Severe and enduring somatoform disorders: recognition and management

Bass, Christopher; Pearce, Steve

doi:10.1192/apt.bp.115.014589

Cited by 6Psychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome ResearchBody Image and Dysmorphia Studies

Severe and enduring somatoform disorders: recognition and management

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Bass, Christopher, Pearce, Steve·2016·BJPsych Advances

DOI 10.1192/apt.bp.115.014589

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Abstract

Summary Patients with severe and enduring somatoform disorders (SESD) characteristically present with multiple, recurrent and frequently changing physical symptoms that have usually been present for several years before referral to a psychiatrist/psychologist. Many patients report long histories of contact with both primary and tertiary care services, have undergone repeated fruitless investigations and have high levels of disability. SESD are responsible for disproportionately high healthcare costs and are the third most common cause of workplace absence. Identification of patients with SESD by psychiatrists requires particular skills: collaboration with colleagues is vital and there are risks of iatrogenic harm. We describe the obstacles encountered in identifying these patients as well as methods of assessment and management. Treatment pathways best suited to managing this large and as yet untended group of patients are described.

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Hou, S. (2022) · Psychology Research and Practice · doi:10.37155/2972-3086-0101-3 · Cited by 1 · see citing works
“If I don’t trust them, I shut down”: understanding patient and practitioner perspectives of multidisciplinary treatment for people with persistent physical symptoms. A focused ethnography
Lewis, H., Burton, L.-J., Morton, K., Wray, F., Kelley, R., Radford, K., & Guthrie, E. (2026) · Disability and Rehabilitation · doi:10.1080/09638288.2026.2679886

Authors: Bass, C., & Pearce, S.
Affiliations: John Radcliffe Hospital (GB)
ORCID: Pearce, Steve
Venue: BJPsych Advances
Publisher: Royal College of Psychiatrists
Published: 2016-03
Volume: 22
Issue: 2
Pages: 87-96
ISSN: 2056-4678 (ISSN-L)
2056-4686
DOI: 10.1192/apt.bp.115.014589
OpenAlex: W2293732294
Cited by: 6
References: 90
Citations by year: 2026: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2018: 1
FWCI: 0.30
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 771 d)
Locations: BJPsych Advances (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords: somatoform disorders, somatic symptom disorder, somatic symptoms, patient identification, psychiatric assessment, iatrogenic injury, treatment pathways, health care costs, absenteeism, disability

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Severe and enduring somatoform disorders: recognition and management

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