Somatoform disorders in patients with chronic pain

2013 ◽  
Vol 22 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Indra Mohan ◽  
Christine Lawson-Smith ◽  
David A Coall ◽  
Gillian Van der Watt ◽  
Aleksandar Janca
Keyword(s):  
Chronic Pain ◽  
Somatoform Disorders

S3-1 Chronic pain and psychiatric disorders: Brain imaging research of somatoform disorders

2020 ◽  
Vol 131 (10) ◽  
pp. e246
Author(s):  
Junya Matsumoto ◽  
Wataru Toda ◽  
Shuntaro Aoki ◽  
Shuntaro Itagaki ◽  
Itaru Miura ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Psychiatric Disorders ◽  
Brain Imaging ◽  
Somatoform Disorders ◽  
Imaging Research

Quantitative Sensory Testing in Patients with Multisomatoform Disorder with Chronic Pain as the Leading Bodily Symptom—a Matched Case–Control Study

Pain Medicine ◽  
2019 ◽  
Author(s):  
Johannes Achenbach ◽  
Anh-Thu Tran ◽  
Burkhardt Jaeger ◽  
Karl Kapitza ◽  
Michael Bernateck ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Quantitative Sensory Testing ◽  
Pain Threshold ◽  
Somatoform Disorders ◽  
Detection Threshold ◽  
Pressure Pain Threshold ◽  
Sensory Profile ◽  
Sensory Loss ◽  
Sensory Testing ◽  
Presenting Symptoms

Abstract Objective Chronic pain is a debilitating condition of multifactorial origin, often without physical findings to explain the presenting symptoms. Of the possible etiologies of persisting painful symptoms, somatoform disorders and functional somatic syndromes (FSS) are among the most challenging, with a prevalence of 8–20%. Many different somatoform disorders and FSS have overlapping symptoms, with pain being the most prevalent one. The concept of multisomatoform disorder (MSD) has been developed to acknowledge that fact. We hypothesized that the concept of MSD will be reflected in a distinct sensory profile of patients compared with healthy controls and possibly provide insight into the type and pathophysiology of the pain commonly experienced by patients. Design We performed comprehensive quantitative sensory testing (QST) in 151 patients and 149 matched controls. Results There were significant differences in the sensory profiles of patients compared with controls. Patients with MSD showed a combination of tactile and thermal hypesthesia combined with mechanical and cold hyperalgesia. This was true for measurements at test and control sites, with the exception of vibration detection threshold and mechanical pain threshold. Among the observed changes, a marked sensory loss of function, as evidenced by an increase in cold detection threshold, and a marked gain of function, as evidenced by a decrease of pressure pain threshold, were most notable. There was no evidence of concurrent medication influencing QST results. Conclusions The observed somatosensory profile of patients with MSD resembles that of patients suffering from neuropathic pain with evidence of central sensitization.

Screening for DSM-IV Somatoform Disorders in Chronic Pain Patients

2000 ◽  
Vol 33 (3) ◽  
pp. 115-118 ◽  
Author(s):  
Bettina Bankier ◽  
Martin Aigner ◽  
Sandra Krones ◽  
Michael Bach
Keyword(s):  
Chronic Pain ◽  
Somatoform Disorders ◽  
Chronic Pain Patients ◽  
Dsm Iv ◽  
Pain Patients

scholarly journals COMORBIDITY OF NON-PSYCHOTIC MENTAL DISORDERS AND NEUROLOGIC SYMPTOMS AMONG YOUNG PEOPLE

2020 ◽  
Vol 73 (8) ◽  
pp. 1605-1609
Author(s):  
Valeriy М. Pashkovskyy ◽  
Оlha S. Yurtsenyuk
Keyword(s):  
Chronic Pain ◽  
Young People ◽  
Mental Disorders ◽  
Somatoform Disorders ◽  
Pain Syndrome ◽  
Behavioral Syndromes ◽  
Clear Correlation ◽  
Physical Factors ◽  
Chronic Pain Syndrome ◽  
And Behavior

The aim: to determine occurrence and structure of non-psychotic mental disorders associated with chronic pain among young people. Materials and methods: The results of examination of 1235 students were analyzed. The following methods were applied: clinical, clinical-psychopathological, clinicalepidemiological, clinical-anamnestic, experimental-psychological and statistical. Results: Students with neurotic disorders associated with stress and somatoform disorders were found to prevail in the main group (F40-48.1) 187 (58,99%), affective mood disorders were on the second position (F30-34.1) - 79 (24,92%) individuals, followed by disorders of a mature personality and behavior of adults (F60-60.7) diagnosed in 31 (9,78%) students, and at last, behavioral syndromes associated with physiological disorders and physical factors (F50-51.4) - 20 (6,30%) respectively. Chronic pain syndrome was diagnosed in 113 (35,65%) students with NMD including 43 (38,05%) men and 70 (61,95%) women. The majority of young people (86 individuals – 76,11%) observed severe pain, and 27 (23,89%) of them – moderate pain. A clear correlation was found between a depressive episode and CPS (γ<0,02). Conclusions: The findings obtained should be considered in development of screening systems concerning diagnostics, prevention of nonpsychotic mental disorders associated with chronic pain syndrome.

Jaki, a Puzzling Inca Syndrome of Comorbid Pain and Mental Illness

2020 ◽  
pp. 389-398
Author(s):  
Mario Incayawar
Keyword(s):  
Chronic Pain ◽  
Racial Bias ◽  
Somatoform Disorders ◽  
Clinical Encounter ◽  
Transcultural Psychiatry ◽  
Factors Affecting ◽  
The Andes ◽  
Primitive People ◽  
Evil Spirits ◽  
Quality Medical Care

The clinical encounter with a patient who is suffering from chronic pain and a psychiatric disorder is challenging. This can become a clinical conundrum if the patient has a different cultural background than the physician and says he or she has a mysterious culture-bound syndrome. This chapter discusses a Quichua-Inca illness experience called Jaki, a frequent condition that is well-known by millions of Quichua patients in the Andes, South America. Biomedically trained doctors usually dismiss it as a condition without any medical importance experienced by superstitious and primitive people. In contrast, Jaki patients believe it is a complex and threatening illness that could lead to death. They recognize four types of Jaki and believe the causes are related to “evil spirits” and that proper treatment should address them. The author conducted a transcultural psychiatry study showing that most Jaki patients are suffering from depression, anxiety, somatoform disorders, psychological factors affecting a physical condition, and adjustment disorders. Jaki patients are suffering indeed from comorbid chronic pain and psychiatric disorders. The chapter concludes with clinical recommendations for the practitioner who is willing to avoid racial bias, improve cultural competency, and offer culturally sensitive and better quality medical care.

Stigma perception and depression among patients suffering from chronic somatoform disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 534-534
Author(s):  
M. Freidl ◽  
M. Aigner
Keyword(s):  
Chronic Pain ◽  
Depressive Symptoms ◽  
Psychiatric Treatment ◽  
Somatoform Disorders ◽  
Mental Illness Stigma ◽  
Future Research ◽  
Self Confidence ◽  
Chronic Pain Patients ◽  
Severity Of Depression ◽  
Pain Patients

IntroductionSeveral studies indicate a significant longitudinal comorbidity of depression and chronic pain. Also, perceived stigma is a barrier to recovery. This study wanted to evaluate the correlations.ObjectivesTo investigate to what degree chronic pain patients suffer from depression and stigma fears 132 (66% females) consecutive in- and out-patients with somatoform pain disorders who presented at the Department of Psychiatry and Psychotherapy (MUV) were investigated using the Stigma Questionnaire by Link and the Beck Depression Inventory (BDI).AimsThe aim of this study was to survey the attitudes of 132 patients with the diagnosis somatoform pain disorder, toward mental illness stigma and the influence of depressive symptoms.MethodsThe BDI was employed for measuring of the severity of depression and the modified 12-item version of Links Stigma Questionnaire to evaluate stigma perception.ResultsThree third of the patients expect discrimination because of their psychiatric diagnosis and two third of the chronic pain patients also showed depressive symptoms. The overall results show a significant correlation between stigma perception and depressive symptoms.ConclusionFear of stigma increases with depressive symptoms and both are a risk for treatment delay. Goal of future research should be the question how to reduce depression and fear of stigma in order to help them enter psychiatric treatment early and gain self-confidence and mental health back again.

scholarly journals PECULIARITIES OF THE CORRELATIONSHIP BETWEEN SOMATOGENIC AND PSYCHOGENIC COMPONENTS IN THE CHRONIC PAIN STRUCTURE (ON THE EXAMPLE OF THE ISCHEMIC HEART DISEASE AND SOMATOFORM DISORDERS)

2017 ◽  
Vol 20 (1) ◽  
pp. 9-14
Author(s):  
V. A Ishinova ◽  
O. N Mityakova ◽  
A. A Povorinskiy ◽  
S. V Serdyukov
Keyword(s):  
Chronic Pain ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Somatoform Disorders ◽  
Ischemic Heart ◽  
Psychogenic Pain ◽  
Anginal Pain ◽  
Mixed Nature

The results of the research of the chronic pain structure of somatogenic and psychogenic origin were presented in this article. Psychogenic component was revealed in the structure of the anginal pain of chronic character in patients with coronary heart disease (CHD). The content of a psychogenic component was expectedly lower in CHD patients than in patients with chronic pain of the psychogenic origin. At the same time, somatogenic component was discovered in patients with psychogenic pain that could confirm the mixed nature of chronic pain of the psychogenic origin. The determination of the chronic pain structure allows to understand mechanisms of its formation better and to find more effective methods of its management.

Sign in / Sign up

Export Citation Format

Share Document