The term psychosomatic disease was most likely first used by Paul D. In modern society, psychosomatic aspects of illness are often attributed to stress making the remediation of stress one important factor in the development, treatment, and prevention of psychosomatic illness.Ĭonnotations of the term "psychosomatic illness"
According to this view, even the course of serious illnesses, such as cancer, can potentially be influenced by a person's thoughts, feelings and general state of mental health.Īddressing such factors is the remit of the applied field of behavioral medicine. The strongest perspective on psychosomatic disorders is that attempting to distinguish between purely physical and mixed psychosomatic disorders is obsolete as almost all physical illness have mental factors that determine their onset, presentation, maintenance, susceptibility to treatment, and resolution. However, there are no actual structural changes in the gut, so stress and emotions might still play a role. Similarly, in irritable bowel syndrome (IBS), there are abnormalities in the behavior of the gut. Therefore, in these cases, psychological factors could still play some role. However, most people living with Helicobacter pylori do not develop ulcers, and 20% of patients with ulcers have no H. For instance, Helicobacter pylori causes 80% of peptic ulcers.
A psychosomatic component is often inferred when there are some aspects of the patient's presentation that are unaccounted for by biological factors, or some cases where there is no biological explanation at all. It is difficult to establish for certain whether an illness has a psychosomatic component. Psychiatry traditionally distinguishes between psychosomatic disorders, disorders in which mental factors play a significant role in the development, expression, or resolution of a physical illness, and somatoform disorders, disorders in which mental factors are the sole cause of a physical illness. The psychosomatic framework additionally sees mental and emotional states as capable of significantly influencing the course of any physical illness. This has been suggested, for example, of lower back pain and high blood pressure, which some researchers have suggested may be related to stresses in everyday life. Some physical diseases are believed to have a mental component derived from stresses and strains of everyday living.
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