Is Chronic Pain Associated With Somatization/Hypochondriasis? An Evidence‐Based Structured Review

Fishbain, David A.; Lewis, John E.; Gao, Jinrun; Cole, Brandly; Rosomoff, R. Steele

doi:10.1111/j.1533-2500.2009.00309.x

Cited by 51 publications

(38 citation statements)

References 109 publications

(131 reference statements)

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“…The number of patients with HSCL-25 scores above the clinical cutoff of 1.75 was about twice that of the Norwegian normal population. Our findings are in line with a well-known association between emotional distress and chronic pain [33][34][35][36]. Neurobiological research suggests that pain and emotional distress are driven by overlapping pathophysiological processes in the brain and body [37][38][39].…”

Section: Discussionsupporting

confidence: 93%

Comorbid subjective health complaints in patients with sciatica: A prospective study including comparison with the general population

Grøvle

Haugen

Ihlebæk

et al. 2011

Journal of Psychosomatic Research

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Section: Discussionsupporting

confidence: 93%

Comorbid subjective health complaints in patients with sciatica: A prospective study including comparison with the general population

Grøvle

Haugen

Ihlebæk

et al. 2011

Journal of Psychosomatic Research

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“…33 Somatization does not represent a diagnostic category but attends by an increased probability for somatoform pain disorders. The role of somatization processes regarding pain generalization is still unclear.…”

Section: Discussionmentioning

confidence: 99%

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Viniol

Jegan

Brügger

et al. 2015

Spine

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STUDY DESIGN: Prospective cohort study with patients with chronic low back pain (CLBP) at primary care setting. OBJECTIVE: The aim of our study was to identify predictors for transition from localized CLBP to chronic widespread pain in general practice. In contrast to the typically investigated risk factors, this study also focuses intensively on protective factors, which decrease the probability of chronic widespread pain. For this, we investigated the resources resilience and coping strategies, which are suspected as potential protective factors for incident chronic pain syndromes. SUMMARY OF BACKGROUND DATA: In primary care, about a quarter of patients with CLBP experience chronic widespread pain (CWP). METHODS: Patients experiencing localized CLBP were included and evaluated after a 6-and 12-month follow-up period regarding the development of CWP. Potential risk factors (sociodemographic data, pain characteristics, depression, anxiety, somatization), protective factors (resilience, coping strategies), and sample characteristics were assessed at baseline. Predictor identification was done by multivariate logistic regression analysis. RESULTS: The 1-year incidence for the onset of CWP among patients with CLBP was 23.8%. We identified the 3 risk factors, female sex, long duration of back pain, and a high rate of psychosomatic symptoms, for the onset of CWP among patients with CLBP. Coping resources and resilience had no impact on the transition from CLBP to CWP. CONCLUSION: The results suggest that CWP is no independent entity but rather a particularly negative occurrence on a continuum of chronic pain. Processes of somatization play a major role in the development of this extreme. LEVEL OF EVIDENCE: 2. Originally published at: Viniol, Annika; Jegan, Nikita; Brugger, Markus; Leonhardt, Corinna; Barth, Jürgen; Baum, Erika; Becker, Annette; Strauch, Konstantin (2015). Even worse -risk factors and protective factors for transition from chronic localized low back pain to chronic widespread pain in general practice. Spine, 40(15):E890-E899.

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“…One study found hypochondriasis in 50% of patients in a pain clinic [22], and another found high health anxiety predictive of abdominal pain a year later [23]. Still another found hypochondriasis associated with chronic pain and pain intensity [24]. Of course, these associations do not establish cause; painful symptoms may lead to anxiety about health.…”

Section: Discussionmentioning

confidence: 98%

Are premenstrual symptoms associated with health anxiety in nursing graduates?

Noyes²,

Hartz³

et al. 2011

OJPsych

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Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 using the Premenstrual Assessment Form (PAF). A total of 571 women completed the survey in 1991, along with items relating to their physical and mental health. The latter included depression, anxiety, and panic attacks. Health anxiety was also assessed using the Whiteley Index (WI). After women who were amenorrheic for any reason were excluded, a final sample of 410 women aged 25 to 52 years was obtained. Factor analyses yielded 57 items that were useful for calculating a total PAF score. A stepwise multivariate linear regression model was used to find the association of PAF scores with various participant characteristics. Results: Thirtyone of the 410 (7.6%) women had WI scores of ≥5 and were considered to have significant health-related anxiety. The PAF score had statistically significant associations with health anxiety, as well as depression and anxiety. Conclusions: Our results suggest that the premenstrual symptoms often coexist with health anxiety as well as other psychological symptoms. Clinicians should be alert to the fact that PMS may be associated with treatable psychiatric conditions.

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Is Chronic Pain Associated With Somatization/Hypochondriasis? An Evidence‐Based Structured Review

Abstract: Somatization is commonly associated with chronic pain and may relate to pain levels.

Cited by 51 publications

References 109 publications

Comorbid subjective health complaints in patients with sciatica: A prospective study including comparison with the general population

Comorbid subjective health complaints in patients with sciatica: A prospective study including comparison with the general population

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Are premenstrual symptoms associated with health anxiety in nursing graduates?

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