The core features of somatization disorder are recurrent multiple physical complaints that are not fully explained by physical factors and that result in medical attention or significant impairment.

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FIGURE 13–1. Distribution and number of sick leave occasions in Swedish somatizing ("high-frequency") subjects and control nonsomatizing subjects.Source. Reprinted with permission from Cloninger CR: "Somatoform and Dissociative Disorders," in The Medical Basis of Psychiatry, 2nd Edition. Edited by Winokur G, Clayton PJ. Philadelphia, PA, WB Saunders, 1994, pp. 169–192. Copyright 1994, WB Saunders Company.
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TABLE 13–3. Feighner criteria symptom list for hysteria (somatization disorder)
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TABLE 13–4. DSM-IV-TR diagnostic criteria for somatization disorder
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TABLE 13–5. Features useful in discriminating between somatization disorder and general medical conditions
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TABLE 13–6. General medical conditions that may be confused with somatization disorder
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TABLE 13–7. Main treatment principles in approaching a patient with somatization disorder


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