Stress, Psychosomatic disorders and Thanatophobia syndrome
Stress, Psychosomatic disorders and Thanatophobia syndrome

Summary/Abstract: Estimates of care for Medically Unexplained Symptoms, account for between 15%and 65% of the cost of primary cares provided. Evidence-based medicine hasdemonstrated the link between psychological stress and psychosomatic disorders.Tanatophobia Syndrome (DCPR) or death anxiety is an absolutely natural humanexperience, fitting into the normality of psychological conditions. Fear of death iscoexisting with fears about the disease. In the case of patients with psychosomaticdisorders, tanatophobia is closely related to disease denial and non-acceptance ofdiagnosis. Does thanatophobia influencing the decision making in medical contextof communications with psychosomatic pacients? The aim of the article is to showthe liaison between somatisation and thanatophobia syndrome, in bio-psiho-socialapproach of patient. This substudy is part of a larger work, a prospective, mixedstudy, carried out in 2008-2016, including 200 subjects belong to the twocategories assigned to its design. We used as clinimetric tools, three psychologicalquestionnaires. In the analysis of each of the branches, we structured syndromesaccording with the DCPR (Diagnostic Criteria for Psychosomatic Research). Theresults of the present study reveal that tanatophobia syndrome is present in thelargest proportion of the psychosomatically affected patients profile as they ageand they have a number of peculiarities. Acceptance of diagnosis and choice oftherapy is influenced by personal, social and environmental factors, and it mustbe essential to integrating and analyzing data in a biopsychosocial context.

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