Abstract
Ninety-six patients complaining of recurrent or persistent abdominal pain were referred consecutively to a surgical clinic and a medical clinic, respectively. They were examined psychiatrically after their initial physical investigation. The psychiatric examination included rating scales for depression and anxiety, a personality inventory, life-events schedule, scale of verbal expressivity, and family and personal patterns of pain and invalidism. Only 15 patients (15-6%) had organic disorders that could be responsible for their symptoms. In the remainder, psychiatric factors were considered primarily responsible for their abdominal pain: 31 were depressed; 21 had chronic tension; in 17 hysterical mechanisms were prominent; and 12 were found to be unrecognised alcoholics. Follow-up at three and six months and recognition by 80% of the psychogenic group that a psychological explanation was plausible, confirmed the diagnoses, and over half responded favourably to psychiatric management. Features distinguishing the organic and psychogenic groups were delineated. Psychiatric assessment has a place among the investigations of non-acute abdominal pain; certainly it should not be condisered simply as "a last resort."
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Selected References
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- Mayou R. The nature of bodily symptoms. Br J Psychiatry. 1976 Jul;129:55–60. doi: 10.1192/bjp.129.1.55. [DOI] [PubMed] [Google Scholar]
- Paykel E. S., Prusoff B. A., Uhlenhuth E. H. Scaling of life events. Arch Gen Psychiatry. 1971 Oct;25(4):340–347. doi: 10.1001/archpsyc.1971.01750160052010. [DOI] [PubMed] [Google Scholar]
- Pilling L. F., Brannick T. L., Swenson W. M. Psychologic characteristics of psychiatric patients having pain as a presenting symptom. Can Med Assoc J. 1967 Aug 19;97(8):387–394. [PMC free article] [PubMed] [Google Scholar]
- Pilowsky I., Spence N. D. Pain and illness behaviour: a comparative study. J Psychosom Res. 1976;20(2):131–134. doi: 10.1016/0022-3999(76)90039-8. [DOI] [PubMed] [Google Scholar]