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In This Issue of JAMA Otolaryngology
September 2017


JAMA Otolaryngol Head Neck Surg. 2017;143(9):859. doi:10.1001/jamaoto.2016.1398

Somatization is a condition in which psychological distress manifests as symptoms with no identifiable pathophysiologic mechanism. Okland and colleagues conducted a retrospective analysis of 2120 consecutive consultations in an otolaryngology clinic to determine if review of systems (ROS) scores could be used to identify somatization in patients. They found that ROS scores were higher among patients with medically unexplained symptoms than among patients with objective clinical findings. In addition, ROS scores were positively associated with psychiatric comorbidity. The authors conclude that ROS scores may be useful in identifying patients with somatization.

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