000134848 001__ 134848
000134848 005__ 20251113150203.0
000134848 0247_ $$2doi$$a10.1016/j.sjpmh.2023.10.002
000134848 0248_ $$2sideral$$a138360
000134848 037__ $$aART-2025-138360
000134848 041__ $$aeng
000134848 100__ $$aPérez-Solá, Víctor
000134848 245__ $$aConsensus on the detection and management of patients with depression and pain as an associated somatic symptom
000134848 260__ $$c2025
000134848 5060_ $$aAccess copy available to the general public$$fUnrestricted
000134848 5203_ $$aIntroduction: 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.
000134848 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000134848 590__ $$a0.0$$b2023
000134848 591__ $$aPSYCHIATRY
000134848 591__ $$aPSYCHIATRY
000134848 594__ $$a9.5$$b2023
000134848 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000134848 700__ $$aMontes, José M.
000134848 700__ $$aTrillo-Calvo, Eva
000134848 700__ $$aGasull, Vicente
000134848 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, Javier$$uUniversidad de Zaragoza
000134848 700__ $$aOlivares-Díez, José Manuel
000134848 700__ $$aBerrocoso, Esther
000134848 700__ $$aMico, Juan Antonio
000134848 700__ $$aAgüera-Ortiz, Luis
000134848 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000134848 773__ $$g18, 1 (2025), 21-27$$pSpan. j. psychiatr. ment. health$$tSpanish journal of psychiatry and mental health$$x2950-2861
000134848 8564_ $$s715391$$uhttps://zaguan.unizar.es/record/134848/files/texto_completo.pdf$$yVersión publicada
000134848 8564_ $$s2614873$$uhttps://zaguan.unizar.es/record/134848/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000134848 909CO $$ooai:zaguan.unizar.es:134848$$particulos$$pdriver
000134848 951__ $$a2025-11-13-15:00:43
000134848 980__ $$aARTICLE