Skip to main content
Log in

Onverklaarde lichamelijke klachten en de samenhang met depressie en angst

  • Beschouwing
  • Published:
Huisarts en Wetenschap Aims and scope

Samenvatting

1. Eén op de zes patiënten die bij de huisarts komt, heeft chronische onverklaarde lichamelijke klachten met aanzienlijke functionele beperkingen (somatoforme stoornis).

2. De overlap met angst en depressie is groot en de aanwezigheid van meerdere stoornissen leidt tot een hogere ziektelast.

3. Het natuurlijk beloop van somatoforme stoornissen is ongunstig, bijna driekwart heeft na zes maanden nog veel klachten.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatuur

  • Arnold IA, De Waal MWM, Somatoform disorders in general practice: Epidemiology, treatment and comorbidity with depression and anxiety [Proefschrift]. Leiden: 2006, Leiden University.

    Google Scholar 

  • Gureje O, Simon GE, Ustun TB, Goldberg DP. Somatization in cross-cultural perspective: a World Health Organization study in primary care. Am J Psychiatry 1997;154:989-95.

    CAS  PubMed  Google Scholar 

  • Katon WJ, Walker EA. Medically unexplained symptoms in primary care. J Clin Psychiatry 1998;59 Suppl 20:15-21.

    PubMed  Google Scholar 

  • Barsky AJ, Borus JF. Functional somatic syndromes. Ann Intern Med 1999;130:910-21.

    CAS  PubMed  Google Scholar 

  • Kirmayer LJ, Groleau D, Looper KJ, Dao MD. Explaining medically unexplained symptoms. Can J Psychiatry 2004;49:663-72.

    PubMed  Google Scholar 

  • Lucassen PLBJ, Olde Hartman TC, Borghuis M. Somatische fixatie. Een nieuw leven voor een oud begrip. Huisarts Wet 2007;50:11-5.

    Google Scholar 

  • Somatoforme stoornissen. http://www.somatisatie.psychiatrieweb.nl. 2007.

  • Bijl RV, Ravelli A, Van Zessen G. Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr. Epidemiol 1998;33:587-95.

    CAS  Google Scholar 

  • Tiemens BG, Ormel J, Simon GE. Occurrence, recognition, and outcome of psychological disorders in primary care. Am J Psychiatry 1996;153:636-44.

    CAS  PubMed  Google Scholar 

  • Nimnuan C, Hotopf, Wessely S. Medically unexplained symptoms: An epidemiological study in seven specialities. J Psychosom Res 2001;51:361-7.

    Article  CAS  PubMed  Google Scholar 

  • Van Hemert AM, Hengeveld MW, Bolk JH, Rooijmans HG, Vandenbroucke JP. Psychiatric disorders in relation to medical illness among patients of a general medical out-patient clinic. Psychol Med 1993;23:167-73.

    Article  PubMed  Google Scholar 

  • Kroenke K, Swindle R. Cognitive-behavioral therapy for somatization and symptom syndromes: a critical review of controlled clinical trials. Psychother Psychosom 2000;69:205-15.

    Article  CAS  PubMed  Google Scholar 

  • Looper KJ, Kirmayer LJ. Behavioral medicine approaches to somatoform disorders. J Consult Clin Psychol 2002;70:810-27.

    Article  PubMed  Google Scholar 

  • Henningsen P, Zipfel S, Herzog W. Management of functional somatic syndromes. Lancet 2007;369:946-55.

    Article  PubMed  Google Scholar 

  • Speckens AE, Van Hemert AM, Spinhoven P, Hawton KE, Bolk JH, Rooijmans HG. Cognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial. Br Med J 1995;311:1328-32.

    CAS  Google Scholar 

  • Sharpe M, Peveler R, Mayou R. The psychological treatment of patients with functional somatic symptoms: a practical guide. J Psychosom Res 1992;36:515-29.

    Article  CAS  PubMed  Google Scholar 

  • Arnold IA, Speckens AE, Van Hemert AM. Medically unexplained physical symptoms The feasibility of group cognitive-behavioural therapy in primary care. J Psychosom Res 2004;57:517-20.

    Article  CAS  PubMed  Google Scholar 

  • De Waal MW, Arnold IA, Eekhof JA, Van Hemert AM. Somatoform disorders in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders. Br J Psychiatry 2004;184:470-6.

    Article  PubMed  Google Scholar 

  • De Waal MW, Arnold IA, Spinhoven P, Eekhof JA, Van Hemert AM. The reporting of specific physical symptoms for mental distress in general practice. J Psychosom Res 2005;59:89-95.

    Article  PubMed  Google Scholar 

  • Arnold IA, De Waal MW, Eekhof JA, Van Hemert AM. Somatoform disorder in primary care: coruse and the need for cognitive-behavioral treatment. Psychosomatics 2006;47:498-503.

    Article  PubMed  Google Scholar 

  • Arnold IA, De Waal MWM, Eekhof JAH, Assendelft WJJ, Spinhoven P, Van Hemert AM. Medically unexplained physical symptoms in primary care: a controlled study on the effectiveness of cognitive-behavioural treatment by the general practitioner. Psychosomatics, in druk.

  • Fink P, Sorensen L, Engberg M, Holm M, Munk-Jorgensen P. Somatization in primary care: prevalence, health care utilization, and general practitioner recognition. Psychosomatics 1999;40:330-8.

    CAS  PubMed  Google Scholar 

  • Olfsen M, Fireman B, Weissman MM, Leon AC, Sheeman DV, Kathol RG, et al. Mental disorders and disability among patients in a primary care groep practice. Am J Psychiatry 1997;154:1734-40.

    Google Scholar 

  • Gureje O, Simon GE, Von Korff M. A cross-national study of the course of persistent pain in primary care. Pain 2001;92:195-200.

    Article  CAS  PubMed  Google Scholar 

  • Khan AA, Khan A, Harezlak J, Tu W, Kroenke K. Somatic symptoms in primary care: etiology and outcome. Psychosomatics 2003;44:471-8.

    Article  PubMed  Google Scholar 

  • Raine R, Haines A, Sensky T, Hutchings A, Larkin K, Black N. Systematic review of mental health interventions for common somatic symptoms: can research evidence from secondary care be extrapolated to primary care? Br Med J 2002;325:1082-93.

    Article  Google Scholar 

  • Smith RC, Lein C, Collins C, Lyles JS, Given B, Dwamena FC, et al. Treating patients with medically unexplained symptoms in primary care. J Gen Intern Med 2003;18:478-89.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ingrid Arnold.

Additional information

afdeling Public Health en Eerstelijnsgeneeskunde, Postbus 9600

2300 RC Leiden: dr. I.A. Arnold

huisarts-onderzoeker; dr. M.W.M. de Waal

epidemioloog; dr. J.A.H. Eekhof

huisarts-onderzoeker; prof.dr. W.J.J. Assendelft

hoogleraar huisartsgeneeskunde. Universiteit Leiden

sectie Klinische

Gezondheids- en Neuropsychologie en LUMC

afdeling Psychiatrie: prof.dr. P. Spinhoven

hoogleraar klinische en gezondheidspsychologie. Parnassia Psychomedisch Centrum

Den Haag en LUMC

afdeling Public Health en Eerstelijnsgeneeskunde: dr. A.M. van Hemert

psychiater

opleider sociale psychiatrie.

Mogelijke belangenverstrengeling: niets aangegeven.

Voor dit onderzoek is financiële ondersteuning toegekend door ZON-MW

subsidienummer 940-38-013.

About this article

Cite this article

Arnold, I., de Waal, M., Eekhof, J. et al. Onverklaarde lichamelijke klachten en de samenhang met depressie en angst. HUWE 50, 969–973 (2007). https://doi.org/10.1007/BF03085405

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03085405

Navigation