The South London Somatisation Study. II. Influence of stressful life events, and secondary gain.

摘要: BACKGROUND A study of the influence life-event stress on onset and course acute somatisation in primary care. METHOD Forty-four somatisers were compared with 11 subjects who had psychiatric disorder but complained only psychological symptoms, 39 patients 'mixed' conditions involving independent physical illness, 90 123 healthy members general population. RESULTS Severely threatening life events more common among all disorder. novel contextual rating potential stressors to produce symptoms for 'secondary gain' was developed. In 38 weeks before symptom onset, psychologisers likely have experienced at least one event which this potential. Somatisers also less adopt neutralising coping efforts when faced such a crisis. CONCLUSIONS The likelihood adopting closely related presence joint index parental problems care exposure illness subject's childhood. two-year follow-up, subsequent functional illnesses associated experiences secondary-gain potential, childhood risk factors continued higher rates crises fail strategies.