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International Journal of Epidemiology 2002;31:1225-1226
© International Epidemiological Association 2002

Special Theme: Psychosocial

Commentary: Functional abdominal pain: another unexplained physical symptom

Roger Jones

Guy’s, King’s and St Thomas’ School of Medicine, King’s College London, UK. Correspondence: Professor Roger Jones, Department of General Practice & Primary Care, 5 Lambeth Walk, London SE11 6SP, UK. E-mail: roger.jones@kcl.ac.uk

The first 10% of the full text of this article appears below.

Hannay’s concept of the symptom iceberg is widely recognized.1 Well-being and asymptomatic disease are located at the broad base of the iceberg, or pyramid, above which lies that section of the population who are symptomatic but do not seek medical advice for their symptoms—the non-consulters. Symptom diary studies in the UK and the US have suggested that as few as 1 in 40 symptoms ever becomes the subject of a formal medical consultation. Instead individuals employ a range of strategies, involving formal and informal advisers and care-givers, before entering the process that turns people into patients. Above this self-care segment is primary care—first-contact care provided by general practitioners (GPs), emergency departments, other community-based . . . [Full Text of this Article]


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