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Somatização na América Latina: uma revisão sobre a classificação de transtornos somatoformes, síndromes funcionais e sintomas sem explicação médica; Somatization in Latin America: a review of the classification of somatoform disorders, functional syndromes and medically unexplained symptoms

TÓFOLI, Luís Fernando; ANDRADE, Laura Helena; FORTES, Sandra
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
27.45%
OBJETIVO: Os sintomas sem explicação médica são frequentes e estão associados a sofrimento mental em vários contextos. Estudos prévios apontam que as populações latino-americanas são propensas à somatização. Diante da reformulação da Classificação Internacional de Doenças para sua 11ª edição, as particularidades dos nativos desta região do mundo devem ser levadas em consideração. O objetivo deste estudo é prover informações sobre somatização na população latino-americana para a tomada de decisões quanto às categorias diagnósticas ligadas a sintomas sem explicação médica na Classificação Internacional de Doenças-11ª edição. MÉTODO: Revisão extensa da produção de 1995 a 2011 sobre somatização em populações de origem latino-americana. RESULTADOS: A análise dos 106 estudos incluídos nesta revisão foi dividida em 15 categorias: revisões sistemáticas, revisões conceituais, prevalências, atenção primária, depressão e ansiedade, fatores de risco, violência, quadros orgânicos, relacionamento com profissionais e o sistema de saúde, etnia, síndromes ligadas à cultura, síndrome da fadiga crônica, fibromialgia, transtorno dismórfico corporal, e conversão e dissociação. CONCLUSÃO: Os estudos latino-americanos confirmam a dificuldade na definição categorial de quadros com sintomas sem explicação médica. O suposto "traço somatizador" das culturas latinas pode estar associado mais à expressão cultural e linguística do que a um caráter de natureza étnica...

Psicossomática e transtornos de somatização: caracterização da demanda em um hospital escola no período de 1996 a 2004; Psychosomatics and somatization disorder: demand characterization at a teaching hospital between 1996 and 2004

Martins, Vanessa Alves
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/02/2007 PT
Relevância na Pesquisa
37.56%
O termo "Psicossomática" utilizado para designar a inter-relação entre sintomas físicos e fatores emocionais nas diversas patologias variou durante anos provocando confusões. Os diversos tratamentos médicos podem elevar gastos nos serviços de saúde. O presente estudo busca caracterizar a demanda de pacientes do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP) no período de 1996 a 2004 cujo diagnóstico é Doença Psicossomática. A coleta de dados foi realizada em prontuários médicos, no Serviço de Arquivo Médico (SAME), com a categoria diagnóstica F 45 que, de acordo com o CID-10, significa Transtorno de Somatização; essa categoria foi utilizada como palavra chave no banco de dados. Na busca pelos prontuários foram encontrados 397, porém apenas 136 registravam o diagnóstico F 45, amostra do presente estudo. A coleta foi dificultada devido às letras ilegíveis e à falta de dados nos prontuários relacionados aos itens do instrumento de coleta. A população constitui-se pela maioria nascida no Estado de São Paulo com 43% da amostra, desses 14% nasceram em Ribeirão Preto-SP e 29% nasceram em outras cidades do Estado; são moradores do Estado de São Paulo 48%...

Somatização e alexitimia : um estudo nos cuidados de saúde primários

Almeida, Vera; Machado, Paulo P. P.
Fonte: Asociación Española de Psicología Conductual (AEPC) [etc.] Publicador: Asociación Española de Psicología Conductual (AEPC) [etc.]
Tipo: Artigo de Revista Científica
Publicado em //2004 POR
Relevância na Pesquisa
27.65%
A somatização é um grave problema nos cuidados de saúde primários. Vários factores têm sido estudados para explicar a somatização, sendo a alexitimia um dos factores mais investigados. Embora exista trabalho anterior acerca da alexitimia e de algumas condições médicas, ainda pouca pesquisa tem sido efectuada entre pacientes somatizadores nos cuidados primários. O objectivo deste estudo descritivo transversal é investigar a relação entre a somatização e a alexitimia em pacientes dos cuidados primários. 143 pacientes de quatro Centros de Saúde da Região do Porto completaram as seguintes medidas: TAS-20, a PILL, a EEC, e uma versão reduzida da SCL-90. Os resultados indicam-nos que a somatização é um fenómeno comum entre os pacientes dos centros de saúde, estando associado a uma elevada morbilidade física e psiquiátrica. Quanto à associação entre somatização e a alexitimia, inicialmente constatámos uma associação positiva e moderada, mas ao procedermos ao controlo das variáveis ansiedade e depressão, essa associação diminui significativamente, tornando-se fraca. Os resultados mostraram-nos também que a alexitimia não se revelou factor preditivo. A investigação futura deverá avaliar a relação entre estas duas variáveis de forma a que sejam desenvolvidas intervenções eficazes para os pacientes somatizadores que tendem a sobrecarregar os cuidados de saúde primários.; Several factors have been studied to understand somatization...

Somatização e expressão emocional : um estudo nos cuidados de saúde primários; Somatization and emotional expression : a study in primary health care

Almeida, Vera
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Tese de Doutorado
Publicado em 17/07/2006 POR
Relevância na Pesquisa
27.72%
A somatização é um importante problema clínico e socioeconómico que causa elevados níveis de disfuncionalidade nos pacientes e acarreta graves problemas para os serviços de saúde, dada a utilização frequente que estes fazem dos serviços e as dificuldades na relação com os profissionais de saúde. Em Portugal não se conhecem trabalhos que tenham estudado este fenómeno nos cuidados de saúde primários. A nossa investigação tenta colmatar esta lacuna através da realização de dois estudos empíricos acerca da somatização e da expressão emocional em contextos de saúde. O primeiro, de natureza exploratória, procurou investigar e caracterizar os somatizadores na sua relação com os processos emocionais e com a utilização dos serviços de saúde. A amostra, constituída por 143 pacientes, foi recrutada em quatro centros de saúde da região do Porto. Todos os participantes completaram um conjunto de medidas para avaliar: características clínicas e sociodemográficas, a alexitimia, o controlo emocional, a somatização, a ansiedade e a depressão. Foram realizadas análises comparativas e de associação. Os principais resultados comparativos mostraram que: (1) os somatizadores são mais velhos e menos escolarizados que os não somatizadores; utilizam com mais frequência os serviços de saúde; estão mais dias doentes e têm que alterar mais vezes as suas actividades do que os não somatizadores; (2) os somatizadores revelam-se mais ansiosos e deprimidos...

PTSD is a better predictor of somatization in high trauma exposed than in community samples

Maia, Ângela
Fonte: Taylor & Francis Publicador: Taylor & Francis
Tipo: Artigo de Revista Científica
Publicado em 01/08/2012 ENG
Relevância na Pesquisa
37.56%
Background: The relation between PTSD symptoms’ and health, including health complaints, have been the aim of recent research, but until now no research was done comparing the relation between these variables in high exposed subjects and community samples. Methods: 1573 subjects (790 from community and 774 with trauma exposure, e.g. veterans, ambulance personnel) filled out a PTSD scale and a somatization scale. Findings: 21% of total sample report PTSD. PTSD symptoms explain 22% of somatization variance in the total sample, but this value is 29% in trauma exposed participants and only 14% in community sample. PTSD arousal symptoms are the best predictors in both groups. Discussion: Trauma exposure is not only related to higher PTSD prevalence, but also in these subjects PTSD symptoms explain a higher variance in somatization. Health care Services should take these data into account and screening for PTSD should be a routine, especially in traumatized subjects.

Somatization: a borderland between medicine and psychiatry.

Lipowski, Z J
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 15/09/1986 EN
Relevância na Pesquisa
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Somatization is the tendency to experience and communicate psychologic distress in the form of somatic symptoms that the patient misinterprets as signifying serious physical illness. Patients with persistent somatization relentlessly seek medical diagnosis and treatment despite repeated reassurance that physical illness is either absent or insufficient to account for their symptoms and disability. Such abnormal illness behaviour leads to overuse of health care facilities and contributes to the high cost of health care. Somatization may occur transiently in response to stressful life events or it may be persistent and result in chronic partial or total disability. Diagnostic and therapeutic guidelines that may help physicians identify and manage such patients more effectively are discussed.

An exploration of somatization among Asian refugees and immigrants in primary care.

Lin, E H; Carter, W B; Kleinman, A M
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/1985 EN
Relevância na Pesquisa
27.72%
The clinical records of Chinese, Filipino, Vietnamese, Laotian, and Mien patients in primary care were reviewed to determine the prevalence of somatization, its associated patient characteristics, and the manifested illness behavior. Patients in this study were generally poor, unemployed, and spoke little English. Somatization accounted for 35 per cent of illness visits. These visits were also more costly. Refugees had a higher rate of somatization (42.7 per cent) than immigrants (27.1 per cent). Although sociodemographic characteristics did not strongly differentiate patients with somatization from others, ethnicity and indicators of decreased resources such as large households with low income, households headed by single women, or a limited English proficiency were associated with somatization in certain ethnic groups. Somatization is thus an important health problem among Asian refugees and immigrants.

Sources of somatization: Exploring the roles of insecurity in relationships and styles of anger experience and expression

Liu, Liang; Cohen, Shiri; Schulz, Marc S.; Waldinger, Robert J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
27.65%
Research in the U.S. has shown strong connections between insecure attachment in close relationships and somatization. In addition, studies have demonstrated connections between somatic symptoms and anger experience and expression. In this study, we integrate perspectives from these two literatures by testing the hypothesis that proneness to anger and suppression of anger mediate the link between insecurity in relationships and somatization. Between 2000 and 2003, a community-based sample of 101 couples in a large U.S. city completed self-report measures, including the Somatic Symptom Inventory, the Relationship Scales Questionnaire, the Multidimensional Anger Inventory, the Revised Conflict Tactics Scale, and the Beck Depression Inventory. Controlling for age, income, and recent intimate partner violence, analyses showed that the link between insecure attachment and somatization was partially mediated by anger proneness for men and by anger suppression for women. Findings are consistent with the hypothesis that men who are insecurely attached are more prone to experience anger that in turn fosters somatization. For women, findings suggest that insecure attachment may influence adult levels of somatization by fostering suppression of anger expression. Specific clinical interventions that help patients manage and express angry feelings more adaptively may reduce insecurely attached individuals’ vulnerability to medically unexplained somatic symptoms.

Illness behaviour and somatization in general practice

Scicchitano, J.; Lovell, P.; Pearce, R.; Marley, J.; Pilowsky, I.
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Artigo de Revista Científica
Publicado em //1996 EN
Relevância na Pesquisa
37.27%
In the primary care setting, the early recognition that a patient has psychological problems is frequently hindered by the deceptive mode of presentation known as somatization. In a cross-sectional survey of patients attending suburban General Practitioners in a large metropolitan city, the General Health Questionnaire-30 (GHQ-30) and the Illness Behavior Questionnaire (IBQ) were completed by 201 patients. A comparison was made between somatizing and nonsomatizing patients with new inceptions of illness in terms of the risk of the presence of a mild nonpsychotic psychiatric illness and aspects of illness behavior. For the group as a whole, somatizing patients were more likely to be older and female. Male somatizers differed from male nonsomatizers by showing greater disease conviction and affective disturbance and more readiness to acknowledge difficulties in their lives other than health problems. No differences were found between female somatizing and nonsomatizing patients. We conclude that, while male patients who somatize psychological distress may be distinguished from male nonsomatizers early in their illness, in terms of their illness behavior, these differences are not seen as early distinguishing characteristics in female patients who present to their General Practitioners with physical problems for which no organic cause can be established; J. Scicchitano...

Exploring the associations between somatization and dental fear and dental visiting

Armfield, J.; Pohjola, V.; Joukamaa, M.; Mattila, A.; Souminen, A.; Lahti, S.
Fonte: Munksgaard Int Publ Ltd Publicador: Munksgaard Int Publ Ltd
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
37.81%
While somatization has been investigated as an important variable in relation to excessive health-service utilization, its role in relation to dental visiting and dental fear has received limited attention. It was hypothesized that an excessive focus on physical symptoms might lead somatizers to experience dental treatment as more traumatic, resulting in greater dental fear. The aims of this study were to determine whether somatization was associated with dental fear, reduced dental visiting, and symptomatic visiting. Questionnaire data were collected from 5,806 dentate Finnish adults, with somatization measured using 12 items from the Symptom Check List (SCL-90). Dental fear was measured using a single-item question and dental visiting was assessed by questions relating to time since last dental visit and the usual reason for dental visiting. Multinomial logistic regression analyses indicated that somatization has a statistically significant positive association with both dental fear and symptomatic dental visiting after controlling for age, gender, and education. However, the association between dental-visiting frequency and somatization was not statistically significant. The results were consistent with the hypothesized role of somatization in the development of dental fear. Further investigation of how somatization is related to dental fear and dental-service utilization appears warranted.; Jason M. Armfield...

Screening of somatization disorder in primary health care. Results from a pilot study.; Rastreio da perturbação de somatização nos cuidados primários de saúde - resultados de um estudo piloto.

Fabião, Cristina; Instituto de Ciências Biomédicas Abel Salazar, Porto.; Barbosa, António; Fleming, Manuela; Silva, Carolina
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 24/10/2008 POR
Relevância na Pesquisa
27.56%
There are no population based studies of Somatoform Disorders (SD) in Portugal, despite the fact that a high prevalence has been reported in other countries, mainly when less restrictive criteria are used for diagnosis. This study represents the first step to know the impact of this pathology in the community.To evaluate the psychometric properties of a Portuguese version of SOMS-2 (Screening for Somatoform Disorders) in primary health care (PHC) and studying its relationship with depression and anxiety. Method: All persons attending an urban PHC unit aged 18 years or more and knowing how to read and write were invited to participate in this study undertaken during 2 days in January, 2007. All participants filled a socio-demographic questionnaire and a translated version of a screening instrument for Somatization Disorder (SD) (SOMS-2), including a list of 53 somatic symptoms and 15 questions to evaluate the severity and presence of other somatoform disorders. A measure of anxiety and depression was also obtained using the Portuguese version of HADS (Hospital Anxiety and Depression Scale).The 122 participants, 16% out of the 760 contacted, had on average 46.5 years (sd = 16.3) and 63% were woman. After applying criteria for frequency (> 10%) and discriminative power in terms of incapacity...

Functional somatization: a conceptual review.; Somatização funcional: uma revisão do conceito.

Fabião, Cristina; Departamento de Ciências do Comportamento, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Portugal.; Fleming, Manuela; Barbosa, António
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 29/12/2011 POR
Relevância na Pesquisa
27.87%
The authors have brought together and analised texts about the history of the concept of hysteria. In these texts hysteria is fundamentally considered a disease of organic origin (of the womb), and, in the Middle Age, evidence of demonic possession. From the XVII century onwards, apart from the etiopathogenic concepts, also taken into consideration are aspects connected to the differential diagnosis with other similar entities and the therapy used each period. Even, in subsequent centuries, authors such as Syndenham, who consider hysteria to be a multidimensional entity, are rare. Empiricism has contributed to discoveries in biology and physiology, both general and of the nervous system itself, and given birth to the formulation of the Spinal Irritation Theory and Reflex Theory. These theories have led to strictly organic treatment of hysteria, in the same way that hysterectomies were performed to alleviate somatic symptoms connected to this disease. The introduction of hypnosis in medical practice, with Charcot in X1X century, allowed for the element of suggestion to be observed ( a non organic element) which accompanies the symptoms of hysteria. Two of his disciples, Janet and Freud, would define and isolate psychic mechanisms in the symptoms of hysteria: Dissociation of the consciousness (Janet) and Conversion (Freud). The last one developed a therapeutic method of a psychological nature for hysteria. The therapeutic implications and the pertinence of the distinction between unspecific somatization or functional (of somatic origin) somatization and somatization linked to disassociation mechanisms and conversion (psychic origin) are discussed as well as the evolution of international classification systems of somatization and the questions posed by the algorithms chosen for the cataloguing of symptoms. A revision of the relevant empirical studies about the association of somatization with depressive and anxiety disorders...

Identification and management of somatization in the primary care setting, in terms of illness behaviour and risk of psychiatric illness / Janice Patricia Scicchitano.

Scicchitano, Janice Patricia
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado Formato: 499767 bytes; application/pdf
Publicado em //2000 EN
Relevância na Pesquisa
37.45%
A study of the phenomenon of somatization as it occurs in the primary care setting. The phenomenon was studied in terms of aspects of illness behaviour and risk of psychiatric morbidity. It is suggested that abnormal illness behaviour in the form of somatization may be an important factor in the non-recognition of mild non-psychotic psychiatric illness in the primary care setting. The results of the study indicate that an assessment of the patients' attitudes and beliefs about symptoms, and an exploration of psychosocial issues, may lead to a better understanding of why the patients have sought help, and may lead to early identification and appropriate treatment of somatizing behaviour and the psychiatric morbidity underlying such behaviour.; Thesis (Ph.D.)--University of Adelaide, Depts. of Psychiatry and General Practice, 2001; Bibliography: leaves 233-306.; xvii, 306 leaves : ill. ; 30 cm.; Title page, contents and abstract only. The complete thesis in print form is available from the University Library.

Adaptação portuguesa do Children's Somatization Inventoryinventario de somatização para crianças (ISC-24)

Ferreira, Sónia Isabel Fontes
Fonte: Universidade de Aveiro Publicador: Universidade de Aveiro
Tipo: Dissertação de Mestrado
POR
Relevância na Pesquisa
27.81%
A somatização é “a tendência para experimentar e comunicar desconforto somático e sintomas que não podem ser explicados por causas patológicas e atribuídos a doenças físicas (Lipowski, 1984). A literatura tem vindo a referir uma associação entre queixas somáticas e o aumento dos níveis de stresse. Apesar de vários estudos e investigações terem sido feitos, desde cedo, sobre a somatização e os efeitos do stresse no aparecimento de doenças, estes incidem, essencialmente, na população adulta. Com efeito, a investigação nas crianças e nos adolescentes é ainda escassa, carecendo de instrumentos de avaliação adaptados para a população portuguesa. O Inventário de Somatização para Crianças (ISC-24) destina-se a avaliar a presença e o grau de intensidade de somatização, entre os 8 e os 18 anos de idade. O presente estudo pretende analisar as características psicométricas do Inventário de Somatização para Crianças (ISC-24), de modo a adaptar para a população portuguesa uma medida válida de somatização. Para tal, recorremos a uma amostra da população geral instituída por 146 alunos, do centro do país, 64 sujeitos do sexo masculino e 82 do sexo feminino, com idades compreendidas entre os 8 e os 18 anos de idade e com frequências do Iº...

Psychiatric Symptoms and Dissociation in Conversion, Somatization and Dissociative Disorders

Espirito-Santo, Helena; Pio-Abreu, José Luís
Fonte: Australian and New Zealand Journal of Psychiatry Publicador: Australian and New Zealand Journal of Psychiatry
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
37.65%
Objective: Conversion, dissociation and somatization are historically related in the long established concept of hysteria. Somewhere along the way they were separated due to the Cartesian dualistic view. The aim of the present study was to compare these pathologies and investigate whether symptoms of these pathologies overlap in their clinical appearance in a Portuguese sample. Method: Twenty-six patients with conversion disorder, 38 with dissociative disorders, 40 with somatization disorder, and a comparison group of 46 patients having other psychiatric disorders answered questions about dissociation (Dissociative Experiences Scale), somatoform dissociation (Somatoform Dissociation Questionnaire), and psychopathological symptoms (Brief Symptom Inventory). Results: Dissociative and somatoform symptoms were significantly more frequent in dissociative and conversion disorder than in somatization disorder and controls. There were no significant differences between dissociative and conversion patients. Conclusions: Conversion disorder is closely related to dissociative disorders. These results support the ICD-10 categorization of conversion disorder among dissociative disorders and the hypothesis of analogous psychopathological processes in conversion and dissociative disorders versus somatization disorder.

Somatization in survivors of catastrophic trauma: a methodological review.

North, Carol S
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/2002 EN
Relevância na Pesquisa
27.77%
The literature on mental health effects of catastrophic trauma such as community disasters focuses on posttraumatic stress disorder. Somatization disorder is not listed among the classic responses to disaster, nor have other somatoform disorders been described in this literature. Nondiagnostic "somatization," "somatization symptoms," and "somatic symptoms" form the basis of most information about somatization in the literature. However, these concepts have not been validated, and therefore this work suffers from multiple methodological problems of ascertainment and interpretation. Future research is encouraged to consider many methodological issues in obtaining adequate data to address questions about the association of somatization with traumatic events, including a) appropriate comparison groups, b) satisfactory definition and measurement of somatization, c) exclusion of medical explanations for the symptoms, d) recognition of somatizers' spurious attribution of symptoms to medical causes, e) collection of data from additional sources beyond single-subject interviews, f) validation of diagnosis-unrelated symptom reporting or reconsideration of symptoms within diagnostic frameworks, g) separation of somatization after an event into new (incident) and preexisting categories...

Psychiatric symptoms and dissociation in conversion, somatization and dissociative disorders

Espirito-Santo, Helena; Pio-Abreu, José Luís
Fonte: Australian and New Zealand Journal of Psychiatry Publicador: Australian and New Zealand Journal of Psychiatry
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
37.65%
Objective: Conversion, dissociation and somatization are historically related in the long established concept of hysteria. Somewhere along the way they were separated due to the Cartesian dualistic view. The aim of the present study was to compare these pathologies and investigate whether symptoms of these pathologies overlap in their clinical appearance in a Portuguese sample. Method: Twenty-six patients with conversion disorder, 38 with dissociative disorders, 40 with somatization disorder, and a comparison group of 46 patients having other psychiatric disorders answered questions about dissociation (Dissociative Experiences Scale), somatoform dissociation (Somatoform Dissociation Questionnaire), and psychopatho- logical symptoms (Brief Symptom Inventory). Results: Dissociative and somatoform symptoms were significantly more frequent in dissociative and conversion disorder than in somatization disorder and controls. There were no significant differences between dissociative and conversion patients. Conclusions: Conversion disorder is closely related to dissociative disorders. These results support the ICD-10 categorization of conversion disorder among dissociative disorders and the hypothesis of analogous psychopathological processes in conversion and dissociative disorders versus somatization disorder.

Controvérsias sobre a somatização; Controversies on somatization

Coelho, Cassiano Lara de Souza; Ávila, Lazslo Antonio
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2007 POR
Relevância na Pesquisa
37.81%
CONTEXTO: A somatização é freqüentemente encontrada nos diversos serviços de saúde e apresenta controvérsias quanto a sua abordagem, diagnóstico e encaminhamentos para tratamento. OBJETIVOS: Realizar uma revisão sistemática sobre o tema somatização, caracterizando como vem sendo discutido na literatura científica e empregado indiscriminadamente em diversos campos de atuação clínica. Pretendemos delimitar o conceito, demonstrando a necessidade de uma definição unívoca dessa classificação. MÉTODOS: Uma revisão da literatura foi conduzida nos indexadores Medline e Lilacs, entre os anos 2001 e 2004, com os termos somatização, transtornos somatoformes e medicina psicossomática. Propusemos categorias de conteúdo, de acordo com o tema principal associado ao conceito de somatização, priorizando questões sobre classificação. RESULTADOS: Encontramos contradições nas definições, usos e classificação da somatização. A maioria dos artigos do período (191) enfocava a somatização na psiquiatria, seguida por outras especialidades médicas (139), observando-se grande dispersão dos contextos e situações clínicas em que ela é empregada. CONCLUSÕES: Há premente necessidade de melhor entendimento dessa condição...

What is lost when psychosomatics is replaced by somatization?

Ávila,Lazslo; Donati,F.; Cordeiro,J.A.
Fonte: Sociedade Portuguesa de Psicologia da Saúde Publicador: Sociedade Portuguesa de Psicologia da Saúde
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
37.56%
To critically review scientific publications from the last five years to identify the main themes linked to psychosomatics and somatization with the purpose of analyzing the meaning of tendencies manifested by these themes and their distribution. A systematic review of abstracts linked to the MEDLINE, LILACS and SciELO databases from 2004 to 2008, using MeSH, the structured vocabulary proposed by the National Library of Medicine, to create 38 content categories in order to classify the papers. Principal component statistical analysis was performed to indicate the structuring order of the themes. We found an expressive dominance of the use of the term ‘somatization’, particularly in MEDLINE, with an accentuated tendency to substitute ‘psychosomatics’ and an overall predominance of psychiatry over other specialties or approaches. Many different perspectives on psychosomatic phenomena are progressively becoming less significant with a concentration of research themes in only four large clusters of categories: 1) ‘psychiatry + psychosomatics’; 2) ‘psychiatry - psychosomatics’; 3) ‘medical specialties + treatment - subjectivity + scales + psychosomatics - psychiatry’ and 4) ‘psychiatry × medical specialties + subjectivity + psychosomatics + psychiatry × psychosomatics - psychiatry’. We demonstrate that the underlying tendency of present-day research is to eradicate the prefix ‘psycho’ from psychosomatic studies...

The role of post-migration living difficulties on somatization among first-generation immigrants visited in a primary care service

Aragona,Massimiliano; Pucci,Daniela; Carrer,Sara; Catino,Elena; Tomaselli,Adriana; Colosimo,Francesco; Lafuente,Montserrat; Mazzetti,Marco; Maisano,Bianca; Geraci,Salvatore
Fonte: Istituto Superiore di Sanità Publicador: Istituto Superiore di Sanità
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
Relevância na Pesquisa
37.45%
The role of post-migration living difficulties (PMLD) on somatization was studied in 101 first generation immigrants visited in primary care. Premigratory traumas and post-traumatic stress disorder (PTSD) were also assessed. About one third of patients somatized. Sociodemographic variables were similar in somatizers and non-somatizers. Premigratory traumas, PTSD and the likelihood to report at least one serious or very serious PMLD were higher in somatizers. Four kinds of PMLD were more frequent in somatizers: worries about unavailability of health assistance, working problems, discrimination and poor social help. Traumas and PTSD influenced the effect of PMLD on somatization. Findings suggest that in specific samples of primary care immigrants severe premigratory traumas increase the sensitivity to PMLD and in turn distress due to PMLD amplifies the tendency to somatize.