Approach to the Patient with Multiple Somatic Symptoms

作者：Croicu Carmen^*; Chwastiak Lydia; Katon Wayne

来源：Medical Clinics of North America, 2014, 98(5): 1079-+.

DOI：10.1016/j.mcna.2014.06.007

• Somatic symptoms
• Somatization
• Depression
• Anxiety
• Collaborative care

Primary care providers play a crucial role in the recognition and appropriate treatment of patients with multiple somatic complaints. Both the number of somatic symptoms and the persistence of symptoms are associated with co-occurring depression or anxiety disorders. It can be challenging to simultaneously address possible medical causes for physical symptoms while also considering an associated psychiatric diagnosis. In this article, strategies to improve the care and outcomes among these patients are described, including collaboration, education about the interaction between psychosocial stressors and somatic symptoms, regularly scheduled visits, focus on improving functional status, and evidence-based treatment of depression and anxiety.

• 出版日期2014-9