Cited by 238Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchPsychotherapy Techniques and Applications

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Attachment and Interpersonal Communication in Somatization

Stuart, Scott, Noyes, Russell·1999·Psychosomatics

DOI 10.1016/s0033-3182(99)71269-7

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Abstract

The authors review the research on childhood antecedents and personality contributions to the somatoform disorders, as well as research on social influences during adulthood. Based on these data, the authors hypothesize that somatizing patients display anxious attachment behavior that derives from childhood experiences with caregivers. Early exposure to illness increases the likelihood that distress will be manifested somatically. When under stress as adults, somatizers use physical complaints to elicit care. Somatizers' interpersonal interactions with others, including physicians, ultimately lead to rejection that reinforces the somatizer's belief that he or she will be abandoned. Modification of physicians' responses to these patients may improve treatment outcomes.

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Parent–adolescent communication quality does not moderate the association of emotional burden and somatic complaints in adolescents: a cross-sectional structural equation model
Zapf, H. (2025) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-025-00882-9 · Cited by 1
“In previous research, somatic complaints were sometimes considered to have a communicative function, indicating that the sender is not capable to communicate emotional needs sufficiently otherwise [14, 16, 26].”
Síntomas somáticos médicamente inexplicados
Martínez, R. F., Fernández, C., Amigo, I., & Pérez, M. (2006) · Análisis y Modificación de Conducta · doi:10.33776/amc.v32i142.2127 · Cited by 2
Personal and spousal decision making on the funding of medical care not covered by healthcare insurance
Kagan, M. (2013) · Journal of Hospital Administration · doi:10.5430/jha.v2n3p8 · Cited by 1
Clinical Issues in Treating Somatoform Disorders for Couple Therapists
Walsh, S. R., & Denton, W. H. (2005) · American Journal of Family Therapy · doi:10.1080/01926180590932979 · Cited by 1
“There is increasing interest in attachment theory as a model for understanding the process of somatization ( Hunter & Maunder, 2001 ; Maunder & Hunter, 2001a ; Stuart & Noyes, 1999a ).”
Background
Dissociative seizures-from clinical picture to the treatment
Kamarádová, D., & Látalová, K. (2011) · Cited by 1
Sofrimento e legitimação
Quartilho, M. J. (2018) · EDUFBA eBooks · doi:10.7476/9788523220242.0004 · Cited by 1
Examining the Relationship between Attachment, Somatization, and Expressing Emotions
Yesil, H., Özdoğan, B., Ünübol, H., & Sayar, G. H. (2021) · The Journal of Neurobehavioral Sciences · doi:10.4103/jnbs.jnbs_19_21 · Cited by 1
Trouble in Mind: An Unorthodox Introduction to Psychiatry
MacKinnon, D. F. (2010) · Project Muse (Johns Hopkins University) · Cited by 1
A Clinical Study of the Undifferentiated Somatoform Disorder Improved with Hyangbujapalmul-tang
Kim, N., Choi, I.-H., Lim, C.-S., & Shin, M.-R. (2008) · Journal of Sasang Constitutional Medicine · Cited by 1
IV. DEVELOPMENTAL TRAJECTORIES OF CHILDREN’S AGGRESSIVE BEHAVIORS AFTER THE BIRTH OF A SIBLING
Volling, B. L., Gonzalez, R., Yu, T., & Oh, W. (2017) · Monographs of the Society for Research in Child Development · doi:10.1111/mono.12310 · Cited by 2
VIII. DEVELOPMENTAL TRAJECTORIES OF CHILDREN’S WITHDRAWAL AFTER THE BIRTH OF A SIBLING
Oh, W., Song, J., Gonzalez, R., Volling, B. L., & Yu, T. (2017) · Monographs of the Society for Research in Child Development · doi:10.1111/mono.12314 · Cited by 2
A preliminary investigation of excessive reassurance-seeking and attachment-related behaviours in adolescents with OCD
Walters, S., Salkovskis, P. M., Halldorsson, B., & Elgie, S. (2019) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2019.100503 · Cited by 1
V. DEVELOPMENTAL TRAJECTORIES OF CHILDREN’S ATTENTION PROBLEMS AFTER THE BIRTH OF A SIBLING
Song, J., Oh, W., Gonzalez, R., Volling, B. L., & Yu, T. (2017) · Monographs of the Society for Research in Child Development · doi:10.1111/mono.12311 · Cited by 1
Academy of Psychosomatic Medicine: Proceedings of the 48th Annual Meeting November 15–18, 2001, San Antonio, Texas
(2002) · Psychosomatics · doi:10.1176/appi.psy.43.2.132 · Cited by 1
Somatoforme Störsungen
Kapfhammer, H. (2008) · Springer eBooks · doi:10.1007/978-3-540-33129-2_62 · Cited by 1

Authors: Stuart, S., & Noyes, R.
Affiliations: University of Iowa (US)
Corresponding author: Stuart, Scott
ORCID: Stuart, Scott
Venue: Psychosomatics
Publisher: Elsevier BV
Published: 1999-01
Volume: 40
Issue: 1
Pages: 34-43
ISSN: 0033-3182 (ISSN-L)
DOI: 10.1016/s0033-3182(99)71269-7
OpenAlex: W2042609187
Cited by: 238
References: 70
Citations by year: 2026: 2 · 2025: 5 · 2024: 10 · 2023: 13 · 2022: 3 · 2021: 7 · 2020: 7 · 2019: 13 · 2018: 6 · 2017: 21 · 2016: 9 · 2015: 15 · 2014: 7 · 2013: 9 · 2012: 12
FWCI: 4.75
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychosomatics (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: somatization, somatoform disorders, attachment, attachment anxiety, personality, interpersonal communication, physician-patient interaction, rejection, abandonment, stress, physical complaints
MeSH terms: Adolescent, Adult, Child, Communication, Female, Humans, Interpersonal Relations, Male, Object Attachment, Personality Development, Physician-Patient Relations, Somatoform Disorders

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Attachment and Interpersonal Communication in Somatization

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