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Rationale:
- Patients with PTSD often present to primary care providers with somatic complaints.
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Evidence:
- A number of studies using different methodologies have found that most patients with mood and anxiety disorders present to
primary care clinicians with primarily, or even exclusively, physical symptoms. In one study that included patients with PTSD
(13), more than 80% presented with a medically unexplained physical symptom.
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Comments:
- Somatic complaints may include specific PTSD symptoms (e.g., insomnia) vague, generalized symptoms (e.g., fatigue, chronic
pain), and unexplained visceral symptoms common to all anxiety disorders (e.g., chest pain, dyspepsia).
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Jeffrey P. Staab, MD, MS, is a consultant for Eli Lilly, Forest Laboratories, received honorarium from Abbott Laboratories, received grants from GlaxoSmithKline,
Pfizer. Michael Roy, MD, editorial consultant, received honorarium from PFizer.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Posttraumatic Stress Disorder
> Screening
