+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Symptomatology and Comorbidity of Somatization Disorder Amongst General Outpatients Attending a Family Medicine Clinic in South West Nigeria



Symptomatology and Comorbidity of Somatization Disorder Amongst General Outpatients Attending a Family Medicine Clinic in South West Nigeria



Annals of Ibadan Postgraduate Medicine 12(2): 96-102



Individuals with somatization may be the most difficult to manage because of the diverse and frequent complaints across many organ systems. They often use impressionistic language to describe circumstantial symptoms which though bizarre, may resemble genuine diseases. The disorder is best understood in the context "illness" behaviour, masking underlying mental disorder, manifesting solely as somatic symptoms or with comorbidity. To evaluate somatization symptoms and explore its comorbidity in order to improve the management of these patients. A cross-sectional survey of 60 somatizing patients who were part of a case-control study, selected by consecutive sampling of 2668 patients who presented at the Family Medicine Clinic of University College Hospital Ibadan, Nigeria between May-August 2009. Data was collected using the ICPC-2, WHO- Screener and Diagnostic Schedule and analysed with SPSS 16. There were at least 5 symptoms of somatization in 93.3% of the patients who were mostly females. Majority had crawling sensation, "headache", unexplained limb ache, pounding heart, lump in the throat and insomnia. The mean age at onset was 35yrs with 90% having recurrence of at least 10yrs.Approximately 54% had comorbidity with cardiovascular disease being the most prevalent. The study revealed that somatization is not a specific disease but one with a spectrum of expression. This supports proposition that features for the diagnosis of somatization could be presence of three or more vague symptoms and a chronic course lasting over two years. It is important to be conversant with pattern of symptoms and possible comorbidity for effective management of these patients.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 058949586

Download citation: RISBibTeXText

PMID: 26069465


Related references

Socio-demographic and clinical features of HIV-positive outpatients at a clinic in south-west Nigeria. African Journal of Aids Research 6(2): 139-145, 2007

Pre-hospital treatment of febrile illness in children attending the General Outpatients Clinic, University College Hospital, Ibadan, Nigeria. African Journal of Medicine and Medical Sciences 35(1): 85-91, 2007

Patient characteristics that may predict the likelihood of the presence of mental health problems in patients attending the general outpatient clinic of a tertiary hospital in South-South Nigeria. Mental Health in Family Medicine 7(3): 169-177, 2010

Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria. Pan African Medical Journal 18: 245, 2014

The prevalence and outcome of asymptomatic chlamydial infection screening among infertile women attending gynecological clinic in ibadan, South west Nigeria. Annals of Medical and Health Sciences Research 4(2): 253-257, 2014

Clinical features of outpatients with somatization symptoms treated at a Japanese psychosomatic medicine clinic. Biopsychosocial Medicine 11: 16, 2017

Child malaria treatment decisions by mothers of children less than five years of age attending an outpatient clinic in south-west Nigeria: an application of the PEN-3 cultural model. Malaria Journal 9(): 354-354, 2011

Assessment of awareness, perception and utilization of health services among patients attending clinic at the Muslim Ummah Hospital, Kisi, South-west, Nigeria. Nigerian Journal of Medicine 24(1): 37-41, 2015

Irritable bowel syndrome among patients attending General Outpatients' clinics in Jos, Nigeria. European Journal of Gastroenterology and Hepatology 19(9): 795-799, 2007

Screening for bacterial vaginosis before intrauterine device insertion at a family planning clinic in south-west Nigeria. Nigerian Postgraduate Medical Journal 24(2): 75-80, 2017

Depressive symptomatology in patients attending a hospital-based general out-patient clinic. African Journal of Medicine and Medical Sciences 7(4): 207-210, 1978

Borderline personality symptomatology and employment disability: a survey among outpatients in an internal medicine clinic. Primary Care Companion to the Journal of Clinical Psychiatry 8(3): 153-157, 2006

Religion/spirituality status and borderline personality symptomatology among outpatients in an internal medicine clinic. International Journal of Psychiatry in Clinical Practice 16(1): 48-52, 2012

Criteria for somatization studied in an outpatient clinic for general internal medicine. Nederlands Tijdschrift Voor Geneeskunde 140(23): 1221-1226, 1996

Hair loss perception and symptoms of depression in female outpatients attending a general dermatology clinic. Anais Brasileiros de Dermatologia 87(3): 412-417, 2012