Somatic Presentations of Mental Disorders: Refining the Research Agenda for DSM-V

207 Pages·2009·1.41 MB·English

by  Joel E. Dimsdale

SOMATIC
PRESENTATIONS OF
MENTAL DISORDERS
Refining the Research Agenda
for DSM-V
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SOMATIC
PRESENTATIONS OF
MENTAL DISORDERS
Refining the Research Agenda
for DSM-V
Edited by
Joel E. Dimsdale, M.D.
Yu Xin, M.D.
Arthur Kleinman, M.D.
Vikram Patel, Ph.D.
William E. Narrow, M.D., M.P.H.
Paul J. Sirovatka, M.S.
Darrel A. Regier, M.D., M.P.H.
Published by the
American Psychiatric Association
Arlington, Virginia
Note: The authors have worked to ensure that all information in this book is accurate at
the time of publication and consistent with general psychiatric and medical standards, and
that information concerning drug dosages, schedules, and routes of administration is accu-
rate at the time of publication and consistent with standards set by the U.S. Food and Drug
Administration and the general medical community. As medical research and practice con-
tinue to advance, however, therapeutic standards may change. Moreover, specific situations
may require a specific therapeutic response not included in this book. For these reasons and
because human and mechanical errors sometimes occur, we recommend that readers follow
the advice of physicians directly involved in their care or the care of a member of their family.
The findings, opinions, and conclusions of this report do not necessarily represent the views
of the officers, trustees, or all members of the American Psychiatric Association. The views
expressed are those of the authors of the individual chapters.
Copyright © 2009 American Psychiatric Association
ALL RIGHTS RESERVED
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Library of Congress Cataloging-in-Publication Data
Somatic presentations of mental disorders : refining the research agenda for DSM-V / edit-
ed by Joel E. Dimsdale ... [et al.]. — 1st ed.
p. ; cm.
Presents a selection of articles reprinted from Psychosomatic medicine, v. 69, 2007.
Includes bibliographical references and index.
ISBN 978-0-89042-342-4 (alk. paper)
1. Somatoform disorders. I. Dimsdale, Joel E., 1947- II. American Psychiatric Associa-
tion. III. Psychosomatic medicine.
[DNLM: 1. Psychophysiologic Disorders–diagnosis–Collected Works. 2. Psychophysiolog-
ic Disorders–diagnosis–Congresses. 3. Somatoform Disorders–diagnosis–Collected Works.
4. Somatoform Disorders–diagnosis–Congresses. 5. Psychophysiologic Disorders–psychol-
ogy–Collected Works. 6. Psychophysiologic Disorders–psychology–Congresses. 7. Psycho-
somatic Medicine-methods–Collected Works. 8. Psychosomatic Medicine–methods–
Congresses. 9. Somatoform Disorders–psychology–Collected Works. 10. Somatoform Dis-
orders–psychology–Congresses. WM 170 S6925 2009]
RC552.S66S657 2009
616.85′24—dc22
2008048530
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
CONTENTS
CONTRIBUTORS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
DISCLOSURE STATEMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi
FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii
Darrel A. Regier, M.D., M.P.H.
EVOLUTION OF PSYCHOSOMATIC DIAGNOSIS IN DSM. . . . . . . . . . .xix
Donald Oken, M.D.
INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxv
Joel E. Dimsdale, M.D.
Vikram Patel, M.B.
Yu Xin, M.D.
Arthur Kleinman, M.D.
1
EPIDEMIOLOGY OF THE ASSOCIATION BETWEEN SOMATOFORM
DISORDERS AND ANXIETY AND DEPRESSIVE DISORDERS. . . . . . . . . .1
Roselind Lieb, Ph.D.
Gunther Meinlschmidt, Ph.D.
Ricardo Araya, Ph.D.
2
THE ASSOCIATION OR OTHERWISE OF THE FUNCTIONAL
SOMATIC SYNDROMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Richard A.A. Kanaan, MRCPsych
Jean Pierre Lepine, M.D.
Simon C. Wessely, FRCPsych
3
CULTURAL MODELS AND SOMATIC SYNDROMES. . . . . . . . . . . . . . .19
Laurence J. Kirmayer, M.D.
Norman Sartorius, M.D., Ph.D.
4
INFLUENCE OF CULTURAL AND SOCIAL FACTORS ON THE
EPIDEMIOLOGY OF IDIOPATHIC SOMATIC COMPLAINTS AND
SYNDROMES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Javier I. Escobar, M.D., M.S.
Oye Gureje, Ph.D., D.Sc., FRCPsych
5
ARE SOMATOFORM DISORDERS CHANGING WITH TIME?. . . . . . . . 53
Sing Lee, FRCPsych
Arthur Kleinman, M.D.
6
A BIOLOGICAL SUBSTRATE FOR SOMATOFORM DISORDERS. . . . . . 63
Joel E. Dimsdale, M.D.
Robert Dantzer, D.V.M., Ph.D.
7
SOMATOFORM AND SUBSTANCE USE DISORDERS . . . . . . . . . . . . . 75
Deborah Hasin, Ph.D.
Hila Katz, B.A.
8
STABILITY OF SOMATOFORM SYMPTOMS. . . . . . . . . . . . . . . . . . . . 89
Winfried Rief, Ph.D.
Graciela Rojas, M.D.
9
WHAT IS THE EVIDENCE FOR THE EFFICACY OF TREATMENTS FOR
SOMATOFORM DISORDERS? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Athula Sumathipala, M.B.B.S., D.F.M., M.D., MRCPsych, Ph.D.
10
ARE TREATMENTS FOR COMMON MENTAL DISORDERS ALSO
EFFECTIVE FOR FUNCTIONAL SYMPTOMS AND DISORDER? . . . . . 131
Richard Mayou, B.M., FRCPsych, FRCP
11
EFFICACY OF TREATMENT FOR SOMATOFORM DISORDERS. . . . . . 143
Kurt Kroenke, M.D.
12
THE EVIDENCE FOR TREATMENTS FOR SOMATOFORM
DISORDERS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Susan Levenstein, M.D.
INDEX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
CONTRIBUTORS
Ricardo Araya, Ph.D.
Professor of Psychiatry, Academic Unit of Psychiatry, University of Bristol, United
Kingdom
Robert Dantzer, D.V.M., Ph.D.
Professor of Psychoneuroimmunology, Department of Pathology (R.D.), Univer-
sity of Illinois College of Medicine, Urbana-Champaign, Illinois
Joel E. Dimsdale, M.D.
Distinguished Professor of Psychiatry, Department of Psychiatry, University of
California, San Diego
Javier I. Escobar, M.D., M.S.
Associate Dean for Global Health and Professor of Psychiatry and Family Medi-
cine, Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School,
New Brunswick, New Jersey
Oye Gureje, Ph.D., D.Sc., FRCPsych
Professor and Head, Department of Psychiatry, University of Ibadan, University
College Hospital, Ibadan, Nigeria
Deborah Hasin, Ph.D.
Professor of Clinical Public Health, Department of Psychiatry, College of Physi-
cians and Surgeons and Department of Epidemiology, Mailman School of Public
Health, Columbia University; Research Scientist, New York State Psychiatric In-
stitute, New York, New York
Richard A.A. Kanaan, MRCPsych
Clinical Lecturer, King’s College London, Department of Psychological Medicine,
Institute of Psychiatry, London, United Kingdom
Hila Katz, B.A.
Assistant Research Scientist, New York State Psychiatric Institute, New York, New
York
vii
Somatic Presentations of Mental Disorders
viii
Laurence J. Kirmayer, M.D.
James McGill Professor and Director, Division of Social and Transcultural Psychi-
atry, McGill University; Director, Culture and Mental Health Research Unit, In-
stitute of Community and Family Psychiatry, Sir Mortimer B. Davis-Jewish
General Hospital, Montreal, Quebec, Canada
Arthur Kleinman, M.D.
Victor and William Fung Director of Harvard University Asia Center; Esther and
Sidney Rabb Professor of Anthropology, Department of Anthropology in the Fac-
ulty of Arts and Sciences at Harvard University; Professor of Medical Anthropol-
ogy and Professor of Psychiatry, Department of Global Health and Social
Medicine, Harvard Medical School, Cambridge, Massachusetts
Kurt Kroenke, M.D.
Professor of Medicine, Division of General Internal Medicine and Geriatrics, In-
diana University School of Medicine and Senior Scientist, Regenstrief Institute,
Indianapolis, Indiana
Sing Lee, FRCPsych
Professor, Department of Psychiatry, The Chinese University of Hong Kong, Sha-
tin, HKSAR
Jean Pierre Lepine, M.D.
Professor of Adult Psychiatry, Université Paris Descartes, Faculté de Pharmacie,
Neuropsychopharmacologie des Addictions, CNRS, et Université Paris, France;
INSERM, Paris, France; Assistance Publique-Hôpitaux de Paris, Hôpital Fernand
Widal, Service de Psychiatrie, Paris, France
Susan Levenstein, M.D.
Aventino Medical Group, Rome, Italy
Roselind Lieb, Ph.D.
Professor, Department Epidemiology and Health Psychology, Institute of Psychol-
ogy, University of Basel, Basel, Switzerland
Richard Mayou, B.M., FRCPsych, FRCP
Emeritus Professor of Psychiatry, Department of Psychiatry, Oxford University,
Oxford, United Kingdom
Gunther Meinlschmidt, Ph.D.
Assistant Professor, Clinical Psychology and Psychotherapy, Institute of Psychology,
University of Basel, Basel, Switzerland
Contributors ix
Donald Oken, M.D.
Clinical Professor of Psychiatry, Department of Psychiatry, Pennsylvania Hospital,
Philadelphia, Pennsylvania; Editor Emeritus of Psychosomatic Medicine
Vikram Patel, M.B.
Professor of International Mental Health and WellcomeTrust Senior Clinical Re-
search Fellow in Tropical Medicine, London School of Hygiene and Tropical Med-
icine, London, United Kingdom
Darrel A. Regier, M.D., M.P.H.
Executive Director, American Psychiatric Institute for Research and Education,
American Psychiatric Association, Arlington, Virginia
Winfried Rief, Ph.D.
Professor of Clinical Psychology, Department of Clinical Psychology and Psycho-
therapy, Philipps University of Marburg, Marburg, Germany
Graciela Rojas, M.D.
Directora, Departamento de Psiquiatría y Salud Mental, Clínica Psiquátrica Uni-
versitaria, Facultad de Medicina, Universidad de Chile, Santiago, Chile
Norman Sartorius, M.D., Ph.D.
Professor of Psychiatry, Culture and Mental Health Research Unit, Institute of
Community and Family Psychiatry, Sir Mortimer B. Davis-Jewish General Hos-
pital, Montreal, Quebec, Canada; President of Association for the Improvement
of Mental Health Care Programmes, Geneva, Switzerland
Athula Sumathipala, M.B.B.S., D.F.M., M.D., MRCPsych, Ph.D
Senior Lecturer, Kings College, University of London, International Mental
Health, Department of Health Service Research, Institute of Psychiatry, United
Kingdom; Honorary Director , Institute for Research and Development, Colombo,
Sri Lanka
Simon C. Wessely, FRCPsych
Professor of Epidemiological and Liaison Psychiatry, King’s College London, De-
partment of Psychological Medicine, Institute of Psychiatry, London, United King-
dom
Yu Xin, M.D.
Professor of Psychiatry, Peking University Institute of Mental Health, Beijing,
China