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- Title
The neglect of somatoform disorders by old age psychiatry: some explanations and suggestions for future research.
- Authors
Wijeratne, Chanaka; Brodaty, Henry; Hickie, Ian
- Abstract
Aim The somatoform disorders have long been ignored by old age psychiatry. The main aim of this paper is to identify and examine possible reasons for this neglect. Method A selective review of the general literature on somatoform disorders. Results Significant conceptual, diagnostic and classificatory problems have impeded the consideration of somatoform disorders in older people. There is a perception that somatoform disorders are infrequent and have not been validated as independent clinical disorders. However, we present evidence that the more broadly defined somatoform disorders are common in all age groups in primary care and meet criteria for the determination of clinical validity. General difficulties in the assessment of psychiatric disorders in primary care, the setting in which somatoform disorders are most common, are compounded by a lack of support from old age psychiatry services. Effective psychological therapies may not be readily available to sufferers. Conclusion There is a need for change in the conceptualisation and nosology of the somatoform disorders. The formulation of age appropriate diagnostic criteria and presentations is a prerequisite for determining the clinical validity of these disorders in older people. This can be followed by study of their frequency, associated risk factors and treatment. A system of education that enhances the management of these disorders within primary care and old age psychiatry services is needed. Copyright © 2003 John Wiley & Sons, Ltd.
- Subjects
SOMATOFORM disorders; GERIATRIC psychiatry; NEUROSES in old age; PRIMARY care; MENTAL health of older people
- Publication
International Journal of Geriatric Psychiatry, 2003, Vol 18, Issue 9, p812
- ISSN
0885-6230
- Publication type
Article
- DOI
10.1002/gps.925