Some clinical issue of somatization disorder / Монголын Анагаах Ухаан

ABSTRACT

Introduction. There is group of mental disorder characterized by several physical symptoms are not fully explained by general medical condition, individuals visit many doctors and undergo numerous physical examinations, diagnostic tests associated with their suffer but no physical cause can be found. A third somatoform pattern is somatization disorder, characterized by numerous and recurrent physical complaints that begin by age 30. The prevalence of this disorder is 1-2% among adult population and it is occurred more female than male. Goal. To study some clinical symptoms among people with somatization disorder. Materials and Methods. This study was conducted with quality research method semi-structure questionnaire among the 30 people, who admitted to state and private hospital and sanatorium in the Chingeltei, Songinokhairkhan, Khan-Uul, Sukhbaatar, Bayanzurkh and Bayangol district in Ulaanbaatar city province for medical care. We did random sampling for unexplained somatic symptom individuals by diagnostic criteria as followings 1.Multiple, recurrent, clinically significant somatic complaints no physical cause can be found over the last 2 years. 2. There must be a history of a visit at least 3 times for professional medical help due to their constant suffer. 3. Did not accept their medical diagnose and conclusion, even though no evidence of somatic symptoms. Results. There were 20 female and 5 male patients in our study, aged 23-78 years old were involved into our interview, and the average age was 44±0.8. We were clarifying clinical symptoms, such as gastrointestinal, cardiovascular, sexual function and urinary tract for all participants. The most of participants occurred gastrointestinal symptoms, such as nausea, vomit and timpanists. Also, all of the participants experienced heart beat symptom. As four of the 5 males reported loss of libido and majority of the females occurred pollakuria and sensopathy symptoms.Conclusion. Gastrointestinal symptoms (nausea, vomit and timpanists), cardiovascular symptom (heart beat), sexual function and urinary tract (loss of libido and pollakuria) and sensor conversion (sensopathy) occur mostly for somatization disorder.