Somatoform Disorders - Science topic
Disorders having the presence of physical symptoms that suggest a general medical condition but that are not fully explained by a general medical condition, by the direct effects of a substance, or by another mental disorder. The symptoms must cause clinically significant distress or impairment in social, occupational, or other areas of functioning. In contrast to FACTITIOUS DISORDERS and MALINGERING, the physical symptoms are not under voluntary control. (APA, DSM-IV)
Questions related to Somatoform Disorders
I am looking for ideas to design a prevention programme for somatoform disorders. Especially looking for risk factors and how they are associated with developing medically unexplained symptoms.
In my knowledge there are only a few related articles on prevention programmes for sd out there (Garcia-Campayo et al., 2010; Göhner & Schlicht, 2006). Do you have ideas on primary, secondary and tertiary prevention?
Any ideas, thoughts, suggestions on this topic may be helpful!
The current consensus seems that there is no psychosomatic specificity, but maybe there are recent contributions to the debate?
(Psychosomatic specificity hypothesis implies that patients with specific disorders exibit specific relational and characterological traits. It was suggested by Franz Alexander and debated a lot in the 1970-1980s.)
1. How long is the window period for a patient to emerge from GA?
2. How long is too long that a patient needs to be placed at SICU?
3. Could somatoform disorder brings about prolonged emergence from GA?
4. Could benzo and opioid affect the prolonged emergence from GA?
Since negative bodily sensations, as subjective phenomena, can be observed by listening to the patients’ descriptions, systematic attention to the sensations means a distinct re-evaluation of our receptive attitude as the basis for a reliable diagnosis. Psychodynamics is essential in this context.
However, in practice it is sometimes very difficult to make a satisfactory classification using the currently valid International Classification of Mental and Behavioural Disorders (ICD 10-11).
The new edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) will give an opportunity to reflect systematically and name the flaws of these classifications.
A guiding principle emerged, which allows to identify and bundle the points in need of amendment clearly: the diagnostic significance of the subjective bodily symptoms, the „body’s complaints“, which in my opinion are better to unterstand than all the “somatoform disorders”. The DSM-5 " Somatic Symptom Disorders" promise a certain progress, too. What is your experience resp. first impression?