Somatic Symptom and Related Disorders

Alexandra Murray, Anne Toussaint, Bernd Löwe

    Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

    Abstract

    Somatoform disorders are common in primary care and are associated with impairment and high health care costs. The biopsychosocial approach is central to the foundations of optimal care for these patients. Potential psychosocial influences on patient suffering should be identified and discussed early in the diagnostic process which is consistent with the new emphasis on positive psychological symptoms in DSM-5. Primary care practitioners (PCPs) should use a stepped-care approach when considering treatment depending on risk profiles. While patients with lower severity can be managed by the PCP, patients with a higher risk profile may need psychotherapy or other specialist care. Psychotherapy, new generation antidepressants, and natural pharmacological products are potentially effective interventions. This chapter also describes Sofu-Net, an example of a complex intervention to help strengthen the connection and communication between PCPs and psychotherapists. An alternative collaborative care approach integrates mental health care and management into primary care.
    Original languageEnglish
    Title of host publicationMental Disorders in Primary Care: A Guide to their Evaluation and Management
    EditorsAndré Carvalho, Roger McIntyre
    PublisherOxford University Press
    Chapter13
    ISBN (Print)9780198746638
    DOIs
    Publication statusPublished - 9 Feb 2017

    Fingerprint

    Primary Health Care
    Psychotherapy
    Somatoform Disorders
    Managed Care Programs
    Psychological Stress
    Health Care Costs
    Antidepressive Agents
    Patient Care
    Mental Health
    Communication
    Medically Unexplained Symptoms
    Pharmacology
    Psychology
    Delivery of Health Care
    Therapeutics

    Cite this

    Murray, A., Toussaint, A., & Löwe, B. (2017). Somatic Symptom and Related Disorders. In A. Carvalho, & R. McIntyre (Eds.), Mental Disorders in Primary Care: A Guide to their Evaluation and Management Oxford University Press. https://doi.org/10.1093/med/9780198746638.001.0001
    Murray, Alexandra ; Toussaint, Anne ; Löwe, Bernd. / Somatic Symptom and Related Disorders. Mental Disorders in Primary Care: A Guide to their Evaluation and Management. editor / André Carvalho ; Roger McIntyre. Oxford University Press, 2017.
    @inbook{a19b5196a1b541c19fdce44d0369b63f,
    title = "Somatic Symptom and Related Disorders",
    abstract = "Somatoform disorders are common in primary care and are associated with impairment and high health care costs. The biopsychosocial approach is central to the foundations of optimal care for these patients. Potential psychosocial influences on patient suffering should be identified and discussed early in the diagnostic process which is consistent with the new emphasis on positive psychological symptoms in DSM-5. Primary care practitioners (PCPs) should use a stepped-care approach when considering treatment depending on risk profiles. While patients with lower severity can be managed by the PCP, patients with a higher risk profile may need psychotherapy or other specialist care. Psychotherapy, new generation antidepressants, and natural pharmacological products are potentially effective interventions. This chapter also describes Sofu-Net, an example of a complex intervention to help strengthen the connection and communication between PCPs and psychotherapists. An alternative collaborative care approach integrates mental health care and management into primary care.",
    author = "Alexandra Murray and Anne Toussaint and Bernd L{\"o}we",
    year = "2017",
    month = "2",
    day = "9",
    doi = "10.1093/med/9780198746638.001.0001",
    language = "English",
    isbn = "9780198746638",
    editor = "Andr{\'e} Carvalho and Roger McIntyre",
    booktitle = "Mental Disorders in Primary Care: A Guide to their Evaluation and Management",
    publisher = "Oxford University Press",
    address = "United Kingdom",

    }

    Murray, A, Toussaint, A & Löwe, B 2017, Somatic Symptom and Related Disorders. in A Carvalho & R McIntyre (eds), Mental Disorders in Primary Care: A Guide to their Evaluation and Management. Oxford University Press. https://doi.org/10.1093/med/9780198746638.001.0001

    Somatic Symptom and Related Disorders. / Murray, Alexandra; Toussaint, Anne; Löwe, Bernd.

    Mental Disorders in Primary Care: A Guide to their Evaluation and Management. ed. / André Carvalho; Roger McIntyre. Oxford University Press, 2017.

    Research output: Chapter in Book/Report/Conference proceedingChapterResearchpeer-review

    TY - CHAP

    T1 - Somatic Symptom and Related Disorders

    AU - Murray, Alexandra

    AU - Toussaint, Anne

    AU - Löwe, Bernd

    PY - 2017/2/9

    Y1 - 2017/2/9

    N2 - Somatoform disorders are common in primary care and are associated with impairment and high health care costs. The biopsychosocial approach is central to the foundations of optimal care for these patients. Potential psychosocial influences on patient suffering should be identified and discussed early in the diagnostic process which is consistent with the new emphasis on positive psychological symptoms in DSM-5. Primary care practitioners (PCPs) should use a stepped-care approach when considering treatment depending on risk profiles. While patients with lower severity can be managed by the PCP, patients with a higher risk profile may need psychotherapy or other specialist care. Psychotherapy, new generation antidepressants, and natural pharmacological products are potentially effective interventions. This chapter also describes Sofu-Net, an example of a complex intervention to help strengthen the connection and communication between PCPs and psychotherapists. An alternative collaborative care approach integrates mental health care and management into primary care.

    AB - Somatoform disorders are common in primary care and are associated with impairment and high health care costs. The biopsychosocial approach is central to the foundations of optimal care for these patients. Potential psychosocial influences on patient suffering should be identified and discussed early in the diagnostic process which is consistent with the new emphasis on positive psychological symptoms in DSM-5. Primary care practitioners (PCPs) should use a stepped-care approach when considering treatment depending on risk profiles. While patients with lower severity can be managed by the PCP, patients with a higher risk profile may need psychotherapy or other specialist care. Psychotherapy, new generation antidepressants, and natural pharmacological products are potentially effective interventions. This chapter also describes Sofu-Net, an example of a complex intervention to help strengthen the connection and communication between PCPs and psychotherapists. An alternative collaborative care approach integrates mental health care and management into primary care.

    U2 - 10.1093/med/9780198746638.001.0001

    DO - 10.1093/med/9780198746638.001.0001

    M3 - Chapter

    SN - 9780198746638

    BT - Mental Disorders in Primary Care: A Guide to their Evaluation and Management

    A2 - Carvalho, André

    A2 - McIntyre, Roger

    PB - Oxford University Press

    ER -

    Murray A, Toussaint A, Löwe B. Somatic Symptom and Related Disorders. In Carvalho A, McIntyre R, editors, Mental Disorders in Primary Care: A Guide to their Evaluation and Management. Oxford University Press. 2017 https://doi.org/10.1093/med/9780198746638.001.0001