Somatization: the concept and its clinical application
Abstract
Somatization, a tendency to experience and communicate somatic distress in response to psychosocial stress and to seek medical help for it, poses a major medical, social, and economic problem. It is most often associated with depressive and anxiety disorders and constitutes the core of somatoform disorders. Its persistent form is especially costly and difficult to prevent and manage. The author discusses the prevalence, clinical manifestations, etiology, and treatment of somatization and presents a critical review of somatoform disorders.
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Persistent somatic symptoms can result from a tendency to experience and communicate psychological distress in the form of physical symptoms and to seek medical help for them.
“Persistent somatic symptoms, also defined as medically unexplained symptoms or functional somatic symptoms, can result from a tendency to experience and communicate psychological distress in the form of physical symptoms and to seek medical help for them (Lipowski, 1988; Roenneberg et al., 2019).”
From Does the practice of mindfulness reduce somatic symptoms and COVID-19-related anxiety? A community-based survey (2022) · cites this paper as Lipowski, 1988
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- Authors
- Lipowski, Z. J.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Z. J. Lipowski
- Venue
- American Journal of Psychiatry
- Published
- 1988-11-01
- Volume
- 145
- Issue
- 11
- Pages
- 1358-1368
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W168642423
- Cited by
- 1,079
- References
- 95
- Citations by year
- 2026: 22 · 2025: 34 · 2024: 36 · 2023: 29 · 2022: 30 · 2021: 31 · 2020: 51 · 2019: 49 · 2018: 21 · 2017: 38 · 2016: 37 · 2015: 37 · 2014: 31 · 2013: 32 · 2012: 26
- FWCI
- 15.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- somatization, somatoform disorders, psychosomatic stress, depressive disorders, anxiety disorders, prevalence, clinical features, etiology, treatment, health care costs
- MeSH terms
- Anxiety Disorders, Depressive Disorder, Humans, Somatoform Disorders
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