Dergi Ara >>
Yıl:1999; Cilt: 3; Sayı: 1>> Özet
TAM METİN
Psikiyatri Dünyası; 1999;3(1):5-10
Somatizasyon Bozukluğu
L Sevinçok
Adnan Menderes Üniversitesi Tıp Fakültesi Psikiyatri AD, Aydın
Somatizasyon genel tıpta ve konsültasyon-liyazon psikiyatrisinde sık karşılaşılan karmaşık bir sorundur. Somatizasyon belirtileri ile başvurulara sıklıkla birinci basamak sağlık kurumlarında rastlanmakta, bu tür hastaların genel sağlık hizmetlerindeki "gizli psikiyatrik hastalıkların" %50'sini oluşturduğu tahmin edilmektedir. Somatizasyon bozukluğunda (SB) karşılaşılan belirtiler sıklıkla özgül değildir ve çeşitli tıbbi bozukluklarla örtüşebilir. Fizik muayene ve laboratuvar değerlendirmesinde yakınmaların organik kökenli olduğunu destekleyecek bir bulgu elde edilemez. SB'nin en sık ve en önemli komplikasyonları yineleyen cerrahi girişimler, ilaç bağımlılığı, ayrılma ya da boşanmalar ve intihar girişimleridir. SB’nin ayırıcı tanısında dikkatli bir şekilde ele alınması gereken psikiyatrik bozukluklar anksiyete bozuklukları, duygudurum bozuklukları (özellikle depresyon) ve şizofrenidir.

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