The primary care physicians of patients in the CBT group were asked to follow the following rules: (1) make improved coping
with somatic symptoms rather than symptom elimination the goal of medical management; (2) schedule regular appointments; (3) provide only limited reassurance; (4) explain symptom amplification to the patient, and (5) be conservative in medical diagnosis and treatment.
The Plaintiff injured her neck back and shoulder and developed chronic pain syndrome along
with a somatic symptom disorder with a relatively poor prognosis.
Not exact matches
It has been shown to reduce stress, improve the immune system, decrease anxiety and depression in children
with Post Traumatic Stress Disorder, and reduce emotional stress and
somatic symptoms in adults
with chronic fatigue syndrome, to name just a few.
Children
with a generalized anxiety disorder may also have
somatic symptoms, such as headaches, abdominal pain, and muscle aches and pains.
They asked 56 healthy parents of children
with ASD to complete questionnaires on formal social support (provided by health or social services professionals), informal social support (provided by significant others, friends and family) as well as self - rated health and recent
somatic symptoms.
Somatic symptom presentations in women
with fibromyalgia are differentially associated
with elevated depression and anxiety.
A sudden, discrete period of intense anxiety, mounting physiological arousal, fear, stomach problems and discomfort that is associated
with a variety of
somatic and cognitive
symptoms.
Somatic symptoms of fatigue and muscle pain may overlap
with fibromyalgia and hypothyroid
symptoms.
Many lawyers and claimants may not be familiar
with the term, «
somatic symptom disorder», SSD, when used in personal injury cases.
Pingback: $ 135,000 Pain and Suffering Award for
Somatic Symptom Disorder
with Chronic Pain Holness Law Group
After a two week trial the judge found the claimant had suffered whiplash soft tissue injury to her neck, shoulders, upper limbs, back, chest, and right foot; a capsular tear of her breast implant which required surgery and has left her
with postoperative pain and loss of nipple sensation; chronic mechanical neck and shoulder pain; soft tissue injuries to her arms
with persisting forearm and hand pain, numbness and tingling; posttraumatic stress disorder,
somatic symptom disorder, chronic pain, and a mild traumatic brain injury.
There are many examples of how anxiety presents
with youth: school refusal, anxiety when transitioning from middle school to HS, from HS to college, and from college to becoming a working adult, fears of separation and illness of loved ones,
somatic symptoms such as headaches, stomachaches, discomfort in social situations, intense fear that occurs unexpectedly, panic attacks, obsessions and compulsions.
Results from a one - way MANOVA revealed that patients
with a premorbid and current psychiat - ric disorder reported significantly higher pain severity, more
somatic symptoms, poorer sleep quality, and poorer quality of life than those
with no psychiatric history.
Symptoms of PTSD can include, but are not limited to: intruding thoughts and memories associated
with the traumatic event itself, nightmares, flashbacks,
somatic responses when in the presences of trauma - related stimuli, avoidant behaviors (especially of trauma - related stimuli), and an overall negative mood, affect, and thought content (American Psychiatric Association, 2013: pp. 271 - 280).
Other risk factors significantly associated
with a history of attempted suicide by both boys and girls after controlling for other factors in the models were
somatic symptoms, such as headaches and stomach problems, a history of sexual or physical abuse, having a family member attempt or complete suicide, having health concerns, frequent alcohol or marijuana use, or ever using any other drugs.
Many of the scales demonstrated weak psychometrics in at least one of the following ways: (a) lack of psychometric data [i.e., reliability and / or validity; e.g., HFQ, MASC, PBS, Social Adjustment Scale - Self - Report (SAS - SR) and all perceived self - esteem and self - concept scales], (b) items that fall on more than one subscale (e.g., CBCL - 1991 version), (c) low alpha coefficients (e.g., below.60) for some subscales, which calls into question the utility of using these subscales in research and clinical work (e.g., HFQ, MMPI - A, CBCL - 1991 version, BASC, PSPCSAYC), (d) high correlations between subscales (e.g., PANAS - C), (e) lack of clarity regarding clinically - relevant cut - off scores, yielding high false positive and false negative rates (e.g., CES - D, CDI) and an inability to distinguish between minor (i.e., subclinical) and major (i.e., clinical) «cases» of a disorder (e.g., depression; CDI, BDI), (f) lack of correspondence between items and DSM criteria (e.g., CBCL - 1991 version, CDI, BDI, CES - D, (g) a factor structure that lacks clarity across studies (e.g., PSPCSAYC, CASI; although the factor structure is often difficult to assess in studies of pediatric populations, given the small sample sizes), (h) low inter-rater reliability for interview and observational methods (e.g., CGAS), (i) low correlations between respondents such as child, parent, teacher [e.g., BASC, PSPCSAYC, CSI, FSSC - R, SCARED, Connors Ratings Scales - Revised (CRS - R)-RSB-, (j) the inclusion of
somatic or physical
symptom items on mental health subscales (e.g., CBCL), which is a problem when conducting studies of children
with pediatric physical conditions because physical
symptoms may be a feature of the condition rather than an indicator of a mental health problem, (k) high correlations
with measures of social desirability, which is particularly problematic for the self - related rating scales and for child - report scales more generally, and (l) content validity problems (e.g., the RCMAS is a measure of anxiety, but contains items that tap mood, attention, peer interactions, and impulsivity).
Results from the longitudinal multivariate analyses, indicated that the scores for optimism and negative life events were significantly associated
with scores of
somatic symptoms at time - point two (T2).
Comparison of post-tests of the indoor and green exercise conditions to those of the control condition indicated that adding exercise to pharmacotherapy significantly improved all three categories of affective, cognitive and
somatic symptoms of depression in these two groups compared
with the control group.
Hypochondriacal
symptoms were assessed
with the Whiteley Index20 - 24 and the
Somatic Symptom Inventory (SSI).25, 26 The Whiteley Index consists of 14 hypochondriacal attitudes and concerns, scored on an ordinal scale from 1 to 5,20 - 24 and contains 3 factors: disease fear, disease conviction, and bodily preoccupation.
The self - defeating humor style is of particular interest because it was found to have a strong negative correlation
with explicit self - esteem and positive correlations
with depression, anxiety, and a variety of psychiatric and
somatic symptoms suggesting that this humor style tends to be used by individuals experiencing psychological distress (Stieger, Formann, & Burger, 2011).
Both adopted and biological children of parents
with antisocial personality disorder have an increased risk of developing antisocial personality disorder,
somatic symptom disorder, and substance use disorders.
Four measures of forgiveness were all statistically associated
with five measures of health (physical
symptoms, medications used, sleep quality, fatigue, and
somatic complaints).
Biological relatives of individuals
with this disorder are also at increased risk for
somatic symptom disorder and substance use disorders.
Validation of patient health questionnaire (PHQ) for major depression in Chinese outpatients
with multiple
somatic symptoms: a multicenter cross-sectional study
Dysfunctional illness perception and illness behaviour associated
with high
somatic symptom severity and low quality of life in general hospital outpatients in China
I have a passion for working
with trauma survivors and am trained in Sensorimotor Psychotherapy, a mindfulness based and
somatic approach to resolving trauma
symptoms on an emotional, cognitive, and physical level.
Methods: A population - based sample of 921 Norwegian mothers
with 18 - month - old children completed a questionnaire designed to examine the impact of socioeconomic and demographic factors,
somatic health problems, negative life events, chronic strain and social support on
symptoms of anxiety and depression (HSCL - 25).
These findings are consistent
with those of Natvig et al20 who reported that increasing support from fellow students was associated
with decreased risk for
somatic symptoms.
Previous studies have documented the association between bullying and both health behaviors and
symptoms.21, 43,44 These studies indicate that while being bullied is associated
with difficulty making friends and lower use of alcohol, 21 perpetration of bullying is associated
with more time spent
with friends44 and increased use of alcohol and cigarettes.21 This suggests that although adolescents who are bullied may be at less risk for adverse health outcomes associated
with substance use, they may be at increased risk for
somatic complaints associated
with poor peer relationships.3, 18 New initiatives such as the US Department of Health and Human Services, Health Resources and Services Administration's Stop Bullying Now campaign45 should be evaluated for their efficacy in raising public awareness and reducing the prevalence of bullying.
Male adolescents do not report suffering from
somatic symptoms as frequently as female adolescents,
with the exception of morning fatigue26; however, further research is needed to determine how social and environmental factors influence the frequency and prevalence of this condition and others among boys.
In part, this has been prompted by the clinical observation that there is often
symptom overlap between clinical depression and the common features of chronic pain conditions.6 Clinically, this is manifest by the limitations found when using
somatic symptoms in self - report measures of depression in both populations
with depression and those
with chronic pain, 7 and has generated debate about the utility of categorical diagnostic criteria, as described in the Diagnostic and statistical manual of mental disorders, fourth edition (DSM - IV), 8 for understanding and treating depression in people
with chronic pain.9
All 5 hyperactivity / inattention items loaded onto a single component however two items had higher loadings on another component that also included the highest loadings for two conduct
symptoms (tempers and fights) 1 emotional
symptom item (
somatic) and moderate loading for another two conduct items (obedient and argues
with adults) that however loaded higher onto other scales.
Interestingly, the promising external validity of the FEEL - KJ has now also received support from two other studies in which relations were shown
with binge eating [15], depressive
symptoms [14,15], and
with the DSM
symptom clusters affective problems,
somatic problems, conduct problems, and ADHD problems [14].
In particular, Natvig et al observed a protective effect between student support and depression, a
symptom commonly linked to a range of
somatic symptoms in other studies.4, 7,18 Additional research is needed to determine whether some risk factors for
somatic symptoms can be effectively addressed through positive peer networks, and if so, what mechanisms can be used to mitigate the negative effects of poor peer relations associated
with bullying.
Postpartum depression tends to be milder than episodes of depression that occur at other times,
with lower levels of anxiety, agitation, insomnia and
somatic symptoms [8].
The presence of internalizing (anxiety, depressive and
somatic)
symptoms at baseline was associated
with an increased risk of peer victimization over time.
Serum biomarkers also had differential associations
with mental health problems,
with the inflammatory cytokine IL6 being more strongly associated
with the internalizing dimension (i.e. depressive, anxiety and
somatic problems) and the oxidative stress marker TBARS
with externalizing
symptoms (i.e. attentional, oppositional and conduct problems).
The relation of daily stressors to
somatic and emotional
symptoms in children
with and without recurrent abdominal pain
More vagal withdrawal in response to challenge was associated
with more internalizing
symptoms, particularly
with more
somatic symptoms.