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The use of hospitalizations by persistent somatizing patients

  • Per Fink (a1)


Medical records were selected from the Danish National Patient Register in order to study individuals between the ages of 17 and 49 years in the general population who, during an 8-year period, were admitted at least 10 times to a general hospital (N = 282). Fifty-six subjects (19%) were found to be persistent somatizers, i.e. they were admitted repeatedly to general hospitals for physical symptoms without an organic basis. This corresponded to a frequency of persistent somatization in the population 0·6 per 1000 men and 3·2 per 1000 women.


Corresponding author

1 Address for correspondence: Dr Per Fink, Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, DK-8240 Risskov, Denmark.


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American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn revised (DSM-III-R). American Psychiatric Association: Washington, DC.
Bass, C. (1990). Somatization. Physical Symptoms and Psychological Illness. Blackwell Scientific Publications: Oxford.
Bishop, E. R. (1980). Monosymptomatic hypochondriasis. Psychosomatics 21, 731747.
Bridges, K. W. & Goldberg, D. P. (1985). Somatic presentation of DSM-III psychiatric disorders in primary care. Journal of Psychosomatic Research 29, 563569.
Carney, M. W. P. (1980). Artefactual illness to attract medical attention. British Journal of Psychiatry 136, 542547.
Cloninger, R. (1986). Somatoform and dissociative disorders. In The Medical Basis of Psychiatry (ed Winokur, G. and Clayton, P.), pp. 123151. W. B. Saunders: Philadelphia.
Dixon, W. J. (1985). BMDP Statistical Software Manual. University of California Press: Berkeley.
Dworkin, S. F., von Korff, M. & LeResche, L. (1990). Multiple pains and psychiatric disturbance. An epidemiologic investigation. Archives of General Psychiatry 47, 239244.
Escobar, J. I., Burnham, A., Karno, M., Forsythe, A. & Golding, J. M. (1987). Somatization in the community. Archives of General Psychiatry 44, 713718.
Fink, P. (1989). 17–49-åriges indlæggelser på somatisk afdeling i en 8-årig periode. En patientregisterundersøgelse. (With an English summary). Ugeskr Laeger 151, 307310.
Fink, P. (1990 a). Mental illness and utilization of admission to general hospital. A register investigation. Acta Psychiatrica Scandinavica 82, 458462.
Fink, P. (1990 b). Physical disorders associated with mental illness. A register investigation. Psychological Medicine 20, 829834.
Fink, P. (1991). Physical complaints and symptoms of somatizing patients. Journal of Psychosomatic Research 35, 112.
Fink, P. & Jensen, J. (1990). Clinical characteristics of the Munchausen syndrome. A review and 3 new case histories. Psychotherapy and Psychosomatics 52, 164171.
Ford, C. V. (1983). The Somatizing Disorders. Illness as a Way of Life. Elsevier Biomedical: New York.
Fulop, G., Strain, J. J., Vita, J., Lyons, J. S., Hammer, J. S. (1987). Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report. American Journal of Psychiatry 144, 878882.
Katon, W., Ries, R. K. & Kleinman, A. (1984). Part II: a prospective DSM-III study of 100 consecutive somatization patients. Comparative Psychiatry 25, 305314.
Kellner, R. (1987). Hypochondriasis and somatization. Journal of the American Medical Association 258, 27182722.
Kroenke, K., Arrington, M. E., Mangelsdorff, A. D. (1990). The prevalence of symptoms in medical outpatients and the adequacy of therapy. Archives of Internal Medicine 150, 16851689.
Kroenke, K. & Mangelsdorff, D. (1989). Common symptoms in ambulatory care: incidence, evaluation, therapy, and outcome. American Journal of Medicine 86, 262266.
Lipowski, Z. J. (1986). Somatization: a borderland between medicine and psychiatry. Canadian Medical Association Journal 135, 609613.
Lipowski, Z. J. (1988). Somatization: the concept and its clinical application. American Journal of Psychiatry 145, 13581368.
McKegney, F. P. (1967). The incidence and characteristics of patients with conversion reactions. I. A general hospital consultation service sample. American Journal of Psychiatry 124, 542545.
Mayou, R. & Hawton, K. (1986). Psychiatric disorder in the general hospital. British Journal of Psychiatry 149, 172190.
Robins, L. N. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry 41, 949958.
Slavney, P. R. & Teitelbaum, M. L. (1985). Patients with medically unexplained symptoms: DSM-III diagnoses and demographic characteristics. General Hospital Psychiatry 7, 2125.
Smith, G. R., Monson, R. A. & Ray, D. C. (1986). Psychiatric consultation in somatization disorder. A randomized controlled study. New England Journal of Medicine 314, 14071413.
Sundhedsstyrelsen (1984). Evaluering of Landspatientregisteret. Sundhedsstyrelsen (II: 19: 1984): København. (The National Board of Health (1984). Evaluation of the National Patient Register. The National Board of Health (II: 19: 1984): Copenhagen.)
Swartz, M., Blazer, D., George, L. & Laderman, R. (1986). Somatization disorder in the community population. American Journal of Psychiatry 143, 14031408.
Weissman, M. M., Myers, J. K. & Harding, P. S. (1978). Psychiatric disorders in a US urban community. 1975–1976. American Journal of Psychiatry 135, 459462.
World Health Organization (1977). International Classification of Diseases. Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death. 8th revision. (Danish version used.) World Health Organization: Geneva.


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