Health Care Utilization and Poor Reassurance: Potential Predictors of Somatoform Disorders

作者：Puri Paul R^*; Dimsdale Joel E

来源：Psychiatric Clinics of North America, 2011, 34(3): 525-+.

DOI：10.1016/j.psc.2011.05.011

• Somatoform disorder
• DSM
• Utilization
• Satisfaction
• Reassurance

Somatoform disorders are common conditions, but the current diagnostic criteria are considered to be unreliable, based largely on medically unexplained symptoms. DSM-5 is considering other possible characteristics of somatizers including high utilization, dissatisfaction with care, and poor response to reassurance. The PubMed database was searched combining terms such as "somatoform disorder" with "reassurance," "satisfaction," and "utilization." Evidence was found to support transient but poor sustained response to reassurance, and for over-utilization, particularly in outpatient visits, though this was not specific. Future research should attempt to validate criteria prospectively.

• 出版日期2011-9