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Somatic disease and psychological disorder.

Verhaak, P.F.M. Somatic disease and psychological disorder. Journal of Psychosomatic Research: 1997, 42(3), 261-273
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The association between physical and psychological disorders has been demonstrated repeatedly. There are a number of explanations for this association, each of them pointing to specific diseases and
operationalizions of mental distress. In this article, the relationship between various somatic diseases and a number of indices for psychological distress was investigated. Within one study population, patients with
different somatic diseases were identified, and their experience with mental distress, their requests for help from their GP during consultations, and their GPs' diagnoses were registered and compared with the total study populations. It appears that relationships could be demonstrated between experience of distress and presentations of psychological symptoms during consultations, on the one hand, and common
physical disorders, on the other. Patients with neurological diseases (Parkinson's, epilepsy, multiple sclerosis) and gastric ulcers showed the same relationships, but were also more frequently diagnosed by the GP as having psychological disorders. Patients with a number of other serious somatic diseases, such as diabetes, cancer, and arthritis, did not distinguish themselves in a positive way on one of indices for
psychological distress.