Hypersensitivity and hyperalgesia in somatoform pain disorders.

Egloff, Niklaus; Cámara, Rafael J A; von Känel, Roland; Klingler, Nicole; Marti, Elizabeth; Ferrari, Marie-Louise Gander (2014). Hypersensitivity and hyperalgesia in somatoform pain disorders. General hospital psychiatry, 36(3), pp. 284-290. Elsevier 10.1016/j.genhosppsych.2014.01.011

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OBJECTIVE In psychiatry, pain disorders not explained by structural lesions have been classified for decades as somatoform pain disorders, the underlying concept being somatization. In a parallel move, somatic medicine has defined an expanding group of similar pain disorders, known as functional pain syndromes. Functional pain syndromes are characterized by enhanced pain sensitivity. The aim of our study was to investigate the proportion of patients with somatoform pain disorders who also meet the criteria of functional pain syndromes and the extent to which patients with somatoform pain disorders also show enhanced pain sensitivity. METHODS Data on pain sensitivity in 120 hospitalized patients were obtained by means of two algometric methods. The group of patients with somatoform pain disorders was further divided into two subsets: patients with and those without a co-diagnosis of a functional pain syndrome. Patients with nociceptive pain served as control group. RESULTS Of the 120 in-patients selected, 67 fulfilled the criteria of a somatoform pain disorder of which 41 (61%) also met the co-diagnosis of a functional pain syndrome. Patients with somatoform pain disorder differed from controls in that they showed enhanced pain sensitivity, irrespective of whether a functional pain syndrome was concomitantly present (P<.001). CONCLUSIONS Somatoform pain disorders show considerable overlap with functional pain syndromes, including enhanced pain sensitivity. This suggests the relevance of integrating somatosensory aspects of pain into a modified understanding of somatoform pain disorders.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine

UniBE Contributor:

Egloff, Niklaus; von Känel, Roland and Marti, Elizabeth

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0163-8343

Publisher:

Elsevier

Language:

English

Submitter:

Annette Barbara Kocher

Date Deposited:

14 Jul 2014 15:58

Last Modified:

01 Jan 2015 02:30

Publisher DOI:

10.1016/j.genhosppsych.2014.01.011

PubMed ID:

24650586

Uncontrolled Keywords:

Algometry, Central sensitivity syndromes, Functional pain syndromes, Hyperalgesia, Somatoform pain

BORIS DOI:

10.7892/boris.47426

URI:

https://boris.unibe.ch/id/eprint/47426

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