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

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...

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Authors: Pérez Solà, Víctor, Montes, José M., Trillo Calvo, Eva, Gasull, Vicente, García-Campayo, Javier, Olivares, José M., Berrocoso, Esther, Mico, Juan Antonio, Agüera-Ortiz, Luis
Format: article
Status:Published version
Publication Date:2025
Country:España
Institution:Universitat Pompeu Fabra
Repository:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/70047
Online Access:http://hdl.handle.net/10230/70047
http://dx.doi.org/10.1016/j.sjpmh.2023.10.002
Access Level:Open access
Keyword:Consensus
Depression
Pain
RAND–UCLA
Somatic symptom
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spelling Consensus on the detection and management of patients with depression and pain as an associated somatic symptomPérez Solà, VíctorMontes, José M.Trillo Calvo, EvaGasull, VicenteGarcía-Campayo, JavierOlivares, José M.Berrocoso, EstherMico, Juan AntonioAgüera-Ortiz, LuisConsensusDepressionPainRAND–UCLASomatic symptomIntroduction: 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.Elsevier202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/70047http://dx.doi.org/10.1016/j.sjpmh.2023.10.002reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésSpan J Psychiatry Ment Health. 2025 Jan-Mar;18(1):21-7© 2024 The Authors. Published by Elsevier España, S.L.U. on behalf of Sociedad Española de Psiquiatría y Salud Mental (SEPSM). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/700472026-06-12T07:21:37Z
dc.title.none.fl_str_mv Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
title Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
spellingShingle Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
Pérez Solà, Víctor
Consensus
Depression
Pain
RAND–UCLA
Somatic symptom
title_short Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
title_full Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
title_fullStr Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
title_full_unstemmed Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
title_sort Consensus on the detection and management of patients with depression and pain as an associated somatic symptom
dc.creator.none.fl_str_mv Pérez Solà, Víctor
Montes, José M.
Trillo Calvo, Eva
Gasull, Vicente
García-Campayo, Javier
Olivares, José M.
Berrocoso, Esther
Mico, Juan Antonio
Agüera-Ortiz, Luis
author Pérez Solà, Víctor
author_facet Pérez Solà, Víctor
Montes, José M.
Trillo Calvo, Eva
Gasull, Vicente
García-Campayo, Javier
Olivares, José M.
Berrocoso, Esther
Mico, Juan Antonio
Agüera-Ortiz, Luis
author_role author
author2 Montes, José M.
Trillo Calvo, Eva
Gasull, Vicente
García-Campayo, Javier
Olivares, José M.
Berrocoso, Esther
Mico, Juan Antonio
Agüera-Ortiz, Luis
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Consensus
Depression
Pain
RAND–UCLA
Somatic symptom
topic Consensus
Depression
Pain
RAND–UCLA
Somatic symptom
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/70047
http://dx.doi.org/10.1016/j.sjpmh.2023.10.002
url http://hdl.handle.net/10230/70047
http://dx.doi.org/10.1016/j.sjpmh.2023.10.002
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Span J Psychiatry Ment Health. 2025 Jan-Mar;18(1):21-7
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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