Explained and unexplained medical symptoms in generalized anxiety and panic disorder: relationship to the somatoform disorders.
Journal Article (Journal Article;Multicenter Study)
We have examined the numbers and types of symptoms in a sample of 90 patients with generalized anxiety disorder (GAD) and 77 patients with panic disorder (PD) collected from six different sites during the conduct of a multicenter clinical trial. This information was obtained utilizing the Health Questionnaire, a 47-item self-report list of medical symptoms, patterned after the Somatization Disorder section of the Diagnostic Interview Schedule. Although the patients in this sample had a wide variety of medically explained and unexplained physical symptoms, none of them qualified for a diagnosis of somatization disorder by DSM-III-R criteria. GAD and PD patients reported remarkably similar numbers of explained and unexplained medical symptoms. The panoply of somatic symptoms presented by these patients presents a formidable diagnostic challenge for clinicians. These findings suggest that the pattern of overutilization of medical services that is well documented for PD patients may also be found for GAD patients.
- Barbee, JG; Todorov, AA; Kuczmierczyk, AR; Mancuso, DM; Schwab, JJ; Maddock, RJ; Hoehn-Saric, R; Kelley, LA; Davidson, JR
- September 1997
Volume / Issue
- 9 / 3
Start / End Page
- 149 - 155
International Standard Serial Number (ISSN)
Digital Object Identifier (DOI)
- United States