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

Autor: Pérez-Solá V; Director of Healthcare and Medical Area, Hospital del Mar, Barcelona, Spain; Biomedical Research Network in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Director of the Institute of Mental Health, Hospital del Mar, Barcelona, Spain; Pompeu Fabra University, Barcelona, Spain. Electronic address: vperezv@gmail.com., Montes JM; Biomedical Research Network in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain; University of Alcalá, Alcala de Henares, Spain., Trillo-Calvo E; Primary Care, Institute for Health Research (IIS Aragón). Centro de Salud Campo de Belchite, Zaragoza, Spain., Gasull V; Primary Care, Torrent Health Center II, Valencia, Spain., Garcí-Campayo J; Professor of Psychiatry, University of Zaragoza, Spain; Aragon Institute for Health Research (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Spain; Research Network on Chronicity, Primary Care and Prevention, and Health Promotion, Spain., Olivares-Diez JM; Director of the Area of Neuroscience, Health Research Institute Galicia Sur (IISGS, CIBERSAM), Spain; Psychiatry Service of the Health Area of Vigo, Spain., Berrocoso E; Biomedical Research Network in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Neuropsychopharmacology & Psychobiology Research Group, Department of Neuroscience, University of Cádiz, Cádiz, Spain; Biomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, Cádiz, Spain., Mico JA; Biomedical Research Network in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Neuropsychopharmacology & Psychobiology Research Group, Department of Neuroscience, University of Cádiz, Cádiz, Spain; Biomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, Cádiz, Spain., Agüera-Ortiz L; Biomedical Research Network in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Department of Psychiatry, Institute for Health Research (imas12), 12 de Octubre University Hospital, Madrid, Spain.
Jazyk: angličtina
Zdroj: Spanish journal of psychiatry and mental health [Span J Psychiatry Ment Health] 2023 Nov 10. Date of Electronic Publication: 2023 Nov 10.
DOI: 10.1016/j.sjpmh.2023.10.002
Abstrakt: 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.
(Published by Elsevier España S.L.U.)
Databáze: MEDLINE
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