early detection of psychosomatic_untad_2012

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    Early detection of psychosomatic

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    Somatoform disorders are present in at least

    10%15% of primary care patientsIllness :

    vulnerability to infection and

    environmental factors,

    psychological factors,

    organic causes

    including genetic and aging factors, and

    distress (including exhaustion and time

    pressure)

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    DSM-IV

    Diagnostic Statistical Manual IV

    ICD X

    International Classification of Disease X

    PPDGJ III

    Pedoman Penggolongan Diagnosis Gangguan Jiwa

    III

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    Primary Care Evaluation ofMental Disorders (PRIME-

    MD)

    Psychosomatics 1998;

    39:263272

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    Models of medically unexplained symptoms

    (MUS) include, among others, mechanisms

    such as attention, perception, attribution,

    memory processes, and expectation, as well

    as social-interactional and emotional factors

    K. Voigt et al. / Journal of Psychosomatic Research 68 (2010) 403414

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    The screening instrument enables physiciansto identify somatoform disorder patients with

    a high degree of accuracy, although it requires

    further evaluation and development

    The PHQ-15 is a screening instrument for

    somatic symptom severity (SSS) and has been

    developed from its precursors, the Primary

    Care Evaluation of Mental Disorders (PRIME-MD) and the PRIME-MD Patient Health

    Questionnaire (PRIME-MD PHQ)

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    S. Krber et al. / Journal of Psychosomatic Research 71 (2011) 142147

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