Post-traumatic psychological distress may present in rheumatology clinics

BMJ 2002; 325 doi: https://doi.org/10.1136/bmj.325.7357.221/a (Published 27 July 2002) Cite this as: BMJ 2002;325:221
  1. John McCarthy (jfmeck@talk21.com), specialist registrar in rheumatology,
  2. Andrew Frank, consultant physician in rehabilitation medicine and rheumatology

    EDITOR—In their Lesson of the Week Gabriel and Neal mentioned that somatisation of mental disharmony may obscure the diagnosis.1 Their report concentrated on post-traumatic stress disorder in military personnel, but other groups may have experienced horrific experiences causing spinal pain that results in referral to rheumatologists.

    We have reviewed clinic letters of patients seen between June 2001 and February 2002 in a rheumatology clinic specialising in spinal pain. Three new patients referred …

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