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. 2009 Dec;17(12):1085-8.
doi: 10.1097/JGP.0b013e3181b975a1.

Medically unexplained physical symptoms in elderly people: a pilot study of psychiatric geriatric characteristics

Peter H Hilderink  1 , Caroline E M Benraad, Dorine van Driel, Jan K Buitelaar, Anne E M Speckens, Marcel G M Olde Rikkert, Richard C Oude Voshaar
Affiliations

Medically unexplained physical symptoms in elderly people: a pilot study of psychiatric geriatric characteristics

Peter H Hilderink et al. Am J Geriatr Psychiatry. 2009 Dec.

Abstract

Objective: To examine the somatic complaints, functional impairment, and psychiatric comorbidity in elderly patients with medically unexplained symptoms (MUSs).

Method: A consecutive case series of 37 patients referred for MUS to a multidisciplinary, outpatient clinic at a secondary care mental health center in the Netherlands. All patients underwent a standardized examination by a geriatrician, psychiatrist, and psychologist.

Results: For three patients, a somatic explanation was found, and in two, their symptoms spontaneously resolved before a diagnosis could be made. Of the remaining 32 patients with MUS, depressive disorders were present in 18 (56%), anxiety disorders in 10 (31%), and substance use disorders in 6 patients (19%). Compared with nondepressed patients with MUS, depressed patients had more severe somatic symptoms, more psychological symptoms, and more functional impairment.

Conclusions: As the authors found a high comorbidity with other psychiatric disorders in elderly patients with MUSs, a systematic psychiatric examination should be part of their multidisciplinary assessment.

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