Early detection of psychosomatic

• Somatoform disorders are present in at least

10%–15% of primary care patients
Illness :
• vulnerability to infection and
• environmental factors,
• psychological factors,
• organic causes
• including genetic and aging factors, and
• distress (including exhaustion and time
pressure)
• DSM-IV
– Diagnostic Statistical Manual IV
• ICD X
– International Classification of Disease X
• PPDGJ III
– Pedoman Penggolongan Diagnosis Gangguan Jiwa
III
• Primary Care Evaluation of
Mental Disorders (PRIME-
MD)
• Psychosomatics 1998;
39:263–272
• Models of medically unexplained symptoms
(MUS) include, among others, mechanisms
such as attention, perception, attribution,
memory processes, and expectation, as well
as social-interactional and emotional factors

• K. Voigt et al. / Journal of Psychosomatic Research 68 (2010) 403–414

• The screening instrument enables physicians
to identify somatoform disorder patients with
a high degree of accuracy, although it requires
further evaluation and development
• The PHQ-15 is a screening instrument for
somatic symptom severity (SSS) and has been
developed from its precursors, the “Primary
Care Evaluation of Mental Disorders” (PRIME-
MD) and the “PRIME-MD Patient Health
Questionnaire” (PRIME-MD PHQ)
• S. Körber et al. / Journal of Psychosomatic Research 71 (2011) 142–147