What are the guideline sources, guidelines and references for Somatic symptom disorder ?
Guideline sources The following summarized guidelines for the evaluation and management of somatic symptom disorder are prepared by our editorial team based on guidelines from the American Association of Family Physicians (AAFP 2016). 1 1 2 3 4 4 Definition Somatic symptom disorder, previously known as somatization disorder, is a mental health disorder characterized by multiple unexplained complaints. 2 Epidemiology Somatic symptom disorder is a somatoform disorder that overlaps with a number of functional somatic syndromes and has high comorbidity with major depression and anxiety disorders. 3 Pathophysiology In the United States, the prevalence of somatic symptom disorder is estimated at 6000 per 100,000 population. 1 Disease course Symptoms include bodily complaints, such as pain in different locations of the body, from fatigue, or from perceived disturbances of the cardiovascular, gastrointestinal, or other organ functions. 4 Prognosis and risk of recurrence https://web.pathway.md/diseases/recTyIe7yO3EVYzXv 1/3 6/24/23, 3:14 PM Somatic symptom disorder Pathway Somatic symptom disorder causes long-term disability in several patients, affecting quality of life and work participation. 4 Calculator DSM 5 diagnostic criteria for so Guidelines 1. Screening and diagnosis Diagnostic criteria: use the DSM-5 criteria to diagnose somatic symptom disorder. 2. Diagnostic investigations Screening instruments: consider using the Patient Health Questionnaire-15 or the Somatic Symptom Scale-8 to assess patients with suspected somatic symptom disorder. C 3. Medical management Pharmacologic therapy: Consider using the following agents as first-line pharmacolic treatment for somatic symptom disorder: amitriptyline SSRIs st. John's wort. C Avoid the use of other antidepressants (monoamine oxidase inhibitors, bupropion, anticonvulsants, and antipsychotics) for the treatment of somatic symptom disorder. D 4. Nonpharmacologic interventions Psychotherapy: consider offering CBT and mindfulness-based therapy for the treatment of somatic symptom disorder. C References https://web.pathway.md/diseases/recTyIe7yO3EVYzXv 2/3 6/24/23, 3:14 PM Somatic symptom disorder Pathway 1. Stuart L Kurlansik, Mario S Maffei. Somatic Symptom Disorder. Am Fam Physician. 2016 Jan 1;93 1 49 54. Open 2. F deGruy, L Columbia, P Dickinson. Somatization disorder in a family practice. J Fam Pract. 1987 Jul;25 1 45 51. Open 3. Dan J Stein, Jacqueline Muller. Cognitive-affective neuroscience of somatization disorder and functional somatic syndromes: reconceptualizing the triad of depression-anxiety-somatic symptoms. CNS Spectr. 2008 May;13 5 379 84. Open 4. Peter Henningsen. Management of somatic symptom disorder. Dialogues Clin Neurosci. 2018 Mar;20 1 23 31. Open https://web.pathway.md/diseases/recTyIe7yO3EVYzXv 3/3