How disabled are patients with somatoform disorders?

General Hospital Psychiatry
W HillerM M Fichter

Abstract

The purpose of this study was to evaluate the level and quality of psychosocial disabilities in patients suffering from somatoform disorders (SFD). Of 221 patients referred for psychiatric and cognitive-behavioral inpatient treatment, 37 were diagnosed according to DSM-IV as having SFD, 56 as pain disorder, 70 met the criteria for the subsyndromal form of SFD called the "Somatic Symptom Index" (SSI). The control group consisted of 58 patients with other mental disorders. All patients completed the Dysfunctional Analysis Questionnaire (DAQ) which measures social, vocational, personal, familial, and cognitive disabilities on psychometric scales. The results showed substantial disabilities in all somatoform subgroups; however, the levels and patterns of dysfunction in these patients were not statistically different from those in the control group. Impairment was generally more severe when patients had a comorbidity of somatoform and affective disorders. It is concluded that SFDs are associated with marked psychosocial disabilities similar to those seen in other mental disorders. The strongest predictor for psychosocial dysfunction is the comorbidity of somatoform with affective disorders, but not with anxiety disorders.

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Citations

Oct 19, 2004·Journal of Anxiety Disorders·Wolfgang HillerManfred M Fichter
Dec 20, 2002·General Hospital Psychiatry·Javier García-Campayo, Concepción Sanz-Carrillo
Jun 6, 2012·International Journal of Family Medicine·Hans Joergen Soegaard
Feb 13, 2001·Psychosomatics·W HillerM M Fichter
Aug 29, 2007·European Journal of Pain : EJP·Bettina S ArnoldPaul Pauli
Apr 19, 2005·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Wolfgang Von Hiller
May 4, 2005·Behaviour Research and Therapy·Wolfgang Hiller, Christian Haerkötter
Mar 25, 2014·Asian Journal of Psychiatry·Vijeta KushwahaManju Mehta
Aug 1, 2014·Journal of Psychosomatic Research·Josef BailerFred Rist
Jan 10, 2013·Scientific Reports·Erwin LemcheMary L Phillips
Mar 27, 2003·The Australian and New Zealand Journal of Psychiatry·Graeme C Smith
Apr 20, 2004·Journal of Psychosomatic Research·Wolfgang Hiller, Manfred M Fichter
Feb 3, 2006·International Review of Psychiatry·Fareed A Minhas, Asad Tamizuddin Nizami
Nov 28, 2007·Psychosomatic Medicine·Winfried Rief, Graciela Rojas
Aug 1, 2003·Acta Neuropsychiatrica·Rolf Leibbrand, Wolfgang Hiller
Jul 4, 2001·The British Journal of Psychiatry : the Journal of Mental Science·C BassA House
Jun 24, 2008·Journal of Toxicology and Environmental Health. Part a·Michael WitthöftJosef Bailer
Nov 8, 2014·The Cochrane Database of Systematic Reviews·Maria KleinstäuberMichael J Lambert
Mar 2, 2005·European Journal of Pain : EJP·Jürgen Jage
Dec 1, 2006·Irish Journal of Psychological Medicine·Sean O'Sullivan, Eugene M Cassidy
Feb 6, 2017·International Journal of Methods in Psychiatric Research·Maria Christina DehoustSylke Andreas

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