins in childhood and that symptoms fitting the criteria for
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Those suffering from somatic symptom disorder experience recurring and obsessive feelings and thoughts concerning their well-being. Common examples include severe anxiety regarding potential ailments, misinterpreting normal sensations as indications of severe illness, believing that symptoms are
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Manifestations of somatic symptom disorder are highly variable. Recurrent ailments usually begin before the age of 30; most patients have many somatic symptoms, while others only experience one. The severity may fluctuate, but symptoms rarely go away completely for long periods of time. Symptoms
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classifies somatic symptoms as "Bodily distress disorder". Bodily distress disorder is characterized by the presence of distressing bodily symptoms and excessive attention devoted to those symptoms. The ICD-11 further specifies that if another health condition is causing or contributing to the
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or result in substantial impairment of daily life". Additional criteria, often known as B criteria, include "excessive thoughts, feelings, or behaviors regarding somatic symptoms or corresponding health concerns manifested by disproportionate and persistent thoughts about the severity of one's
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Somatic symptom disorder has long been a contentious diagnosis because it was based solely on negative criteria, namely the absence of a medical explanation for the presenting physical problems. As a result, any person suffering from a poorly understood illness may meet the criteria for this
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patterns; and abnormal limb posture. The presenting symptom in conversion disorder is loss of function, but in somatic symptom disorder, the emphasis is on the discomfort that specific symptoms produce. Conversion disorder often lacks the overwhelming thoughts, feelings, and behaviors that
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Sattel, H.; Lahmann, C.; GĂĽndel, H.; Guthrie, E.; Kruse, J.; Noll-Hussong, M.; Ohmann, C.; Ronel, J.; Sack, M.; Sauer, N.; Schneider, G.; Henningsen, P. (2012). "Brief psychodynamic interpersonal psychotherapy for patients with multisomatoform disorder: randomised controlled trial".
971:. Illness anxiety disorder is characterized by an obsession with having or developing a dangerous, undetected medical ailment, despite the absence of bodily symptoms. Conversion disorder may present with one or more symptoms of various sorts. Motor symptoms involve 1084:
indicators. A strong, positive relationship between the physician and the patient is crucial, and it should be accompanied by frequent, supportive visits to avoid the temptation to medicate or test when these interventions are not obviously necessary.
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Liu, Jing; Gill, Neeraj S.; Teodorczuk, Andrew; Li, Zhan-jiang; Sun, Jing (2019). "The efficacy of cognitive behavioural therapy in somatoform disorders and medically unexplained physical symptoms: A meta-analysis of randomized controlled trials".
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The DSM includes five distinct descriptions for somatic symptom disorder. These include somatic symptom disorder with predominant pain, formally referred to as pain disorder, as well as classifications for mild, moderate, and severe symptoms.
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activity and can occur in the absence of nociception. Those with somatic symptoms are thought to exaggerate their somatic symptoms through choice perception and perceive them in accordance with an ailment. This idea has been identified as a
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Klaus, Kristina; Rief, Winfried; Brähler, Elmar; Martin, Alexandra; Glaesmer, Heide; Mewes, Ricarda (November 2015). "Validating psychological classification criteria in the context of somatoform disorders: A one- and four-year follow-up".
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Somatic symptom disorder can be detected by an ambiguous and often inconsistent history of symptoms that are rarely relieved by medical treatments. Additional signs of somatic symptom disorder include interpreting normal sensations for
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Häuser, Winfried; Bialas, Patric; Welsch, Katja; Wolfe, Frederick (June 2015). "Construct validity and clinical utility of current research criteria of DSM-5 somatic symptom disorder diagnosis in patients with fibromyalgia syndrome".
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system, in particular, may be relevant while a shared genetic source remains unknown. Researchers take into account the various processes involved in the development of somatic symptoms as well as the interactions between various
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in patients with somatic symptom disorders tends to present a greater vulnerability to pain. The relevant brain regions include the dorsolateral prefrontal, insular, rostral anterior cingulate, premotor, and parietal cortices.
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Gierk, Benjamin; Kohlmann, Sebastian; Kroenke, Kurt; Spangenberg, Lena; Zenger, Markus; Brähler, Elmar; Löwe, Bernd (1 March 2014). "The Somatic Symptom Scale–8 (SSS-8): A Brief Measure of Somatic Symptom Burden".
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Millions of people could be mislabeled, with the burden falling disproportionately on women, because they are more likely to be casually dismissed as 'catastrophizers' when presenting with physical symptoms.
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Stein, Dan J.; Muller, Jacqueline (2008). "Cognitive-Affective Neuroscience of Somatization Disorder and Functional Somatic Syndromes: Reconceptualizing The Triad of Depression-Anxiety-Somatic Symptoms".
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have a significant impact on the shift from unproblematic somatic symptoms to a severely debilitating somatic symptom disorder. Those who experience more negative psychological characteristics may regard
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Somatic symptoms disorder pertains to how an individual interprets and responds to symptoms as opposed to the symptoms themselves. Somatic symptom disorder can occur even in those who have an underlying
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GarcĂ­a-Campayo, Javier; Fayed, Nicolas; Serrano-Blanco, Antoni; Roca, Miquel (2009). "Brain dysfunction behind functional symptoms: neuroimaging and somatoform, conversive, and dissociative disorders".
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Guidi, Jenny; Rafanelli, Chiara; Roncuzzi, Renzo; Sirri, Laura; Fava, Giovanni A. (March 2013). "Assessing psychological factors affecting medical conditions: comparison between different proposals".
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implies that around 50% to 75% of patients with medically unexplained symptoms improve, whereas 10% to 30% deteriorate. Fewer physical symptoms and better baseline functioning are stronger
1042:(PIT) for patients with somatic symptom disorder has been proven to improve the physical quality of life in patients with many, difficult-to-treat, medically unexplained symptoms over time 2069:
Löwe, Bernd; Levenson, James; Depping, Miriam; Hüsing, Paul; Kohlmann, Sebastian; Lehmann, Marco; Shedden-Mora, Meike; Toussaint, Anne; Uhlenbusch, Natalie; Weigel, Angelika (March 2022).
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Rief, Winfried; Mewes, Ricarda; Martin, Alexandra; Glaesmer, Heide; Braehler, Elmar (September 2010). "Are psychological features useful in classifying patients with somatic symptoms?".
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Noyes, Russell; Stuart, Scott; Watson, David B.; Langbehn, Douglas R. (2006). "Distinguishing between Hypochondriasis and Somatization Disorder: A Review of the Existing Literature".
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symptoms". It continues: "Although any one somatic symptom might not be consistently present, one's state of being symptomatic is continuous (typically lasting more than 6 months)."
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Calabrò, Pasquale Fabio; Ceccarini, Giovanni; Calderone, Alba; Lippi, Chita; Piaggi, Paolo; Ferrari, Federica; Magno, Silvia; Pedrinelli, Roberto; Santini, Ferruccio (August 2020).
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have a greater prevalence of somatic symptom disorder. The reported frequency of somatic symptom disorder, as defined by DSM-5 criteria, ranges from 25 to 60% among these patients.
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There are cultural differences in the prevalence of somatic symptom disorder. For example, somatic symptom disorder and symptoms were found to be significantly more common in
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Lieb, Roselind; Meinlschmidt, Gunther; Araya, Ricardo (2007). "Epidemiology of the Association Between Somatoform Disorders and Anxiety and Depressive Disorders: An Update".
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Somatic syndrome disorder's widespread, non-specific symptoms may conceal and mimic the manifestations of other medical disorders, making diagnosis and therapy challenging.
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patients met the somatic symptom disorder criteria exhibited higher depression rates than those who did not. In one study, 28.8% of those with somatic symptom disorder had
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results, which may result in further interventions, associated risks, and greater expenses. While some practitioners order tests to reassure patients, research shows that
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and treatment have been inadequate, fearing that engaging in physical activity will harm the body, and spending a disproportionate amount of time thinking about symptoms.
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Martin, Alexandra; Rief, Winfried (September 2011). "Relevance of cognitive and behavioral factors in medically unexplained syndromes and somatoform disorders".
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context. It was discovered that Korean participants used more body-related phrases while discussing their connections with stressful events and experienced more
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About 10-20 percent of female first degree relatives also have somatic symptom disorder and male relatives have increased rates of alcoholism and sociopathy.
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Gan, Joanna J.; Lin, Andrew; Samimi, Mersal S.; Mendez, Mario F. (November 2016). "Somatic Symptom Disorder in Semantic Dementia: The Role of Alexisomia".
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contributed significantly to the belief that hysteria and hypochondria are mental rather than physical illnesses. The term "English Malady" was used by
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Rost, K. M.; Akins, R. N.; Brown, F. W.; Smith, G. R. (September 1992). "The comorbidity of DSM-III-R personality disorders in somatization disorder".
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N, van Dessel; M, den Boeft; Jc, van der Wouden; M, Kleinstäuber; Ss, Leone; B, Terluin; Me, Numans; He, van der Horst; H, van Marwijk (2014-11-01).
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is a short self-report questionnaire that is used to evaluate somatic symptoms. It examines the perceived severity of common somatic symptoms. The
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Rief, Winfried; Hennings, Anika; Riemer, Sabine; Euteneuer, Frank (May 2010). "Psychobiological differences between depression and somatization".
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Those raised in environments where expressing emotions during stages of development is discouraged face the highest risk of somatization. In
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Bornstein, Robert F.; Gold, Stephanie H. (2008). "Comorbidity of Personality Disorders and Somatization Disorder: A Meta-analytic Review".
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Canino, G.; Bird, H.; Rubio-Stipec, M.; Bravo, M. (1997). "The epidemiology of mental disorders in the adult population of Puerto Rico".
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Somatic symptoms can stem from a heightened awareness of sensations in the body, alongside the tendency to interpret those sensations as
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processes may have a role in somatic symptom disorder, such as an increase of non-specific somatic symptoms and sensitivity to painful
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Traumatic life events may cause the development of somatic symptom disorder. Most people with somatic symptom disorder originate from
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Somashekar, Bettahalasoor; Jainer, Ashok; Wuntakal, Balaji (February 2013). "Psychopharmacotherapy of somatic symptoms disorders".
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concept of hysteria was used in place of a personality or character type, conversion responses, phobia, and anxiety to accompany
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and psychosocial factors. Given the high occurrence of trauma, particularly throughout childhood, it has been suggested that the
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impacted them in the preceding seven days. Ratings are added together to provide a sum score that ranges from 0 to 32 points.
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with symptoms, including both physical symptoms and psychological/behavioral (such as health anxiety and harmful behaviors).
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Harrison, Neil A.; Brydon, Lena; Walker, Cicely; Gray, Marcus A.; Steptoe, Andrew; Critchley, Hugo D. (1 September 2009).
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Zorumski, Charles F.; Rubin, Eugene H.; Burke, William J. (1988). "Electroconvulsive Therapy for the Elderly: A Review".
3132:"Non-pharmacological Interventions for Somatoform Disorders and Medically Unexplained Physical Symptoms (MUPS) in Adults" 1722:
Brown, F. W.; Golding, J. M.; Smith, G. R. (July 1990). "Psychiatric comorbidity in primary care somatization disorder".
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Smith, G. Richard; Monson, Roberta A.; Ray, Debby C. (1986-05-29). "Psychiatric Consultation in Somatization Disorder".
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mentally ill. This is especially true for women, who are more often dismissed when they present with physical symptoms.
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or self-reported psychopathological symptoms among those with somatic symptom disorder identified significant rates of
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may all exhibit excessive and exaggerated emotional and behavioral responses. Other functional diseases with unknown
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Kroenke, Kurt (2007). "Efficacy of Treatment for Somatoform Disorders: A Review of Randomized Controlled Trials".
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symptoms, the level of attention must be clearly excessive in relation to the nature and course of the condition.
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they previously engaged in, without fear of "worsening their symptoms". Consultation and collaboration with the
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Frances A (2013). "The new somatic symptom disorder in DSM-5 risks mislabeling many people as mentally ill".
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Sauer, Karoline S.; Witthöft, Michael; Rief, Winfried (2023). "Somatic Symptom Disorder and Health Anxiety".
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twins found that genetic components contributed 7% to 21% of somatic symptoms, with the remainder related to
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stressors, such as unemployment and reduced job performance, may also be risk factors. There could also be a
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thoughts, emotions, and behaviors connected to those symptoms. The symptoms are not deliberately produced or
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settings, studies indicated that somaticizing patients had much greater rates of unemployment and decreased
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psychological diagnosis, regardless of whether they exhibit psychiatric symptoms in the traditional sense.
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Newby, Jill M.; Hobbs, Megan J.; Mahoney, Alison E. J.; Wong, Shiu Kelvin; Andrews, Gavin (October 2017).
5049: 4196: 3994: 2293:"Recent developments on psychological factors in medically unexplained symptoms and somatoform disorders" 1039: 5009: 4946: 3861: 3326: 1155:
Somatization is an idea that physicians have been attempting to comprehend since the dawn of time. The
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Some literature reviews of cognitive–affective neuroscience on somatic symptom disorder suggested that
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in somatization. In somatic disorder, there is a negative connection between elevated pain scores and
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Because those with somatic syndrome disorder typically have comprehensive previous workups, minimal
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grew, giving rise to the notion that numerous inexplicable illnesses could be linked to the brain.
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The DSM-5 criteria for somatic symptom disorder includes "one or more somatic symptoms which are
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Rather than focusing on treating the symptoms, the key objective is to support the patient in
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Heightened awareness of bodily sensations and the tendency to misinterpret bodily sensations.
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are frequently observed, and sometimes used to alleviate symptoms, increasing the risk of
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as early as 2600 BC. For many years, somatization was used in conjunction with the terms
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can lower pain perception. Because the somatic symptomatic may have a low threshold for
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ailment may experience significant impairment that is not expected from the condition.
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might be specific, such as regional pain and localized sensations, or general, such as
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or problems at work, and financial strain as a result of excessive health-care visits.
257:, is defined by one or more chronic physical symptoms that coincide with excessive and 62: 3706: 2721: 2704: 2177:
Harris, Ashley M.; Orav, E. John; Bates, David W.; Barsky, Arthur J. (February 2009).
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Hasin, Deborah; Katz, Hila (December 2007). "Somatoform and substance use disorders".
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revealed a connection between sexual abuse and functional gastrointestinal syndromes,
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Kurlansik, Stuart L.; Maffei, Mario S. (1 January 2016). "Somatic Symptom Disorder".
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to denote that hysteria and hypochondriasis are brain and/or mind-related disorders.
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when asked to read texts using somatic expressions when discussing their emotions.
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or difficulties at work, and financial stress due to excessive hospital visits.
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There is usually co-morbidity with other psychological disorders, particularly
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was the first to characterize what is now known as Somatic symptom disorder.
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D'Souza, Ryan S.; Hooten, W. M. (January 2023). "Somatic Symptom Disorder".
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Stern, T.A.; Rosenbaum, J.F.; Fava, M.; Biederman, J.; Rauch, S.L. (2008).
3493: 3450: 3161: 3108: 3030: 2973: 2926: 2879: 2826: 2782: 2689: 2632: 2581: 2513:"Somatic Symptom Disorder: Historical Process and Biopsychosocial Approach" 2466: 2423: 2380: 2336: 2277: 2220: 2155: 2112: 2052: 1995: 1944: 1897: 1846: 1806: 1662: 1619: 1564: 1468: 1393: 1227: 1223: 953: 797: 711: 667: 659: 612: 593: 578: 566: 549: 529: 489: 485: 465: 418: 305: 293: 141: 84: 70:
thoughts, feelings, and behaviors in response to chronic physical symptoms.
3407: 3311: 3239: 2738: 1751: 1514: 4702: 4433: 4164: 3914: 3548:. Sandoz Lectures in Gerontology. Elsevier Health Sciences. p. 323. 1179: 1164: 1102: 903: 765: 723: 682: 620: 570: 375: 129: 120: 3295: 3091: 2531: 1116:. Research also showed comorbidity between somatic symptom disorder and 401:
In studies evaluating different physical ailments, 41.5% of people with
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Kroenke, Kurt; Spitzer, Robert L.; Williams, Janet B. W. (March 2002).
2842:"Do (epi)genetics impact the brain in functional neurologic disorders?" 2520:
Psikiyatride GĂĽncel Yaklaşımlar â€” Current Approaches in Psychiatry
2364: 1008: 864: 856: 815:, may be conducted to rule out somatization because of medical issues. 789: 714:
notion that those predisposed to somatization have an overly sensitive
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in those with somatic symptom disorder and in those with depression.
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Genetic investigations have suggested modifications connected to the
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Sadock, Benjamin J.; Sadock, Virginia A.; Kaplan, Harold I. (2005).
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Somatic symptom disorder overlaps with illness anxiety disorder and
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Evidence suggests that along with more broad factors such as early
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dangerous and serious despite lacking medical basis, claiming that
3363:"Somatic symptom disorder: Epidemiology and clinical presentation" 2234:
Kato, Kenji; Sullivan, Patrick F.; Pedersen, Nancy L. (May 2010).
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Massachusetts General Hospital Comprehensive Clinical Psychiatry
480:. Studies suggest that risk factors of somatic symptoms include 300:. Somatic symptom disorder typically leads to poor functioning, 265:, and they may or may not coexist with a known medical ailment. 4425: 4240: 3686: 2895: 1285: 1001: 980: 920: 422: 395: 285: 2179:"Somatization increases disability independent of comorbidity" 1910: 792:
is encouraged. Excessive testing increases the possibility of
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may become more active with depression, there is evidence of
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Learn to deal with depression and other psychological issues
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changes could be explanatory. Another study found that the
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Several studies have found a high rate of comorbidity with
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Often chronic but can be managed with the proper treatment.
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Is It All in Your Head?: True Stories of Imaginary Illness
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Kaplan & Sadock's Comprehensive Textbook of Psychiatry
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style known as "somatosensorial amplification". The term "
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is a multifaceted experience, not just a sensation. While
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also demonstrated some effectiveness. Furthermore, brief
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fulfilled somatic symptom disorder criteria. 25.6% of
2939: 2349: 577:. American and Koreans engaged in a study to measure 3794: 3463: 3327:"Somatization disorder: What clinicians need to know" 2545:
Tak, Lineke M.; Rosmalen, Judith G. M. (1 May 2010).
2430: 2176: 2008: 1696:"Somatic symptom disorder â€” Symptoms and causes" 1417:
Diagnostic and Statistical Manual of Mental Disorders
893:
Diagnostic and Statistical Manual of Mental Disorders
3664: 3509:
Journal of Psychopathology and Behavioral Assessment
2233: 2064: 2062: 1813: 1521: 3067: 2995:Rief, Winfried; Martin, Alexandra (28 March 2014). 1484: 3812: 3574: 3281: 1867: 558:well as the long-term stability of such symptoms. 2511:Çetin, Ĺžahabettin; Varma, GĂĽlfizar Sözer (2021). 2059: 1721: 1632: 1381: 847:On a five-point scale, respondents rate how much 5036: 4221: 1771: 1769: 3254:"Somatic symptom disorder Treatments and drugs" 2596: 2002: 1446: 1388:. Treasure Island (FL): StatPearls Publishing. 203:brief psychodynamic interpersonal psychotherapy 4994: 3325:Egan, Jonathan; Kenny, Maeve (February 2011). 3209: 1163:were reported to have utilized the notions of 3780: 3506: 2506: 2504: 2284: 1904: 1766: 1480: 1478: 1377: 1375: 1373: 1371: 1369: 1367: 3568: 3414: 2789: 2745: 2502: 2500: 2498: 2496: 2494: 2492: 2490: 2488: 2486: 2484: 2387: 1598:(1). Royal College of Psychiatrists: 60–67. 1365: 1363: 1361: 1359: 1357: 1355: 1353: 1351: 1349: 1347: 1045:CBT can help in some of the following ways: 818: 398:were the most common concurrent conditions. 220:serotonin–norepinephrine reuptake inhibitors 3357: 3355: 3275: 3203: 3136:The Cochrane Database of Systematic Reviews 2833: 2751: 2544: 1717: 1715: 697:, pain is a conscious experience requiring 528:, negative psychological factors including 4684:Other specified feeding or eating disorder 3951: 3787: 3773: 3610: 2994: 2510: 2393: 2170: 2119: 1475: 1192:During the 17th century, knowledge of the 830:The Somatic Symptom Scale â€“ 8 (SSS-8) 41:Somatoform disorder, somatization disorder 3324: 3151: 3090: 3012: 2988: 2933: 2720: 2679: 2639: 2481: 2326: 2308: 2267: 2210: 2125: 2102: 2034: 1824: 1344: 1040:psychodynamic interpersonal psychotherapy 927: 836:is a condensed version of the well-known 4947:Disorganized (hebephrenic) schizophrenia 4543:Depersonalization-derealization disorder 3616: 3352: 3046:International Classification of Diseases 2396:The Psychiatric Clinics of North America 2343: 1861: 1712: 915:International Classification of Diseases 811:, restricted blood studies, and minimal 737: 573:influence how patients present to their 409:, 25% of female patients suffering from 370:Most research that looked at additional 3174: 2891: 2889: 1322: 1320: 1318: 1316: 992:characterize somatic symptom disorder. 240:About 13–23% of the general population. 216:Selective serotonin reuptake inhibitors 99:Often, not always, begins in childhood. 14: 5037: 2702: 1690: 1688: 1686: 1684: 1682: 1680: 693:in response to stimuli that may cause 4993: 4861: 4796: 4648: 4375: 4220: 4130: 3950: 3811: 3768: 3318: 3129: 3014:10.1146/annurev-clinpsy-032813-153745 2839: 2290: 2227: 1959: 1584: 1582: 1442: 1440: 1438: 1436: 1411: 1409: 1407: 1405: 1403: 800:fails to alleviate somatic symptoms. 315: 4131: 3168: 3001:Annual Review of Clinical Psychology 2886: 2183:Journal of General Internal Medicine 1313: 1055:Learn to cope with physical symptoms 4650:Physiological and physical behavior 3621:. New York: Guilford Publications. 3388:Puerto Rico Health Sciences Journal 3037: 2538: 1677: 1200:, widely regarded as the father of 1011:is advised. Evidence suggests that 710:" has been created to describe the 24: 4596:Psychogenic non-epileptic seizures 3990:Emotional and behavioral disorders 3639: 3246: 2854:10.1016/B978-0-12-801772-2.00014-X 1980:10.1016/j.genhosppsych.2012.09.007 1579: 1537:International Review of Psychiatry 1433: 1400: 1332:Merck Manuals Professional Edition 877:feeling tired or having low energy 633:hypothalamo pituitary adrenal axis 25: 5061: 4776:Hypoactive sexual desire disorder 2605:Journal of Psychosomatic Research 2554:Journal of Psychosomatic Research 2240:Journal of Psychosomatic Research 2015:Journal of Psychosomatic Research 1779:Journal of Psychosomatic Research 1064:Reduce preoccupation with symptom 512:were linked to somatic symptoms. 4076:X-linked intellectual disability 3423:Psychotherapy and Psychosomatics 2958:10.1097/00006842-200203000-00008 2911:10.1001/jamainternmed.2013.12179 2617:10.1016/j.jpsychores.2010.02.001 2566:10.1016/j.jpsychores.2009.12.004 2252:10.1016/j.jpsychores.2010.01.010 2027:10.1016/j.jpsychores.2017.07.010 1917:Eating and Weight Disorders: EWD 1791:10.1016/j.jpsychores.2015.03.151 1736:10.1097/00006842-199007000-00006 1301:Functional neurological disorder 626: 600:than non-somaticizing patients. 515: 444: 365: 132:, chaotic lifestyle, history of 3905:Intermittent explosive disorder 3830:Ego-dystonic sexual orientation 3593: 3535: 3500: 3457: 3379: 3264:from the original on 2017-04-19 3212:New England Journal of Medicine 3123: 2846:Functional Neurologic Disorders 1247: 1088: 979:; aberrant movements including 838:Patient Health Questionnaire-15 561: 510:single nucleotide polymorphisms 4548:Dissociative identity disorder 3813:Adult personality and behavior 3617:Morrison, James (2023-03-08). 3144:10.1002/14651858.CD011142.pub2 3071:Journal of Affective Disorders 2664:10.1016/j.biopsych.2009.03.015 2353:Journal of Abnormal Psychology 1238: 819:Somatic Symptom Scale â€“ 8 555:medically unexplained symptoms 13: 1: 2799:Current Opinion in Psychiatry 2722:10.1016/S0033-3182(92)72018-0 1592:British Journal of Psychiatry 1306: 942:obsessive-compulsive disorder 855:, pain in the legs, arms, or 413:, and 18.5% of patients with 176:obsessive-compulsive disorder 4952:Pseudoneurotic schizophrenia 4489:Generalized anxiety disorder 4222:Neurological and symptomatic 3867:Sexual relationship disorder 3478:10.1097/PSY.0b013e31815b0103 3189:10.1097/PSY.0b013e31815b00c4 2811:10.1097/YCO.0b013e3283252d43 2451:10.1097/PSY.0b013e3181d73fce 2140:10.1097/PSY.0b013e31815b00d7 1549:10.3109/09540261.2012.729758 1499:10.1016/0163-8343(92)90066-j 1031:Cognitive-behavioral therapy 995: 783: 635:(HPA) has a crucial role in 508:. In another study, various 392:generalized anxiety disorder 282:generalized anxiety disorder 195:Cognitive-behavioral therapy 7: 4728:REM sleep behavior disorder 4197:Seasonal affective disorder 3995:Separation anxiety disorder 3646:Suzanne O'Sullivan (2017). 3224:10.1056/NEJM198605293142203 1968:General Hospital Psychiatry 1641:(4). Elsevier BV: 745–758. 1487:General Hospital Psychiatry 1264: 849:stomach or digestive issues 658:It has been suggested that 649:5-hydroxy indol acetic acid 10: 5066: 4995:Symptoms and uncategorized 4096:developmental disabilities 3862:Sexual maturation disorder 2310:10.3389/fpubh.2022.1033203 2297:Frontiers in Public Health 1929:10.1007/s40519-019-00716-6 1882:10.1016/j.psym.2016.08.002 1385:Somatic Syndrome Disorders 1150: 1074: 822: 750: 5045:Somatic symptom disorders 5000: 4989: 4965: 4957:Simple-type schizophrenia 4934: 4926:Schizophreniform disorder 4903: 4882: 4878: 4857: 4810: 4792: 4761: 4738: 4692: 4659: 4655: 4644: 4566: 4533: 4481: 4424: 4415: 4396: 4392: 4371: 4337: 4304:Mild cognitive impairment 4289:Creutzfeldt–Jakob disease 4269: 4231: 4227: 4216: 4187:Major depressive disorder 4140: 4126: 4092:Psychological development 4091: 4066: 3963: 3959: 3946: 3875: 3822: 3818: 3807: 3738: 3668: 3521:10.1007/s10862-007-9052-2 3083:10.1016/j.jad.2018.10.114 2767:10.1017/S1092852900016540 2408:10.1016/j.psc.2011.05.007 2195:10.1007/s11606-008-0845-0 2087:10.1017/S0033291721004177 1647:10.1016/j.ncl.2023.02.009 1604:10.1192/bjp.bp.111.093526 1449:American Family Physician 1069:Electroconvulsive therapy 891:The fifth edition of the 825:Somatic Symptom Scale - 8 672:anterior cingulate cortex 471: 405:, 11.2% of subjects with 290:functional pain syndromes 278:major depressive disorder 236: 226: 209: 190: 161: 148: 119: 111: 103: 95: 74: 61: 45: 37: 32: 5005:Impulse-control disorder 4921:Schizoaffective disorder 4916:Brief reactive psychosis 4613:Mass psychogenic illness 4576:Body dysmorphic disorder 4355:Post-concussion syndrome 3965:Emotional and behavioral 1096:chronic fatigue syndrome 958:irritable bowel syndrome 946:illness anxiety disorder 938:body dysmorphic disorder 886: 803:Specific tests, such as 598:occupational functioning 415:congestive heart failure 247:Somatic symptom disorder 184:illness anxiety disorder 172:body dysmorphic disorder 87:, financial stress, and 33:Somatic symptom disorder 4942:Childhood schizophrenia 4294:Frontotemporal dementia 4251:High-functioning autism 4068:Intellectual disability 3077:. Elsevier BV: 98–112. 2291:Mewes, Ricarda (2022). 1061:Improve quality of life 770:glucocorticoid receptor 675:and bodily sensations. 4459:Specific social phobia 4350:Organic brain syndrome 4192:Melancholic depression 3953:Childhood and learning 3466:Psychosomatic Medicine 3334:The Irish Psychologist 3177:Psychosomatic Medicine 2946:Psychosomatic Medicine 2899:JAMA Internal Medicine 2703:Barsky, A. J. (1992). 2439:Psychosomatic Medicine 2128:Psychosomatic Medicine 2075:Psychological Medicine 1724:Psychosomatic Medicine 1291:Psychosomatic medicine 1262: 1194:central nervous system 1144:personality disorder. 1036:primary care physician 928:Differential diagnosis 617:non-epileptic seizures 273:or medical condition. 199:psychiatric medication 163:Differential diagnosis 155:Psychiatric assessment 5015:Psychomotor agitation 4805:and substance-related 4748:Postpartum depression 4628:Somatization disorder 4514:Acute stress reaction 4279:AIDS dementia complex 2652:Biological Psychiatry 2036:1959.4/unsworks_51677 1296:Psychoneuroimmunology 1258: 1118:personality disorders 1009:psychiatric treatment 738:Neuroimaging evidence 732:central sensitization 708:central sensitization 550:physical self-concept 506:environmental factors 462:controlled substances 411:non-HIV lipodystrophy 255:somatization disorder 5010:KlĂĽver–Bucy syndrome 4840:Substance dependence 4753:Postpartum psychosis 4299:Huntington's disease 4081:Lujan–Fryns syndrome 3930:Personality disorder 3284:Psychiatric Services 813:radiological imaging 718:. Harmless and mild 534:negative affectivity 496:element. A study of 435:rheumatoid arthritis 107:At least six months. 4890:Delusional disorder 4835:Stimulant psychosis 4825:Physical dependence 4679:Rumination syndrome 4581:Conversion disorder 4558:Psychogenic amnesia 4408:with depressed mood 4406:Adjustment disorder 4309:Parkinson's disease 4284:Alzheimer's disease 4177:Atypical depression 4013:Social functioning 3888:Munchausen syndrome 3883:Factitious disorder 3619:DSM-5-TR® Made Easy 3296:10.1176/ps.39.6.643 2532:10.18863/pgy.882929 1396:– via PubMed. 1281:Munchausen syndrome 1276:Jurosomatic illness 1271:Conversion Disorder 969:conversion disorder 934:Adjustment disorder 869:shortness of breath 691:sensory information 685:refers to afferent 621:chronic pelvic pain 609:meta-analysis study 526:insecure attachment 407:Alzheimer's disease 351:medical evaluations 251:somatoform disorder 180:conversion disorder 168:Adjustment disorder 81:Reduced functioning 5050:Somatic psychology 4909:schizophrenia-like 4553:Dissociative fugue 4002:Movement disorders 3739:External resources 2840:Frodl, T. (2016). 2365:10.1037/abn0000085 1635:Neurologic Clinics 1252:In the opinion of 1025:therapeutic effect 985:dystonic movements 809:urine drug screens 798:diagnostic testing 790:laboratory testing 316:Signs and symptoms 5032: 5031: 5028: 5027: 4985: 4984: 4981: 4980: 4853: 4852: 4788: 4787: 4784: 4783: 4640: 4639: 4636: 4635: 4529: 4528: 4367: 4366: 4363: 4362: 4324:Vascular dementia 4246:Asperger syndrome 4212: 4211: 4122: 4121: 4118: 4117: 4056:Tourette syndrome 3942: 3941: 3938: 3937: 3762: 3761: 3628:978-1-4625-5134-7 3555:978-0-323-07691-3 3435:10.1159/000093948 3218:(22): 1407–1413. 1839:10.1136/bmj.f1580 1426:978-0-89042-555-8 1114:anxiety disorders 1021:adverse reactions 744:catastrophization 728:dorsal horn cells 482:childhood neglect 403:semantic dementia 327:physical activity 269:from an existing 244: 243: 150:Diagnostic method 126:Childhood neglect 27:Medical condition 16:(Redirected from 5057: 4991: 4990: 4880: 4879: 4859: 4858: 4794: 4793: 4669:Anorexia nervosa 4657: 4656: 4646: 4645: 4623:Psychogenic pain 4591:Globus pharyngis 4439:Childhood phobia 4422: 4421: 4394: 4393: 4373: 4372: 4229: 4228: 4218: 4217: 4128: 4127: 4027:Selective mutism 3978:Conduct disorder 3961: 3960: 3948: 3947: 3925:Trichotillomania 3900:Gender dysphoria 3895:Fear of intimacy 3852:Sexual anhedonia 3820: 3819: 3809: 3808: 3796:Mental disorders 3789: 3782: 3775: 3766: 3765: 3666: 3665: 3661: 3633: 3632: 3614: 3608: 3607: 3605: 3597: 3591: 3590: 3572: 3566: 3565: 3563: 3562: 3539: 3533: 3532: 3504: 3498: 3497: 3461: 3455: 3454: 3418: 3412: 3411: 3383: 3377: 3376: 3374: 3373: 3359: 3350: 3349: 3347: 3345: 3331: 3322: 3316: 3315: 3279: 3273: 3272: 3270: 3269: 3250: 3244: 3243: 3207: 3201: 3200: 3172: 3166: 3165: 3155: 3138:(11): CD011142. 3127: 3121: 3120: 3094: 3065: 3059: 3058: 3056: 3054: 3041: 3035: 3034: 3016: 2992: 2986: 2985: 2937: 2931: 2930: 2893: 2884: 2883: 2837: 2831: 2830: 2793: 2787: 2786: 2749: 2743: 2742: 2724: 2700: 2694: 2693: 2683: 2643: 2637: 2636: 2600: 2594: 2593: 2551: 2542: 2536: 2535: 2517: 2508: 2479: 2478: 2434: 2428: 2427: 2391: 2385: 2384: 2359:(4): 1092–1101. 2347: 2341: 2340: 2330: 2312: 2288: 2282: 2281: 2271: 2231: 2225: 2224: 2214: 2174: 2168: 2167: 2123: 2117: 2116: 2106: 2066: 2057: 2056: 2038: 2006: 2000: 1999: 1963: 1957: 1956: 1908: 1902: 1901: 1865: 1859: 1858: 1822: 1811: 1810: 1773: 1764: 1763: 1719: 1710: 1709: 1707: 1706: 1692: 1675: 1674: 1630: 1624: 1623: 1586: 1577: 1576: 1532: 1519: 1518: 1482: 1473: 1472: 1444: 1431: 1430: 1413: 1398: 1397: 1379: 1342: 1341: 1339: 1338: 1324: 1049:Learn to reduce 881:trouble sleeping 805:thyroid function 522:childhood trauma 429:, and 13.5% had 388:Major depression 372:mental illnesses 323:medical ailments 249:, also known as 30: 29: 21: 5065: 5064: 5060: 5059: 5058: 5056: 5055: 5054: 5035: 5034: 5033: 5024: 4996: 4977: 4961: 4930: 4908: 4899: 4874: 4849: 4806: 4803:substance abuse 4780: 4757: 4734: 4688: 4674:Bulimia nervosa 4651: 4632: 4608:Hypochondriasis 4603:False pregnancy 4586:Ganser syndrome 4568:Somatic symptom 4562: 4525: 4477: 4466:Specific phobia 4411: 4388: 4359: 4333: 4265: 4261:Savant syndrome 4233:Autism spectrum 4223: 4208: 4136: 4114: 4093: 4087: 4062: 3955: 3934: 3910:Dermatillomania 3871: 3857:Sexual anorexia 3814: 3803: 3793: 3763: 3758: 3757: 3734: 3733: 3677: 3658: 3650:. Other Press. 3645: 3642: 3640:Further reading 3637: 3636: 3629: 3615: 3611: 3603: 3599: 3598: 3594: 3587: 3573: 3569: 3560: 3558: 3556: 3540: 3536: 3505: 3501: 3462: 3458: 3419: 3415: 3384: 3380: 3371: 3369: 3361: 3360: 3353: 3343: 3341: 3329: 3323: 3319: 3280: 3276: 3267: 3265: 3252: 3251: 3247: 3208: 3204: 3173: 3169: 3128: 3124: 3066: 3062: 3052: 3050: 3043: 3042: 3038: 2993: 2989: 2938: 2934: 2894: 2887: 2864: 2838: 2834: 2794: 2790: 2750: 2746: 2701: 2697: 2644: 2640: 2601: 2597: 2549: 2543: 2539: 2515: 2509: 2482: 2435: 2431: 2392: 2388: 2348: 2344: 2289: 2285: 2232: 2228: 2175: 2171: 2124: 2120: 2067: 2060: 2007: 2003: 1964: 1960: 1909: 1905: 1866: 1862: 1823: 1814: 1774: 1767: 1720: 1713: 1704: 1702: 1694: 1693: 1678: 1631: 1627: 1587: 1580: 1533: 1522: 1483: 1476: 1445: 1434: 1427: 1415: 1414: 1401: 1380: 1345: 1336: 1334: 1326: 1325: 1314: 1309: 1267: 1250: 1241: 1206:Thomas Sydenham 1186:hypochondriasis 1153: 1091: 1077: 998: 930: 917: 889: 853:back discomfort 827: 821: 786: 753: 740: 712:neurobiological 689:that transmits 687:neural activity 670:activation and 668:Proinflammatory 660:proinflammatory 645:hypocortisolism 637:stress response 629: 564: 530:catastrophizing 518: 474: 447: 427:heart condition 368: 359:chronic illness 318: 271:chronic illness 28: 23: 22: 15: 12: 11: 5: 5063: 5053: 5052: 5047: 5030: 5029: 5026: 5025: 5023: 5022: 5017: 5012: 5007: 5001: 4998: 4997: 4987: 4986: 4983: 4982: 4979: 4978: 4976: 4975: 4969: 4967: 4963: 4962: 4960: 4959: 4954: 4949: 4944: 4938: 4936: 4932: 4931: 4929: 4928: 4923: 4918: 4912: 4910: 4901: 4900: 4898: 4897: 4892: 4886: 4884: 4876: 4875: 4855: 4854: 4851: 4850: 4848: 4847: 4842: 4837: 4832: 4830:Rebound effect 4827: 4822: 4817: 4811: 4808: 4807: 4790: 4789: 4786: 4785: 4782: 4781: 4779: 4778: 4773: 4771:Hypersexuality 4767: 4765: 4759: 4758: 4756: 4755: 4750: 4744: 4742: 4736: 4735: 4733: 4732: 4731: 4730: 4725: 4720: 4710: 4705: 4699: 4697: 4690: 4689: 4687: 4686: 4681: 4676: 4671: 4665: 4663: 4653: 4652: 4642: 4641: 4638: 4637: 4634: 4633: 4631: 4630: 4625: 4620: 4615: 4610: 4605: 4600: 4599: 4598: 4593: 4588: 4578: 4572: 4570: 4564: 4563: 4561: 4560: 4555: 4550: 4545: 4539: 4537: 4531: 4530: 4527: 4526: 4524: 4523: 4522: 4521: 4516: 4506: 4504:Panic disorder 4501: 4496: 4491: 4485: 4483: 4479: 4478: 4476: 4475: 4474: 4473: 4471:Claustrophobia 4463: 4462: 4461: 4456: 4454:Anthropophobia 4446: 4444:Social anxiety 4441: 4436: 4430: 4428: 4419: 4413: 4412: 4410: 4409: 4402: 4400: 4390: 4389: 4369: 4368: 4365: 4364: 4361: 4360: 4358: 4357: 4352: 4347: 4341: 4339: 4335: 4334: 4332: 4331: 4326: 4321: 4316: 4314:Pick's disease 4311: 4306: 4301: 4296: 4291: 4286: 4281: 4275: 4273: 4267: 4266: 4264: 4263: 4258: 4253: 4248: 4243: 4237: 4235: 4225: 4224: 4214: 4213: 4210: 4209: 4207: 4206: 4201: 4200: 4199: 4194: 4189: 4184: 4179: 4169: 4168: 4167: 4162: 4157: 4152: 4141: 4138: 4137: 4124: 4123: 4120: 4119: 4116: 4115: 4113: 4112: 4107: 4101: 4099: 4089: 4088: 4086: 4085: 4084: 4083: 4072: 4070: 4064: 4063: 4061: 4060: 4059: 4058: 4048: 4047: 4046: 4041: 4031: 4030: 4029: 4024: 4019: 4011: 4010: 4009: 3999: 3998: 3997: 3987: 3986: 3985: 3975: 3969: 3967: 3957: 3956: 3944: 3943: 3940: 3939: 3936: 3935: 3933: 3932: 3927: 3922: 3917: 3912: 3907: 3902: 3897: 3892: 3891: 3890: 3879: 3877: 3873: 3872: 3870: 3869: 3864: 3859: 3854: 3849: 3848: 3847: 3842: 3832: 3826: 3824: 3816: 3815: 3805: 3804: 3800:Classification 3792: 3791: 3784: 3777: 3769: 3760: 3759: 3756: 3755: 3743: 3742: 3740: 3736: 3735: 3732: 3731: 3720: 3709: 3694: 3678: 3673: 3672: 3670: 3669:Classification 3663: 3662: 3657:978-1590517956 3656: 3641: 3638: 3635: 3634: 3627: 3609: 3592: 3585: 3567: 3554: 3534: 3515:(2): 154–161. 3499: 3472:(9): 860–863. 3456: 3429:(5): 270–281. 3413: 3394:(2): 117–124. 3378: 3351: 3317: 3290:(6): 643–647. 3274: 3245: 3202: 3183:(9): 881–888. 3167: 3122: 3060: 3036: 3007:(1): 339–367. 2987: 2952:(2): 258–266. 2932: 2905:(3): 399–407. 2885: 2862: 2832: 2805:(2): 224–231. 2788: 2761:(5): 379–384. 2744: 2709:Psychosomatics 2695: 2658:(5): 407–414. 2638: 2611:(5): 495–502. 2595: 2560:(5): 461–468. 2537: 2526:(4): 790–804. 2480: 2445:(7): 648–655. 2429: 2402:(3): 565–578. 2386: 2342: 2283: 2246:(5): 447–453. 2226: 2189:(2): 155–161. 2169: 2134:(9): 870–875. 2118: 2081:(4): 632–648. 2058: 2001: 1974:(2): 141–146. 1958: 1923:(4): 991–998. 1903: 1876:(6): 598–604. 1870:Psychosomatics 1860: 1812: 1785:(6): 546–552. 1765: 1730:(4): 445–451. 1711: 1676: 1625: 1578: 1543:(1): 107–115. 1520: 1493:(5): 322–326. 1474: 1432: 1425: 1399: 1343: 1311: 1310: 1308: 1305: 1304: 1303: 1298: 1293: 1288: 1283: 1278: 1273: 1266: 1263: 1249: 1246: 1240: 1237: 1233:psychoneuroses 1216:Wilhelm Stekel 1152: 1149: 1110:mood disorders 1090: 1087: 1076: 1073: 1066: 1065: 1062: 1059: 1056: 1053: 997: 994: 929: 926: 916: 913: 888: 885: 823:Main article: 820: 817: 794:false-positive 785: 782: 778:hypomethylated 752: 749: 739: 736: 722:stimulate the 716:neural network 628: 625: 571:cultural norms 563: 560: 546:health anxiety 517: 514: 473: 470: 446: 443: 439:osteoarthritis 425:, 23.1% had a 367: 364: 317: 314: 242: 241: 238: 234: 233: 230: 224: 223: 213: 207: 206: 192: 188: 187: 165: 159: 158: 152: 146: 145: 123: 117: 116: 113: 109: 108: 105: 101: 100: 97: 93: 92: 78: 72: 71: 65: 59: 58: 49: 43: 42: 39: 35: 34: 26: 9: 6: 4: 3: 2: 5062: 5051: 5048: 5046: 5043: 5042: 5040: 5021: 5018: 5016: 5013: 5011: 5008: 5006: 5003: 5002: 4999: 4992: 4988: 4974: 4971: 4970: 4968: 4964: 4958: 4955: 4953: 4950: 4948: 4945: 4943: 4940: 4939: 4937: 4935:Schizophrenia 4933: 4927: 4924: 4922: 4919: 4917: 4914: 4913: 4911: 4906: 4902: 4896: 4893: 4891: 4888: 4887: 4885: 4881: 4877: 4873: 4869: 4865: 4864:Schizophrenia 4860: 4856: 4846: 4843: 4841: 4838: 4836: 4833: 4831: 4828: 4826: 4823: 4821: 4818: 4816: 4815:Drug overdose 4813: 4812: 4809: 4804: 4800: 4795: 4791: 4777: 4774: 4772: 4769: 4768: 4766: 4764: 4763:Sexual desire 4760: 4754: 4751: 4749: 4746: 4745: 4743: 4741: 4737: 4729: 4726: 4724: 4721: 4719: 4716: 4715: 4714: 4711: 4709: 4706: 4704: 4701: 4700: 4698: 4696: 4691: 4685: 4682: 4680: 4677: 4675: 4672: 4670: 4667: 4666: 4664: 4662: 4658: 4654: 4647: 4643: 4629: 4626: 4624: 4621: 4619: 4616: 4614: 4611: 4609: 4606: 4604: 4601: 4597: 4594: 4592: 4589: 4587: 4584: 4583: 4582: 4579: 4577: 4574: 4573: 4571: 4569: 4565: 4559: 4556: 4554: 4551: 4549: 4546: 4544: 4541: 4540: 4538: 4536: 4532: 4520: 4517: 4515: 4512: 4511: 4510: 4507: 4505: 4502: 4500: 4497: 4495: 4492: 4490: 4487: 4486: 4484: 4480: 4472: 4469: 4468: 4467: 4464: 4460: 4457: 4455: 4452: 4451: 4450: 4449:Social phobia 4447: 4445: 4442: 4440: 4437: 4435: 4432: 4431: 4429: 4427: 4423: 4420: 4418: 4414: 4407: 4404: 4403: 4401: 4399: 4395: 4391: 4387: 4384:-related and 4383: 4379: 4374: 4370: 4356: 4353: 4351: 4348: 4346: 4343: 4342: 4340: 4336: 4330: 4327: 4325: 4322: 4320: 4317: 4315: 4312: 4310: 4307: 4305: 4302: 4300: 4297: 4295: 4292: 4290: 4287: 4285: 4282: 4280: 4277: 4276: 4274: 4272: 4268: 4262: 4259: 4257: 4254: 4252: 4249: 4247: 4244: 4242: 4239: 4238: 4236: 4234: 4230: 4226: 4219: 4215: 4205: 4202: 4198: 4195: 4193: 4190: 4188: 4185: 4183: 4180: 4178: 4175: 4174: 4173: 4170: 4166: 4163: 4161: 4158: 4156: 4153: 4151: 4148: 4147: 4146: 4143: 4142: 4139: 4134: 4129: 4125: 4111: 4108: 4106: 4103: 4102: 4100: 4097: 4090: 4082: 4079: 4078: 4077: 4074: 4073: 4071: 4069: 4065: 4057: 4054: 4053: 4052: 4049: 4045: 4042: 4040: 4037: 4036: 4035: 4032: 4028: 4025: 4023: 4020: 4018: 4015: 4014: 4012: 4008: 4005: 4004: 4003: 4000: 3996: 3993: 3992: 3991: 3988: 3984: 3981: 3980: 3979: 3976: 3974: 3971: 3970: 3968: 3966: 3962: 3958: 3954: 3949: 3945: 3931: 3928: 3926: 3923: 3921: 3918: 3916: 3913: 3911: 3908: 3906: 3903: 3901: 3898: 3896: 3893: 3889: 3886: 3885: 3884: 3881: 3880: 3878: 3874: 3868: 3865: 3863: 3860: 3858: 3855: 3853: 3850: 3846: 3843: 3841: 3838: 3837: 3836: 3833: 3831: 3828: 3827: 3825: 3821: 3817: 3810: 3806: 3801: 3797: 3790: 3785: 3783: 3778: 3776: 3771: 3770: 3767: 3754: 3750: 3749: 3745: 3744: 3741: 3737: 3730: 3726: 3725: 3721: 3719: 3715: 3714: 3710: 3708: 3704: 3703: 3699: 3695: 3693: 3689: 3688: 3684: 3680: 3679: 3676: 3671: 3667: 3659: 3653: 3649: 3644: 3643: 3630: 3624: 3620: 3613: 3602: 3596: 3588: 3586:0-7817-3434-7 3582: 3578: 3571: 3557: 3551: 3547: 3546: 3538: 3530: 3526: 3522: 3518: 3514: 3510: 3503: 3495: 3491: 3487: 3483: 3479: 3475: 3471: 3467: 3460: 3452: 3448: 3444: 3440: 3436: 3432: 3428: 3424: 3417: 3409: 3405: 3401: 3397: 3393: 3389: 3382: 3368: 3364: 3358: 3356: 3339: 3335: 3328: 3321: 3313: 3309: 3305: 3301: 3297: 3293: 3289: 3285: 3278: 3263: 3259: 3255: 3249: 3241: 3237: 3233: 3229: 3225: 3221: 3217: 3213: 3206: 3198: 3194: 3190: 3186: 3182: 3178: 3171: 3163: 3159: 3154: 3149: 3145: 3141: 3137: 3133: 3126: 3118: 3114: 3110: 3106: 3102: 3098: 3093: 3088: 3084: 3080: 3076: 3072: 3064: 3048: 3047: 3040: 3032: 3028: 3024: 3020: 3015: 3010: 3006: 3002: 2998: 2991: 2983: 2979: 2975: 2971: 2967: 2963: 2959: 2955: 2951: 2947: 2943: 2936: 2928: 2924: 2920: 2916: 2912: 2908: 2904: 2900: 2892: 2890: 2881: 2877: 2873: 2869: 2865: 2863:9780128017722 2859: 2855: 2851: 2847: 2843: 2836: 2828: 2824: 2820: 2816: 2812: 2808: 2804: 2800: 2792: 2784: 2780: 2776: 2772: 2768: 2764: 2760: 2756: 2755:CNS Spectrums 2748: 2740: 2736: 2732: 2728: 2723: 2718: 2714: 2710: 2706: 2699: 2691: 2687: 2682: 2677: 2673: 2669: 2665: 2661: 2657: 2653: 2649: 2642: 2634: 2630: 2626: 2622: 2618: 2614: 2610: 2606: 2599: 2591: 2587: 2583: 2579: 2575: 2571: 2567: 2563: 2559: 2555: 2548: 2541: 2533: 2529: 2525: 2521: 2514: 2507: 2505: 2503: 2501: 2499: 2497: 2495: 2493: 2491: 2489: 2487: 2485: 2476: 2472: 2468: 2464: 2460: 2456: 2452: 2448: 2444: 2440: 2433: 2425: 2421: 2417: 2413: 2409: 2405: 2401: 2397: 2390: 2382: 2378: 2374: 2370: 2366: 2362: 2358: 2354: 2346: 2338: 2334: 2329: 2324: 2320: 2316: 2311: 2306: 2302: 2298: 2294: 2287: 2279: 2275: 2270: 2265: 2261: 2257: 2253: 2249: 2245: 2241: 2237: 2230: 2222: 2218: 2213: 2208: 2204: 2200: 2196: 2192: 2188: 2184: 2180: 2173: 2165: 2161: 2157: 2153: 2149: 2145: 2141: 2137: 2133: 2129: 2122: 2114: 2110: 2105: 2100: 2096: 2092: 2088: 2084: 2080: 2076: 2072: 2065: 2063: 2054: 2050: 2046: 2042: 2037: 2032: 2028: 2024: 2020: 2016: 2012: 2005: 1997: 1993: 1989: 1985: 1981: 1977: 1973: 1969: 1962: 1954: 1950: 1946: 1942: 1938: 1934: 1930: 1926: 1922: 1918: 1914: 1907: 1899: 1895: 1891: 1887: 1883: 1879: 1875: 1871: 1864: 1856: 1852: 1848: 1844: 1840: 1836: 1832: 1828: 1821: 1819: 1817: 1808: 1804: 1800: 1796: 1792: 1788: 1784: 1780: 1772: 1770: 1761: 1757: 1753: 1749: 1745: 1741: 1737: 1733: 1729: 1725: 1718: 1716: 1701: 1697: 1691: 1689: 1687: 1685: 1683: 1681: 1672: 1668: 1664: 1660: 1656: 1652: 1648: 1644: 1640: 1636: 1629: 1621: 1617: 1613: 1609: 1605: 1601: 1597: 1593: 1585: 1583: 1574: 1570: 1566: 1562: 1558: 1554: 1550: 1546: 1542: 1538: 1531: 1529: 1527: 1525: 1516: 1512: 1508: 1504: 1500: 1496: 1492: 1488: 1481: 1479: 1470: 1466: 1462: 1458: 1454: 1450: 1443: 1441: 1439: 1437: 1428: 1422: 1418: 1412: 1410: 1408: 1406: 1404: 1395: 1391: 1387: 1386: 1378: 1376: 1374: 1372: 1370: 1368: 1366: 1364: 1362: 1360: 1358: 1356: 1354: 1352: 1350: 1348: 1333: 1329: 1323: 1321: 1319: 1317: 1312: 1302: 1299: 1297: 1294: 1292: 1289: 1287: 1284: 1282: 1279: 1277: 1274: 1272: 1269: 1268: 1261: 1257: 1255: 1254:Allen Frances 1245: 1236: 1234: 1229: 1225: 1221: 1220:psychoanalyst 1217: 1213: 1211: 1210:George Cheyne 1207: 1203: 1199: 1198:Thomas Willis 1195: 1190: 1188: 1187: 1182: 1181: 1176: 1175: 1170: 1166: 1162: 1158: 1148: 1145: 1143: 1139: 1135: 1131: 1127: 1123: 1120:, especially 1119: 1115: 1111: 1106: 1104: 1099: 1097: 1086: 1083: 1072: 1070: 1063: 1060: 1057: 1054: 1052: 1048: 1047: 1046: 1043: 1041: 1037: 1032: 1028: 1026: 1022: 1018: 1014: 1010: 1005: 1003: 993: 990: 989:abnormal gait 986: 982: 978: 974: 970: 965: 963: 959: 955: 951: 947: 943: 939: 935: 925: 922: 912: 908: 905: 900: 898: 894: 884: 882: 878: 874: 870: 866: 862: 858: 854: 850: 845: 843: 839: 835: 831: 826: 816: 814: 810: 807:assessments, 806: 801: 799: 795: 791: 781: 779: 775: 771: 767: 763: 758: 757:monoaminergic 748: 745: 735: 733: 729: 725: 721: 717: 713: 709: 705: 700: 696: 695:tissue damage 692: 688: 684: 680: 676: 673: 669: 665: 661: 656: 654: 651:(5-HIAA) and 650: 646: 642: 638: 634: 627:Physiological 624: 622: 618: 614: 610: 606: 605:dysfunctional 601: 599: 595: 590: 588: 584: 580: 576: 572: 569:stresses and 568: 559: 556: 551: 547: 543: 539: 535: 531: 527: 523: 516:Psychological 513: 511: 507: 503: 499: 495: 491: 487: 483: 479: 469: 467: 463: 459: 455: 451: 445:Complications 442: 440: 436: 432: 428: 424: 420: 416: 412: 408: 404: 399: 397: 393: 389: 385: 381: 377: 373: 366:Comorbidities 363: 360: 354: 352: 346: 344: 340: 336: 330: 328: 324: 313: 309: 307: 303: 302:interpersonal 299: 295: 291: 287: 283: 279: 274: 272: 266: 264: 260: 256: 252: 248: 239: 235: 231: 229: 225: 221: 217: 214: 212: 208: 204: 200: 196: 193: 189: 185: 181: 177: 173: 169: 166: 164: 160: 156: 153: 151: 147: 143: 139: 138:alcohol abuse 135: 131: 127: 124: 122: 118: 114: 110: 106: 102: 98: 94: 91:difficulties. 90: 89:interpersonal 86: 82: 79: 77: 76:Complications 73: 69: 66: 64: 60: 57: 53: 50: 48: 44: 40: 36: 31: 19: 18:Psychosomatic 4895:Folie Ă  deux 4820:Intoxication 4801:substances, 4799:Psychoactive 4718:Night terror 4567: 4535:Dissociative 4499:Panic attack 4385: 4051:Tic disorder 3746: 3722: 3711: 3696: 3681: 3647: 3618: 3612: 3595: 3576: 3570: 3559:. Retrieved 3544: 3537: 3512: 3508: 3502: 3469: 3465: 3459: 3426: 3422: 3416: 3391: 3387: 3381: 3370:. Retrieved 3366: 3342:. Retrieved 3337: 3333: 3320: 3287: 3283: 3277: 3266:. Retrieved 3257: 3248: 3215: 3211: 3205: 3180: 3176: 3170: 3135: 3125: 3092:10072/380915 3074: 3070: 3063: 3051:. Retrieved 3045: 3039: 3004: 3000: 2990: 2949: 2945: 2935: 2902: 2898: 2845: 2835: 2802: 2798: 2791: 2758: 2754: 2747: 2715:(1): 28–34. 2712: 2708: 2698: 2655: 2651: 2641: 2608: 2604: 2598: 2557: 2553: 2540: 2523: 2519: 2442: 2438: 2432: 2399: 2395: 2389: 2356: 2352: 2345: 2300: 2296: 2286: 2243: 2239: 2229: 2186: 2182: 2172: 2131: 2127: 2121: 2078: 2074: 2018: 2014: 2004: 1971: 1967: 1961: 1920: 1916: 1906: 1873: 1869: 1863: 1830: 1826: 1782: 1778: 1727: 1723: 1703:. Retrieved 1699: 1638: 1634: 1628: 1595: 1591: 1540: 1536: 1490: 1486: 1455:(1): 49–54. 1452: 1448: 1416: 1384: 1335:. Retrieved 1331: 1259: 1251: 1248:Misdiagnosis 1242: 1224:Paul Briquet 1214: 1191: 1184: 1178: 1172: 1154: 1146: 1130:narcissistic 1107: 1100: 1092: 1089:Epidemiology 1078: 1067: 1044: 1029: 1006: 999: 966: 954:fibromyalgia 931: 918: 909: 901: 890: 846: 828: 802: 787: 754: 741: 677: 657: 639:. While the 630: 613:chronic pain 602: 594:primary care 591: 579:somatization 567:Psychosocial 565: 562:Psychosocial 548:, or a poor 519: 490:Psychosocial 486:sexual abuse 475: 466:unemployment 448: 419:fibromyalgia 400: 369: 355: 347: 339:muscle aches 331: 319: 310: 306:unemployment 294:fibromyalgia 275: 267: 254: 250: 246: 245: 142:psychosocial 121:Risk factors 85:unemployment 4868:schizotypal 4703:Hypersomnia 4693:Nonorganic 4434:Agoraphobia 4165:Cyclothymia 4160:Bipolar NOS 4135:(affective) 4007:Stereotypic 3915:Kleptomania 3258:Mayo Clinic 1700:Mayo Clinic 1239:Controversy 1218:, a German 1180:melancholia 1165:melancholia 1103:Puerto Rico 962:maladaptive 904:distressing 724:nociceptive 683:nociception 581:within the 498:monozygotic 376:comorbidity 325:, avoiding 259:maladaptive 96:Usual onset 68:Maladaptive 38:Other names 5039:Categories 5020:Stereotypy 4883:Delusional 4872:delusional 4845:Withdrawal 4713:Parasomnia 4618:Nosophobia 4398:Adjustment 4386:somatoform 4319:Sundowning 4172:Depression 4155:Bipolar II 4044:Stuttering 4039:Cluttering 3835:Paraphilia 3724:DiseasesDB 3561:2024-07-14 3372:2023-08-05 3344:9 December 3340:(4): 93–96 3268:2017-04-19 1705:2023-08-01 1337:2023-08-01 1307:References 1134:histrionic 1126:borderline 1122:antisocial 1082:prognostic 964:behavior. 952:, such as 865:chest pain 766:epigenetic 762:biological 653:tryptophan 575:physicians 538:rumination 458:dependence 454:drug abuse 380:depression 211:Medication 144:stressors. 56:psychology 52:Psychiatry 4973:Catatonia 4905:Psychosis 4740:Postnatal 4723:Nightmare 4329:Wandering 4182:Dysthymia 4150:Bipolar I 4105:Pervasive 3920:Pyromania 3845:Voyeurism 3840:Fetishism 3748:eMedicine 3529:0882-2689 3486:0033-3174 3443:0033-3190 3400:0738-0658 3304:1075-2730 3232:0028-4793 3197:0033-3174 3101:0165-0327 3023:1548-5943 2966:0033-3174 2919:2168-6106 2872:0072-9752 2819:0951-7367 2775:1092-8529 2731:0033-3182 2672:1873-2402 2625:1879-1360 2574:0022-3999 2459:1534-7796 2416:1558-3147 2373:1939-1846 2319:2296-2565 2260:1879-1360 2203:1525-1497 2148:1534-7796 2095:0033-2917 2045:1879-1360 2021:: 31–37. 1988:1873-7714 1953:169040646 1937:1590-1262 1890:1545-7206 1855:206897269 1833:: f1580. 1799:1879-1360 1744:0033-3174 1671:258266448 1655:0733-8619 1612:0007-1250 1557:0954-0261 1507:0163-8343 1461:1532-0650 1202:neurology 1161:Sumerians 1157:Egyptians 1142:dependent 996:Treatment 977:paralysis 873:dizziness 861:headaches 784:Diagnosis 726:specific 704:cognitive 607:homes. A 542:avoidance 502:dizygotic 237:Frequency 228:Prognosis 191:Treatment 134:substance 47:Specialty 4708:Insomnia 4378:Neurotic 4345:Delirium 4271:Dementia 4110:Specific 3753:med/3527 3494:18040095 3451:16899963 3367:UpToDate 3262:Archived 3162:25362239 3153:10984143 3117:53113252 3109:30368076 3031:24387234 2982:28701848 2974:11914441 2927:24276929 2880:27719836 2827:19553880 2783:18496475 2690:19423079 2633:20403510 2582:20403505 2467:20368474 2424:21889679 2381:26280303 2337:36408051 2278:20403503 2221:19031038 2156:18040097 2113:34776017 2053:28867421 1996:23122485 1945:31144218 1898:27647568 1847:23511949 1807:25864805 1760:30954374 1663:37775202 1620:22075651 1573:25646632 1565:23383672 1469:26760840 1394:30335286 1265:See also 1174:hysteria 1169:hysteria 1138:avoidant 973:weakness 950:etiology 699:cortical 655:levels. 641:HPA axis 587:sympathy 583:cultural 478:ailments 304:issues, 104:Duration 63:Symptoms 4417:Anxiety 4256:PDD-NOS 4145:Bipolar 3798: ( 3718:D013001 3408:9285988 3312:3042587 3240:3084975 2739:1539100 2681:2885494 2590:7334435 2328:9672811 2269:2858068 2212:2629001 2164:1280316 2104:8961337 1752:2399295 1515:1521787 1228:Briquet 1151:History 1075:Outlook 751:Genetic 720:stimuli 664:stimuli 494:genetic 450:Alcohol 396:phobias 384:anxiety 343:malaise 335:fatigue 286:phobias 263:feigned 4661:Eating 4509:Stress 4426:Phobia 4382:stress 4241:Autism 4034:Speech 3823:Sexual 3654:  3625:  3583:  3552:  3527:  3492:  3484:  3449:  3441:  3406:  3398:  3310:  3302:  3238:  3230:  3195:  3160:  3150:  3115:  3107:  3099:  3053:3 July 3029:  3021:  2980:  2972:  2964:  2925:  2917:  2878:  2870:  2860:  2825:  2817:  2781:  2773:  2737:  2729:  2688:  2678:  2670:  2631:  2623:  2588:  2580:  2572:  2473:  2465:  2457:  2422:  2414:  2379:  2371:  2335:  2325:  2317:  2276:  2266:  2258:  2219:  2209:  2201:  2162:  2154:  2146:  2111:  2101:  2093:  2051:  2043:  1994:  1986:  1951:  1943:  1935:  1896:  1888:  1853:  1845:  1805:  1797:  1758:  1750:  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Index

Psychosomatic
Specialty
Psychiatry
psychology
Symptoms
Maladaptive
Complications
Reduced functioning
unemployment
interpersonal
Risk factors
Childhood neglect
abuse
substance
alcohol abuse
psychosocial
Diagnostic method
Psychiatric assessment
Differential diagnosis
Adjustment disorder
body dysmorphic disorder
obsessive-compulsive disorder
conversion disorder
illness anxiety disorder
Cognitive-behavioral therapy
psychiatric medication
brief psychodynamic interpersonal psychotherapy
Medication
Selective serotonin reuptake inhibitors
serotonin–norepinephrine reuptake inhibitors

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