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Previous Volume 345:1395-1399 November 8, 2001 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 39-year-old single woman returns to her internist for the sixth time in nine months with the same symptoms — intermittent paresthesias and "swelling" of her hands and feet and belching. The results of physical examinations and laboratory studies have remained normal, yet this has failed to reassure her. She is now concerned that she has lupus and urgently requests a rheumatology . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Cognitive–Behavioral Therapies

Pharmacotherapy

Other Management Strategies

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Psychiatry, Brigham and Women's Hospital and Harvard Medical School, Boston.

Address reprint requests to Dr. Barsky at the Department of Psychiatry, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.

References

This article has been cited by other articles:

• Greeven, A., van Balkom, A. J.L.M., Visser, S., Merkelbach, J. W., van Rood, Y. R., van Dyck, R., Van der Does, A.J. W., Zitman, F. G., Spinhoven, P. (2007). Cognitive Behavior Therapy and Paroxetine in the Treatment of Hypochondriasis: A Randomized Controlled Trial. Am. J. Psychiatry 164: 91-99 [Abstract] [Full Text]  
• Ring, D., Kadzielski, J., Malhotra, L., Lee, S.-G. P., Jupiter, J. B. (2005). Psychological Factors Associated with Idiopathic Arm Pain. JBJS 87: 374-380 [Abstract] [Full Text]  
• Ring, D., Guss, D., Malhotra, L., Jupiter, J. B. (2004). Idiopathic Arm Pain. JBJS 86: 1387-1391 [Abstract] [Full Text]  
• Kaplan, N. M., Barsky, A. J. (2002). Hypochondriasis. NEJM 346: 783-784 [Full Text]