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  • Title: Depression: relationship to somatization and chronic medical illness.
    Author: Katon W.
    Journal: J Clin Psychiatry; 1984 Mar; 45(3 Pt 2):4-12. PubMed ID: 6698951.
    Abstract:
    Although depression has been found to be the most common medical or psychiatric diagnosis among patients seen in primary care settings, the disorder is often missed and/or treated inappropriately. Problems in differential diagnosis, particularly among patients presenting primarily with somatic complaints, are reviewed. A study is described in which patients referred to a psychiatric consultation-liaison service were categorized as somatizing or nonsomatizing and given DSM-III diagnoses. Somatoform disorders occurred in only 33% of somatizing patients; the predominant diagnosis in this group was major depression. Implications of these findings for the recognition and treatment of depression, especially that associated with physical symptoms or disease, are discussed.
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