Consensus on the detection and management of patients with depression and pain as an associated somatic symptom

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• dc.contributor.author Pérez Solá, Victor
• dc.contributor.author Montes, José M.
• dc.contributor.author Trillo Calvo, Eva
• dc.contributor.author Gasull, Vicente
• dc.contributor.author García-Campayo, Javier
• dc.contributor.author Olivares, José M.
• dc.contributor.author Berrocoso, Esther
• dc.contributor.author Mico, Juan Antonio
• dc.contributor.author Agüera-Ortiz, Luis
• dc.date.accessioned 2025-03-31T06:20:09Z
• dc.date.available 2025-03-31T06:20:09Z
• dc.date.issued 2023
• dc.description Data de publicació electrònica: 10-11-2023
• dc.description.abstract Introduction: Globally, depression is the most common psychiatric disorder and is frequently associated with somatic symptom disorders, including pain as a physical symptom. There is a current need to improve the detection and management of the individuals in which depression and pain coexist. Hence, the aim of this document is to provide recommendations in the diagnosis and management of patients with major depressive disorder (MDD) who have pain as a physical symptom (PPS), in order to reduce the variability of clinical practice. Material and methods: The methodology used is based on the internationally recognized RAND/UCLA consensus method. The scientific committee, consisted of a group of eight multidisciplinary experts, defined 12 clinically relevant questions. After the systematic review of the literature, the scientific committee assessed the evidence and developed recommendations. The panel group with 15 participants validated these recommendations using a single Delphi round. To conclude, there was a final consensus meeting held to redefine with minor modifications the final recommendations. Results: The scientific committee developed a total of 19 recommendations on the diagnosis and detection, impact of PPS in MDD, treatment of MDD with associated PPS, use of healthcare resources, additional recommendations, and care coordination of these patients. Globally, a substantial level of agreement (≥80%) was reached on all items during the Delphi round. All the 19 achieved consensus, seven of them (37%) were agreed with unanimity during the Delphi round. The recommendations with higher consensus were in relation to diagnosis, impact of PPS in MDD, treatment and use of healthcare resources. Conclusions: Currently, the evidence base for patients with MDD and PPS is still being developed and this consensus statement aims to bridge that gap by providing practical recommendations.
• dc.format.mimetype application/pdf
• dc.identifier.citation Pérez-Solá V, Montes JM, Trillo-Calvo E, Gasull V, Garcí-Campayo J, Olivares-Diez JM, et al. Consensus on the detection and management of patients with depression and pain as an associated somatic symptom. Span J Psychiatry Ment Health. 2023 Nov 10:S2950-2853(23)00055-8. DOI: 10.1016/j.sjpmh.2023.10.002
• dc.identifier.doi http://dx.doi.org/10.1016/j.sjpmh.2023.10.002
• dc.identifier.issn 2950-2853
• dc.identifier.uri http://hdl.handle.net/10230/70047
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Span J Psychiatry Ment Health. 2023 Nov 10:S2950-2853(23)00055-8
• dc.rights © 2024 The Authors. Published by Elsevier España, S.L.U. on behalf of Sociedad Española de Psiquiatría y Salud Mental (SEPSM). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Consensus
• dc.subject.keyword Depression
• dc.subject.keyword Pain
• dc.subject.keyword RAND–UCLA
• dc.subject.keyword Somatic symptom
• dc.title Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion