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Chapter-046 Nonsomatic Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. Assistant Professor, Department of Psychiatry UT Health San Antonio, San Antonio, TX, USA
2. DD McGeary
ISBN
9789386261458
DOI
10.5005/jp/books/14128_47
Edition
3/e
Publishing Year
2018
Pages
2
Author Affiliations
2. University of Texas Health, Science Center, San Antonio, TX, USA
Chapter keywords
Nonsomatic pain, somatic symptom disorder, SSD, emotional distress mechanism, braingenic mechanism, nonsomatic depression

Abstract

The term “nonsomatic pain” has been used interchangeably with other terms like “psychogenic pain” or “idiopathic pain” to describe pain experience for which there is no observable physiological substrate. Though “nonsomatic” is not often applied to contemporary descriptions of chronic pain, this term is widely used in describing emotional symptoms that are likely to accompany pain. Based on the somatic symptom disorder” (SSD) criteria, nonsomatic pain is best differentiated from somatic pain conditions by the presence and prominence of psychosocial distress as a component of the clinical presentation. Under a “braingenic” conceptualization of pain, treatment would involve medication for neuropathic pain as well as other interventions (e.g. exercise, psychological treatment for pain management, and mood) that have been shown to be effective for neuropathic pain.

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