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Research Article

‘I'm more sick than my doctors think’: Ethical issues in managing somatization in developing countries

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Pages 77-85 | Received 15 Aug 2012, Accepted 03 Oct 2012, Published online: 06 Feb 2013

References

  • Aiarzaguena, J.M., Gaminde, I., Grandes, G., Salazar, A., Alonso, I. & Sánchez, A. (2009). Somatisation in primary care: Experiences of primary care physicians involved in a training program and in a randomised controlled trial. BMC Family Practice, 25, 73.
  • Barsky, A.J., Orav, E.J. & Bates, D.W. (2005). Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Archives of General Psychiatry, 62, 903–910.
  • Bass, C., Peveler, R. & House, A. (2001). Somatoform disorders: Severe psychiatric illnesses neglected by psychiatrists. British Journal of Psychiatry, 179, 11–14.
  • Chaturvedi, S.K. & Bhandari, S. (1989). Somatisation and illness behaviour. Journal of Psychosomatic Research, 33, 147–153.
  • Chaturvedi, S.K. & Bhugra, D. (2007). The concept of neurosis in a cross-cultural perspective. Current Opinion in Psychiatry, 20, 47–51.
  • Chaturvedi, S.K. & Desai, G. (2006). What's ‘in the body’ is actually ‘in the mind’! International Review of Psychiatry, 18, 1–3.
  • Chaturvedi, S.K., Desai, G. & Shaligram, D. (2006). Somatoform disorders, somatization and abnormal illness behaviour. International Review of Psychiatry, 18, 75–80.
  • Chaturvedi, S.K., Michael, A. & Sarmukaddam, S. (1987). Somatizers in psychiatric care. Indian Journal of Psychiatry, 29, 337–342.
  • Dickinson, W.P., Dickinson, L.M., deGruy, F.V., Candib, L.M., Main, D.S., Libby, A.M., Rost, K. (2003). The somatization in primary care study: A tale of three diagnoses. General Hospital Psychiatry, 25, 1–7.
  • Duddu, V., Isaac, M.K. & Chaturvedi, S.K. (2006). Somatization, somatosensory amplification, attribution styles and illness behaviour: A review. International Review of Psychiatry, 18, 25–33.
  • Duddu, V., Chaturvedi, S.K. & Isaac, M.K. (2003). Amplification and attribution styles in somatoform and depressive disorders – A study from Bangalore, India. Psychopathology, 36, 98–103.
  • Dzokoto, V. (2010). Different ways of feeling: Emotion and somatic awareness in Ghanaians and Euro-Americans. Journal of Social, Evolutionary, and Cultural Psychology, 4, 68–78.
  • Gholome Ali, N.H., Radwan, M.M. & Al-Shihabi, F.A. (2008). Attitudes of general practitioners towards cause and management of patients with medically unexplained symptoms: Capital health district, Kuwait. Kuwait Medical Journal, 40, 111–115.
  • Halbreich, U., Alarcon, R.D., Calil, H., Douki, S., Gaszner, P., Jadresic, E., …Trivedi, J.K. (2007). Culturally-sensitive complaints of depressions and anxieties in women. Journal of Affective Disorders, 102, 159–176.
  • Hinton, D., Um, K. & Ba, P. (2001). A unique panic-disorder presentation among Khmer refugees: The sore-neck syndrome. Culture Medicine and Psychiatry, 25, 297–316.
  • Hinton, D.E., Hinton, S.D., Um, K., Chea, A. & Sak, S. (2002). The Khmer ‘weak heart’ syndrome: Fear of death from palpitations. Transcultural Psychiatry, 39, 323–344.
  • Husain, M.I., Duddu, V., Husain, M.O., Chaudhry, I.B., Rahman, R. & Husain, N. (2011). Medically unexplained symptoms – A perspective from general practitioners in the developing world. International Journal of Psychiatry and Medicine, 42, 1–11.
  • Jackson, J.L. & Kroenke, K. (2006). Managing somatization: Medically unexplained should not mean medically ignored. Journal of General Internal Medicine, 21, 797–799.
  • Janca, A., Isaac, M. & Ventouras, J. (2006). Towards better understanding and management of somatoform disorders. International Review of Psychiatry, 18, 5–12.
  • Kallivayalil, R.A. & Punnoose, V.P. (2010). Understanding and managing somatoform disorders: Making sense of non-sense. Indian Journal of Psychiatry, 52, S240–S245.
  • Kanaan, R., Lepine, J.P. & Wessely, S. (2007). The association or otherwise of the functional somatic symptoms. Psychosomatic Medicine, 69, 855–859.
  • Kappen, T. & van Dulmen, S. (2008). General practitioners’ responses to the initial presentation of medically unexplained symptoms: A quantitative analysis. Biopsychosocial Medicine, 17, 22.
  • Kirmayer, L. (1984). Culture, affect and somatisation. Transcultural Psychiatry, 21, 159–188.
  • Lauber, C. & Rössler, W. (2007). Stigma towards people with mental illness in developing countries in Asia. International Review of Psychiatry, 19, 157–178.
  • Lee, S. & Kleinman, A. (2007). Are somatoform disorders changing with time? The case of neurasthenia in China. Psychosomatic Medicine, 69, 846–849.
  • Lichtenberg, P., Heresco-Levy, U. & Nitzan, U. (2004). The ethics of the placebo in clinical practice. Journal of Medical Ethics, 30, 551–554.
  • Paralikar, V., Agashe, M., Oke, M., Dabholkar, H., Abouihia, A. & Weiss, M.G. (2007a). Prevalence of clinically significant functional fatigue or weakness in specialty outpatient clinics of Pune, India. Journal of Indian Medical Association, 105, 424–426,.
  • Paralikar, V., Agashe, M., Sarmukaddam, S., Deshpande, S., Goyal, V. & Weiss, MG. (2011). Cultural epidemiology of neurasthenia spectrum disorders in four general hospital outpatient clinics of urban Pune, India. Transcultural Psychiatry, 48, 257–283.
  • Paralikar, V., Sarmukaddam, S., Agashe, M. & Weiss, M.G. (2007b). Diagnostic concordance of neurasthenia spectrum disorders in Pune, India. Social Psychiatry and Psychiatric Epidemiology, 42, 561–572.
  • Paralikar, V.P., Agashe, M.M., Sarmukaddam, S.B., Dabholkar, H.N., Gosoniu, D. & Weiss, M.G. (2008). Biomedical markers and psychiatric morbidity of neurasthenia spectrum disorders in four outpatient clinics in India. Indian Journal of Psychiatry, 50, 87–95.
  • Patel, V. & Sumathipala, A. (2006). Psychological approaches to somatisation in developing countries. Advances in Psychiatric Treatment, 12, 54–62.
  • Patel, V., Andrew, G. & Pelto, P.J. (2008). The psychological and social contexts of complaints of abnormal vaginal discharge: A study of illness narratives in India. Journal of Psychosomatic Research, 64, 255–262; Discussion: 263–264.
  • Patel, V., Pednekar, S., Weiss, H., Rodrigues, M., Barros, P., Nayak, B., …Mabey D. (2005). Why do women complain of vaginal discharge? A population survey of infectious and pyschosocial risk factors in a South Asian community. International Journal of Epidemiology, 34, 853–862.
  • Patel, V., Weiss, H.A., Kirkwood, B.R., Pednekar, S., Nevrekar, P., Gupte, S. & Mabey, D. (2006). Common genital complaints in women: The contribution of psychosocial and infectious factors in a population-based cohort study in Goa, India. International Journal of Epidemiology, 35, 1478–1485.
  • Pereira, B., Andrew, G., Pednekar, S., Pai, R., Pelto, P. & Patel, V. (2007). The explanatory models of depression in low income countries: listening to women in India. Journal of Affective Disorders, 102, 209–218.
  • Raguram, R., Weiss, M.G., Channabasavanna, S.M. & Devins, G.M. (1996). Stigma, depression, and somatization in South India. American Journal of Psychiatry, 153, 1043–1049.
  • Ranjith, G. & Mohan, R. (2006). Dhat syndrome as a functional somatic syndrome: Developing a sociosomatic model. Psychiatry, 69, 142–150.
  • Reid, S., Wessely, S., Crayford, T. & Hotopf, M. (2002). Frequent attenders with medically unexplained symptoms: Service use and costs in secondary care. British Journal of Psychiatry, 180, 248–253.
  • Ring, A., Dowrick, C.F., Humphris, G.M., Davies, J. & Salmon, P. (2005). The somatising effect of clinical consultation: What patients and doctors say and do not say when patients present medically unexplained physical symptoms. Social Science and Medicine, 61, 1505–1515.
  • Ring, A., Dowrick, C., Humphris, G. & Salmon, P. (2004). Do patients with unexplained physical symptoms pressurise general practitioners for somatic treatment? A qualitative study. British Medical Journal, 328, 1057.
  • Rosendal, M., Bro, F., Sokolowski, I., Fink, P., Toft, T. & Olesen, F. (2005). A randomised controlled trial of brief training in assessment and treatment of somatisation: effects on GPs’ attitudes. Family Practice, 22, 419–427.
  • Ryder, A.G., Yang, J. & Heini, S. (2002). Somatization vs. psychologization of emotional distress: A paradigmatic example for cultural psychopathology. In W.J. Lonner, D.L. Dinnel, S.A. Hayes & D.N. Sattler (Eds.), Online Readings in Psychology and Culture (Unit 9, Chapter 3). Bellingham: Center for Cross-Cultural Research, Western Washington University. http://www.wwu.edu/˜culture
  • Salmon, P. & Marchant-Haycox, S. (2000). Surgery in the absence of pathology the relationship of patients’ presentation to gynecologists’ decisions for hysterectomy. Journal of Psychosomatic Research, 49, 119–124.
  • Salmon, P., Dowrick, C.F., Ring, A. & Humphris, G.M. (2004). Voiced but unheard agendas: Qualitative analysis of the psychosocial cues that patients with unexplained symptoms present to general practitioners. British Journal of General Practice, 54, 171–176.
  • Salmon, P., Humphris, G.M., Ring, A., Davies, J.C. & Dowrick, C.F. (2007). Primary care consultations about medically unexplained symptoms: Patient presentations and doctor responses that influence the probability of somatic intervention. Psychosomatic Medicine, 69, 571–577.
  • Salmon, P., Peters, S. & Stanley, I. (1999). Patients’ perceptions of medical explanations for somatisation disorders: Qualitative analysis. British Medical Journal, 318, 372–376.
  • Salmon, P., Peters, S., Clifford, R., Iredale, W., Gask, L., Rogers, A., Dowrick, C., Hughes, J. & Morriss, R. (2007). Why do general practitioners decline training to improve management of medically unexplained symptoms? J Gen Intern Med, 22, 565–71.
  • Salmon, P., Ring, A., Dowrick, C.F. & Humphris, G.M. (2005). What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized? Journal of Psychosomatic Research, 59, 255–260.
  • Salmon, P., Wissow, L., Carroll, J., Ring, A., Humphris, G.M., Davies, J.C. & Dowrick, C.F. (2007). Doctors’ responses to patients with medically unexplained symptoms who seek emotional support: criticism or confrontation? General Hospital Psychiatry, 29, 454–460.
  • Sharpe, M. & Mayou, R. (2004). Somatoform disorders: A help or hindrance to good patient care? British Journal of Psychiatry, 184, 465–467.
  • Tabassum, R., Macaskill, A. & Ahmad, I. (2000). Attitudes towards mental health in an urban Pakistani community in the United Kingdom. International Journal of Social Psychiatry, 46, 170–181.
  • Toft, T., Rosendal, M., Ørnbøl, E., Olesen, F., Frostholm, L. . (2010). Training general practitioners in the treatment of functional somatic symptoms: effects on patient health in a cluster-randomised controlled trial (the Functional Illness in Primary Care Study). Psychotherapy and Psychosomatics, 79, 227–237.

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