Somatoform Disorders [transtornos Somatoformes]

Patient with multiple medically unexplained symptoms are frequent health care users of both primary and advanced care. Dealing with such patients can be challenging for the physician, as it raises feeling of impotence and irritation. Moreover, clinically significant somatization leads to excessive costs due to excessive health care use, sophisticated diagnosis tests and ineffective treatments. The objective of this article is to review somatoform disorder concepts, its clinical presentations, relevant differential diagnosis and treatment strategies. © Copyright Moreira Jr. Editora.7011390394Schneider, A., Hörlein, E., Wartner, E., Schumann, I., Henningsen, P., Linde, K., Unlimited access to health care - Impact of psychosomatic co-morbidity on utilisation in German general practices (2011) BMC Fam Pract, 12, p. 51Brunoni, A.R., Transtornos mentais comuns na prática clínica (2008) Rev Med, 87 (4), pp. 251-263. , São Paulo. out-dezBarsky, A.J., Orav, E.J., Bates, D.W., Distinctive patterns of medical care utilization inpatients who somatize (2006) Med Care, 44 (9), pp. 803-811Fortes, S., Brasil M.A.A;, Campayo, J.G., Botega, N.J., Somatização (2006) Prática Psiquiátrica No Hospital Geral: Interconsulta e Emergência, pp. 305-324. , Botega NJ (org.) 2°ed - Porto Alegre: ArtmedLazzaro, C.D.S., Ávila, L.A., Somatização na prática médica (2004) Arq Ciênc Saúde, 11 (2). , abr-junRamadan, Z.B.A., Motta, T., Transtornos somatoformes e transtornos dissociativos (ou conversivos) (1995) Psiquiatria Básica, , Louzã NetoMotta TWang Y-PElkis H (org.) Porto Alegre: Artes MédicasCoelho, C.L.S., Ávila, L.A., Controvérsias sobre a somatização (2007) Rev. Psiquiatr. Clín., 34 (6), pp. 278-284Andrade, L., Walters, E.E., Gentil, V., Laurenti, R., Prevalence of ICD-10 mental disorders in a catchment area in the city of Sao Paulo, Brazil (2002) Soc Psychiatry Psychiatr Epidemiol, 37 (7), pp. 316-325Fortes, S., Villano, L.A.B., Lopes, C.S., Nosological profile and prevalence of common mental disorders of patients seen at the at the Family Health Program units in Petrópolis, Rio de Janeiro (2008) Rev Bras Psiquiatr, 30 (1), pp. 32-37Hakala, M., Vahlberg, T., Niemi, P.M., Karlsson, H., Brain glucose metabolism and temperament in relation to severe somatization (2006) Psychiatry Clin Neurosci, 60 (6), pp. 669-675Reed, G.M., Incorporação das perspectivas brasileiras e latino-americanas na classificação de transtornos mentais e comportamentais na CID-11 (2011) Rev. Bras. Psiquiatr., 33 (SUPPL. 1), pp. 1-2. , May(1993) Classificação de Transtornos Mentais e Do Comportamento Da CID-10: Descrições Clínicas e Diretrizes Diagnósticas, pp. 149-167. , Organização Mundial de Saúde. Porto Alegre: Artes MédicasLieb, R., Meinlschmidt, G., Araya, R., Epidemiology of the association between somatoform disorders and anxiety and depressive disorders: An update (2007) Psychosom Med, 69 (9), pp. 860-863Dalgalarrodo, P., (2000) Psicopatologia e Semiologia Dos Transtornos Mentais, , Porto Alegre: ArtmedAllet, J.L., Allet, R.E., Somatoform disorders in neurological practice (2006) Curr Opin Psychiatry, 19 (4), pp. 413-420Kaplan, H., Sadock, B.J., Sadock, V.A., (2007) Compêndio de Psiquiatria: Ciências Do Comportamento e Psiquiatria Clínica, pp. 686-738. , 9 ed. Porto Alegre: ArtmedHiller, W., Kroymann, R., Leibrand, R., Cebulla, M., Effects and cost-effectiveness analysis of inpatient treatment of somatoform disorders (2004) Fortschr Neurol Psychiatr, 72, pp. 136-146Kroenke, K., Efficacy of treatment for somatoform disorders: A review of randomized controlled trials (2007) Psychosom Med, 69 (9), pp. 881-888Seo, H.J., Sohi, M.S., Patkar, A.A., Masand, P.S., Pae, C.U., Desvenlafaxine succinate: A newer antidepressant for the treatment of depression and somatic symptoms (2010) Postgrad Med, 122 (1), pp. 125-138. , JanBeesdo, K., Hartford, J., Russel, J., Spann, M., Ball, S., Wittchen, H.U., The short- and long-term effect of duloxetine on painful physical symptoms in patients with generalized anxiety disorder: Results from three clinical trials (2009) J Anxiety Disord, 23 (8), pp. 1064-1071. , DecEpub 2009 Jul 14Stahl, S.M., (2010) Psicofarmacologia: Bases Neurocientíficas e Aplicaçõ es Práticas, , 3a ed. Rio de Janeiro: Guanabara KooganHäuser, W., Fibromyalgia Syndrome: Classification, Diagnosis, and Treatment (2009) Dtsch Arztebl Int, 106 (23), pp. 383-391. , JunePexton, T., Moeller-Bertram, T., Schilling, J.M., Wallace, M.S., Targeting voltage-gated calcium channels for the treatment of neuropathic pain: A review of drug development (2011) Expert Opin Investig Drugs, 20 (9), pp. 1277-1284. , Sep(2000) Diagnostic and Stastistical Manual of Mental Disorders, , American Psychiatric Association. 4th ed. Text revision. Washington, DC: American Psychiatric Associatio