a physical condition in which there is a disturbance of normal functioning; "the doctor prescribed some medicine for the disorder"; "everyone gets stomach upsets from time to time" (同)upset
Psychogenic pain is physical pain that is caused, increased, or prolonged by mental, emotional, or behavioral factors.[2][3][4]
Headache, back pain, or stomach pain are some of the most common types of psychogenic pain.[2] It may occur, rarely, in persons with a mental disorder, but more commonly it accompanies or is induced by social rejection, broken heart, grief, lovesickness, or other such emotional events.
Sufferers are often stigmatized, because both medical professionals and the general public tend to think that pain from psychological source is not "real".
The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" (emphasis added). In the note accompanying that definition, the following can be found about pain that happens for psychological reasons:[5]
Many people report pain in the absence of tissue damage or any likely pathophysiological cause; usually this happens for psychological reasons. There is usually no way to distinguish their experience from that due to tissue damage if we take the subjective report. If they regard their experience as pain and if they report it in the same ways as pain caused by tissue damage, it should be accepted as pain.
Medicine refers also to psychogenic pain or psychalgia as a form of chronic pain under the name of persistent somatoform pain disorder[6] or functional pain syndrome.[7] Causes may be linked to stress, unexpressed emotional conflicts, psychosocial problems, or various mental disorders. Some specialists believe that psychogenic chronic pain exists as a protective distraction to keep dangerous repressed emotions such as anger or rage unconscious.[8]
It remains controversial, however, that chronic pain might arise purely from emotional causes.[9]
See also
Pain disorder
Psychogenic disease
Psychological trauma
Psychoneuroimmunology
Psychosomatic medicine
Tension myositis syndrome
References
^Psychalgia - Physical pain that is possibly of psychological origin. American Heritage Medical Dictionary. But see also psychalgia in the sense of psychological pain.
^Merskey and Spear defined psychogenic pain as "... pain which is independent of peripheral stimulation or of damage to the nervous system and due to emotional factors, or else pain in which any peripheral change (e.f. muscle tension) is a consequence of emotional factors." Merskey, H., Spear F.G. (1967). Pain, psychological and psychiatric aspects. London. Bailliere, Tindall & Cassell. ISBN 0-7020-0006-X
^IASP Pain Terminology
^"ICD-10 Version:2010".
^http://www.iasp-pain.org/AM/Template.cfm?Section=IASP_Press_Books2&Template=/CM/HTMLDisplay.cfm&ContentID=10116 Archived 2011-08-22 at the Wayback Machine
^Sarno, John E., MD, et al., The Divided Mind: The Epidemic of Mindbody Disorders 2006 (ISBN 0-06-085178-3)
^Stephen Tyrer, Psychosomatic pain, The British Journal of Psychiatry (2006) 188: 91-93
External links
Classification
D
ICD-10: F45.4
ICD-9-CM: 307.8
External resources
MedlinePlus: 000922
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UpToDate Contents
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…somatization disorder, undifferentiated somatoform disorder, hypochondriacal disorder, and persistent somatoform pain disorder . The prevalence of somatic symptom disorder is unclear because it was introduced …
…somatization disorder, undifferentiated somatoform disorder, hypochondriacal disorder, and persistent somatoform pain disorder . Medical and psychiatric care of somatic symptom disorder combines strategies for …
… In a study of 46 patients with TBMN or first-degree relatives with persistent microscopic hematuria,… psychiatric component has been described in patients with LPHS, and some have suggested a type of somatoform pain disorder (ie, pain that cannot be explained by a known medical disease) and possible drug-seeking …
… The evaluation of patients complaining of persistent pain is discussed here.… the ability to engage in productive employment, or be a good spouse, parent, or friend. Somatoform pain disorder, in which pain is not fully explained by a general medical condition, is discussed separately …
English Journal
Multisensory mechanisms of body perception in somatoform disorders.
Perepelkina O, Romanov D, Arina G, Volel B, Nikolaeva V.
Journal of psychosomatic research. 2019 Dec;127()109837.
According to one of the hypotheses, somatoform disorders (SD) are related to disturbed perception of bodily signals. We suspect that the disturbances and abnormalities of multisensory integration dynamics may be an additional SD mechanism. The objective of the research was to investigate multisensor
When it hurts even more: The neural dynamics of pain and interpersonal emotions.
Landa A, Fallon BA, Wang Z, Duan Y, Liu F, Wager TD, Ochsner K, Peterson BS.
Journal of psychosomatic research. 2019 Nov;128()109881.
Chronic pain is highly prevalent among patients with mood, anxiety, personality, and somatic symptom disorders; and patients with chronic pain often suffer from persistent interpersonal distress. However, the neural mechanisms underlying this phenomenon and its possible role in the etiology of chron
Role of coping with negative emotions in cognitive behavioral therapy for persistent somatoform pain disorder: Is it more important than pain catastrophizing?
Yoshino A, Okamoto Y, Jinnin R, Takagaki K, Mori A, Yamawaki S.
Psychiatry and clinical neurosciences. 2019 Sep;73(9)560-565.
Cognitive behavioral therapy (CBT) is known to be effective for patients with persistent somatoform pain disorder (PSPD). Improvement of negative emotions in interpersonal stressful situations has been reported to reduce PSPD-related clinical pain. However, these associations in CBT remain unclear.
WebMD explains the symptoms and treatment of a somatoform disorder -- a mental disorder in which patients experience pain that can't be traced to any physical cause. Skip to main content Check Your Symptoms Find A Doctor ...
Keywords: Somatoform Pain, Pain Disorder, Somatization, Developmental Neuroscience, Interpersonal Affect Regulation, Translational Research Introduction Somatoform Pain (SP) is one of the primary symptoms of somatization spectrum disorders (SSD)( 1 ) - ‘a tendency to experience and communicate somatic distress in response to psychosocial stress.’