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Somatization disorder and cancer: A case history and review

Published online by Cambridge University Press:  19 July 2005

TABITHA THOMAS ,
SARA BOOTH ,
HELENA EARL  and
GRAHAM LENNOX
TABITHA THOMAS
Affiliation:
Arthur Rank Hospice, Cambridge, UK
SARA BOOTH
Affiliation:
Addenbrookes Hospital, Cambridge, UK
HELENA EARL
Affiliation:
Addenbrookes Hospital, Cambridge, UK
GRAHAM LENNOX
Affiliation:
Addenbrookes Hospital, Cambridge, UK
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Abstract

Cancer pain generally has a physical cause exacerbated to varying degrees by psychological, social, and spiritual factors. This article describes the case history of a cancer patient with severe pain for which no physical cause could be found, who was subsequently found to have a history of somatization disorder. There follows a review of the literature, with specific reference to the difficulties of managing somatization in the context of cancer.

Keywords

Health behaviorPainPallliative carePsychologySomatization disorder
Type
CASE REPORT
Information
Palliative & Supportive Care , Volume 2 , Issue 4 , December 2004 , pp. 409 - 413
Copyright
© 2004 Cambridge University Press

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References

REFERENCES

Ahles, T.A., Blanchard, E.B., & Ruckdeschel, J.C. (1983). The multidimensional nature of cancer related pain. Pain, 17, 277–288.Google Scholar
Appleby, L. (1987). Hypochondriasis: An acceptable diagnosis? British Medical Journal, 294, 857.Google Scholar
Berman, S. & Wandersman, A. (1991). Measuring knowledge of cancer. Social Science Medicine, 32, 1245–1255.Google Scholar
Bhui, K. & Hotopf, M. (1997). Somatization disorder. British Journal of Hospital Medicine, 58, 145–149.Google Scholar
Craig, T., Drake, H., Mills, K., et al. (1994). The south London somatisation study II. Influence of stressful life events and secondary gain. British Journal of Psychiatry, 165, 248–258.Google Scholar
Craig, T., Boardman, A., Mills, K., et al. (1993). The South London Somatization Study. I: Longitudinal course and the influence of early life experiences. British Journal of Psychiatry, 163, 579–588.Google Scholar
Creed, F. & Guthrie, E. (1993). Techniques for interviewing the somatising patient. British Journal of Psychiatry, 162, 467–471.Google Scholar
Dalton, J. & Feuerstein, M. (1988). Biobehavioural factors in cancer pain. Pain, 33, 137–147.Google Scholar
Katon, W., Lin, E., Korff, M., et al. (1991). Somatization: A spectrum of severity. American Journal of Psychiatry, 148, 34–40.Google Scholar
McDonald, I., Daly, J., Jelinek, V., et al. (1996). Opening Pandora's box: The unpredictability of reassurance by a normal test result. British Medical Journal, 313, 329–332.Google Scholar
Page, L. (2003). Medically unexplained symptoms: Exacerbating factors in the doctor–patient encounter. Journal of the Royal Society of Medicine, 96, 223–227.Google Scholar
Reid, J., Ewan, C., & Lowy, E. (1991). Pilgrimage of pain: The illness experiences of women with repetition strain injury and the search for credibility. Social Science and Medicine, 32, 601–612.Google Scholar
Salmon, P., Peters, S., & Stanley, I. (1999). Patients' perceptions of medical explanations for somatisation disorders: Qualitative analysis. British Medical Journal, 318, 372–376.Google Scholar
Stern, J., Murphy, M., & Bass, C. (1993). Personality disorders in patients with somatization disorder. A controlled study. British Journal of Psychiatry, 163, 785–789.Google Scholar
Syrjala, K. & Chapko, M. (1995). Evidence for a biopsychosocial model of cancer treatment related pain. Pain, 61, 69–79.Google Scholar
Tait, R. & Chibnall, J. (1997). Physician judgements of chronic pain patients. Social Science Medicine, 45, 1199–1205.Google Scholar
Turk, D., Sist, T., Okifuji, A., et al. (1998). Adaptation to inelastic cancer pain, regional/local cancer pain and non-cancer pain: role of psychological and behavioral factors. Pain, 74, 247–256.Google Scholar
Van Hemert, A., Hengeveld, M., Bolk, J., et al. (1993). Psychiatric disorders in relation to medical illness among patients of a general medical outpatient clinic. Psychological Medicine, 23, 167–173.Google Scholar
Weissman, D. & Haddox, J. (1989). Opioid pseudo-addiction: An iatrogenic syndrome. Pain, 36, 363–367.Google Scholar
Zaza, C. & Baine, N. (2002). Cancer pain and psychosocial factors: A critical review of the literature. Journal of Pain and Symptom Management, 24, 526–542.Google Scholar