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Functional somatic complaints in depression: An overview.

Kaustav Chakraborty1, Ajit Avasthi, Sandeep Grover

  • 1Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

Asian Journal of Psychiatry
|October 12, 2012
PubMed
Summary
This summary is machine-generated.

Functional somatic complaints are common in depression, often leading to misdiagnosis and increased healthcare use. Recognizing these symptoms is crucial for accurate depression diagnosis and effective treatment.

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Public Health

Background:

  • Depression is a significant public health issue.
  • Functional somatic complaints are universal and present in approximately two-thirds of depression cases.
  • These complaints can lead to misrecognition of depression and increased healthcare utilization.

Purpose of the Study:

  • To explore the presentation and correlates of functional somatic complaints in depression.
  • To highlight the impact of functional somatic complaints on depression diagnosis and management.
  • To discuss the neurobiological underpinnings and treatment implications of functional somatic complaints in depression.

Main Methods:

  • Review of international and cross-cultural studies on functional somatic complaints in depression.
  • Analysis of reported correlates including demographics, psychological factors, and neurobiology.
  • Examination of treatment efficacy, particularly Serotonin Norepinephrine Reuptake Inhibitors.

Main Results:

  • Functional somatic complaints are homogeneous across cultures despite varying organ system involvement.
  • Key correlates include female gender, depression severity, anxiety, alexithymia, somatosensory amplification, and hypochondriacal worry.
  • Serotonin and norepinephrine pathways are implicated, with Serotonin Norepinephrine Reuptake Inhibitors showing effectiveness.

Conclusions:

  • Functional somatic complaints are a significant, often overlooked, manifestation of depression.
  • Accurate recognition of these symptoms is vital for appropriate diagnosis and treatment.
  • Future diagnostic systems should consider incorporating these somatic symptoms more prominently.