Document Detail

Depression, pain, and somatoform disorders.
MedLine Citation:
PMID:  16612174     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: The frequent co-occurrence of depression and somatic symptoms poses a continuing challenge to clinicians, researchers and experts involved in drawing up classifications. In this review we present recently published literature on aspects of epidemiology, classification and treatment in this important overlap area. RECENT FINDINGS: From the multitude of papers published annually on the co-occurrence of different pain conditions and depression, temporomandibular dysfunction stands out this year by sheer quantity; it can be seen as a model case of the necessity for differentiated high-quality assessments on the biological as well as the psychosocial level. There is a general move to separate utility of diagnostic classifications from their validity, and this strengthens classificatory approaches that help to view the regular overlap of depression, pain and other somatic symptoms as the rule rather than the exception. The incorporation of cognitive variables like causal attributions should help to distinguish clinically relevant subtypes among overlap cases. The classificatory future of the category of 'somatoform disorders' is somewhat in doubt, but reforms seem to be more productive than abolishment. Psychopharmacology provides rather intense recent coverage of the overlap field, with newer dual serotonergic-noradrenergic reuptake inhibitors offering some promise. SUMMARY: Treating the overlap of depression, pain and other somatic symptoms as the rule rather than the exception is necessary for adequate aetiological research as well as for diagnosis and treatment, with one-dimensional classificatory and treatment approaches almost certainly being insufficient.
Peter Henningsen; Bernd Löwe
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in psychiatry     Volume:  19     ISSN:  0951-7367     ISO Abbreviation:  Curr Opin Psychiatry     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-04-13     Completed Date:  2006-05-23     Revised Date:  2007-03-20    
Medline Journal Info:
Nlm Unique ID:  8809880     Medline TA:  Curr Opin Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  19-24     Citation Subset:  IM    
Department of Psychosomatic Medicine, University Hospital, Technical University Munich, Germany.
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MeSH Terms
Depression / diagnosis,  epidemiology*
Diagnostic and Statistical Manual of Mental Disorders
Pain / diagnosis,  epidemiology*
Sick Role
Somatoform Disorders / diagnosis,  epidemiology*

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