Somatoform pain disorder
Definition

Pain disorder is persistent and chronic pain at one or more sites in which psychological factors are thought to play a role.

Alternative Names

Pain disorder

Causes, incidence, and risk factors

Pain is one of the most common reasons that people seek medical attention. In pain disorder, suffering is so severe that it impairs a person's ability to function. However, the pain is thought to be related to psychological factors such as stress or unconscious conflict. Individuals with this illness may have other medical problems, although these fail to account fully for the pain.

Unfortunately, pain that is "psychological" in nature is often stigmatized both by medical professionals and the general public. A poor understanding of the connection between mind and body can lead to the misperception that if pain has a psychological cause, it isn't "real" and should be able to be controlled without medical or mental health treatment.

Symptoms

The primary symptom of pain disorder is chronic pain for several months that limits a person's social, occupational, or recreational abilities.

Signs and tests

A thorough medical evaluation, including laboratory work, must be performed to investigate potential causes of pain.

Treatment

Some patients may resent the idea that their pain has a psychological component and may refuse treatment by a mental health professional. Nevertheless, many chronic pain syndromes, including those with a definitive physical source, can be effectively treated with antidepressants.

Supportive measures such as hot and cold packs, physical therapy, distraction techniques, and massage can also be helpful. Prescription and non-prescription pain medications are usually not effective and can make matters worse due to potentially serious side effects.

Support Groups

Comprehensive treatment at pain centers may be of benefit for people with this disorder.

Expectations (prognosis)

The outlook is worse for patients who have had symptoms for a long time, and is better for those who are able to resume their previous activities despite their pain.

Complications

Surgical complications and addictions to prescription pain medications can develop if used inappropriately to treat this condition.

Calling your health care provider

Call your health care provider if you or your child is suffering from chronic pain.

Previous | Next
Review date: March 17, 2008
Reviewed by: A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz, Kelli A. Stacy, ELS. Previously reviewed by Paul Ballas, DO, Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network (11/15/2006).

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. � 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.