{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:04:38Z","timestamp":1791975878827,"version":"4.4.0"},"reference-count":54,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T00:00:00Z","timestamp":1365552000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113000339_sec1\"><jats:title>Background:<\/jats:title><jats:p>Somatisation has been described as the perception of a physiological event influenced by emotion.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000339_sec2\"><jats:title>Method:<\/jats:title><jats:p>A review of the medical literature was carried out using the following Medical Subject Headings: somatisation (which identified 357 articles), medically unexplained symptoms (749 articles), unexplained or idiopathic dizziness (142 articles), tinnitus (360 articles), catarrh (1068 articles) and globus pharyngeus (3114 articles).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000339_sec3\"><jats:title>Results:<\/jats:title><jats:p>Up to 40 per cent of out-patient attendances have medically unexplainable symptoms. In ENT clinics, this includes patients with dizziness, tinnitus, \u2018pseudo\u2019 eustachian tube dysfunction, being \u2018unable to hear\u2019, catarrh and postnasal drip, atypical facial pain, globus pharyngeus, and functional dysphonia. Medical explanations of these symptoms often differ from patients' perceptions. Demonstrating normal test results and providing reassurance have little effect on patients' doubts and anxieties. Consultations that recognise the symptoms and their impact, and offer a tangible and involving explanation are more likely to satisfy and empower patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000339_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>The treatment of medically unexplained symptoms has changed in recent years; there is now more emphasis on psychological factors due to an association with anxiety and depression.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113000339","type":"journal-article","created":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T08:22:45Z","timestamp":1365582165000},"page":"452-457","source":"Crossref","is-referenced-by-count":23,"title":["Medically unexplained symptoms and somatisation in ENT"],"prefix":"10.1017","volume":"127","author":[{"given":"G","family":"Ullas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"McClelland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N S","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,4,10]]},"reference":[{"key":"S0022215113000339_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4613-8196-9_3"},{"key":"S0022215113000339_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(85)90064-9"},{"key":"S0022215113000339_ref13","doi-asserted-by":"publisher","DOI":"10.1044\/1059-0889(2009\/09-0013)"},{"key":"S0022215113000339_ref32","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106002647"},{"key":"S0022215113000339_ref38","first-page":"38","article-title":"Long-term follow-up of patients with atypical facial pain treated with amitriptyline","volume":"71","author":"G\u00fcler","year":"2005","journal-title":"N Y State Dent J"},{"key":"S0022215113000339_ref28","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00359.x"},{"key":"S0022215113000339_ref54","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.11.007"},{"key":"S0022215113000339_ref52","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.02.015"},{"key":"S0022215113000339_ref49","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711601002"},{"key":"S0022215113000339_ref48","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.otohns.2008.01.014","article-title":"Systematic review of the treatment of functional dysphonia and prevention of voice disorders","volume":"138","author":"Ruotsalainen","year":"2008","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215113000339_ref47","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006373"},{"key":"S0022215113000339_ref31","doi-asserted-by":"publisher","DOI":"10.3109\/03005369609076770"},{"key":"S0022215113000339_ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196809262791304"},{"key":"S0022215113000339_ref22","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2011.575178"},{"key":"S0022215113000339_ref23","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2011.595781"},{"key":"S0022215113000339_ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7180.372"},{"key":"S0022215113000339_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2011.10.009"},{"key":"S0022215113000339_ref26","first-page":"8","article-title":"Ask the doctor. 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