RT journal article
T1 Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
A1 Pérez Solá, Víctor
A1 Montes, José M.
A1 Trillo Calvo, Eva
A1 Gasull, Vicente
A1 García Campayo, Javier
A1 Olivares Diez, José Manuel
A1 Berrocoso Domínguez, Esther María
A1 Mico Segura, Juan Antonio
A1 Agüera Ortiz, Luis
A2 Neurociencias
K1 Depression
K1 Pain
K1 Somatic symptom
K1 Consensus
K1 RAND–UCLA
AB 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.
PB Elsevier B.V.
SN 2950-2853
YR 2024
FD 2024
LK http://hdl.handle.net/10498/33662
UL http://hdl.handle.net/10498/33662
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-may-2026