Dergi Ara >>
Yıl:1996; Cilt: 7; Sayı: 3>> Özet
Türk Psikiyatri Dergisi; 1996;7(3):208-214
Birinci Basamak Sağlık Birimlerinde Somatizasyon Bozukluğu
DI AKBIYIK
Bir birinci basamak sağlık birimine değişik yakınmalarla başvuran 282 hasta somatizasyon bozukluğu açısından DSM IV tanı ölçütlerinin gözönüne alındığı bir klinik görüşme ile değerlendirilmişlerdir. Somatizasyon bozukluğu tanısı olan 16 hastada en sık ortaya çıkan şikayetler başağrısı, bulantı, cinsel ilgisizlik ve ekstremitelerde uyuşma hissidir Eşleştirilen bir kontrol grubu ile karşılaştırıldığında bu hastaların sağlık birimlerine daha sık başvurdukları, sağlık sorunları nedeniyle işlerinden daha sık uzak kaldıkları, daha sık girişimsel ve radyolojik tetkikten geçtikleri görülmüştür. Hastanede yatış süreleri açısından iki grup arasında anlamlı bir fark bulunmamıştır.
Somatization disorder in primary care units
282 patients attending to a primary care unit with different complaints were screened for somatization disorder with clinical interview in accordance with DSM IV diagnostic criteria. Somatization disorder was diagnosed in 16 patients in whom the most frequent symptoms were headache, nausea, sexual indifference and feelings of numbness in extremities. When compared with matched controls, patients with somatization disorder used medical services sinificantly more often, were out of work for longer periods during the last [year] because of health problems and had invasive procedures and radiologic examinations more often, Duration of hospitalizations showed no significant difference between the two groups.

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