Kapfhammer, HP.
Somatoform and factitious disorders in clinical medicine
Wien Med Wochenschr. 2005; 155(23-24): 524-536.
Doi: 10.1007/s10354-005-0215-z
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Patients with "medically unexplained somatic symptoms" are frequent in every health care system. The bodily complaints may persist over a long period of time, cause serious subjective suffering and be associated with secondary psychiatric comorbidity and major disabilities in psychosocial life. The doctor-patient relationship is often hampered by emotional conflicts, leading to unsuccessful treatment, doctor-shopping and chronic courses of illness. A major subgroup of patients with somatoform disorders and a minor subgroup of patients with self-induced, i.e., factitious disorders must be differentiated, both showing a complex etiopathogenesis of their somatic symptoms. Patients with somatoform and factitious disorders present a special challenge within the health care system.
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