| Somatisation symptom disorders (SSD) are very common in various healthcare locations, including HNELHD, but are significantly under-reported and poorly understood. Diagnosis, communication and management for people with these disorders is typically haphazard in the hospital environment, and the costs are high to both patients and health services. A group of interested clinicans is working together to improve the situation at John Hunter Hospital and HNELHD. |
Presented 15 October 2021
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Introduction to Somatoform and Functional Disorders
Dr Melissa Stieler
Paediatric Surgery Registrar |
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Somatic symptoms disorders in ED
Dr Clair Spry
Emergency Medicine Fellow |
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Functional Neurological Disorder
Dr Elizabeth Pepper
Co-Director and Senior Staff Specialist, Neurology
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When the pain is not in your head but the solution is not in your body
Dr Gali Lawrence
Clinical Neuropsychologist
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JHH Consultation Liaison Psychiatry & HETI Fellowship
Dr Matt Elton
Consultant Liaison Psychiatry
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Clinical coding
Ms Sharon Bowen
District Clinical Coding Manager
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General Discussion
lead by Professor Chris Levi
Director, John Hunter Health and Innovation Precinct |
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| A selection of Dr Mel Stieler's publications |
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Stieler M, Pockney P, Campbell C, Thirugnanasundralingam V, Gan L, Spittal M, et al. Using the Patient Health Questionnaire to estimate prevalence and gender differences of somatic symptoms and psychological co-morbidity in a secondary inpatient population with abdominal pain. Aust N Z J Psychiatry. 2021 Sep 4:48674211044639. PubMed PMID: 34482758. Epub 20210904. eng. |
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SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study. Br J Surg. 2021 Sep 27;108(9):1056-63. PubMed PMID: 33761533. PMCID: PMC7995808. eng. |
| References from Dr Stieler's presentations |
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Lynch DJ, McGrady A, Nagel R, Zsembik C. Somatization in Family Practice: Comparing 5 Methods of Classification. Prim Care Companion J Clin Psychiatry. 1999 Jun;1(3):85-9. PubMed PMID: 15014690. PMCID: PMC181067. eng. |
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Haller H, Cramer H, Lauche R, Dobos G. Somatoform disorders and medically unexplained symptoms in primary care. Dtsch Arztebl Int. 2015 Apr 17;112(16):279-87. PubMed PMID: 25939319. PMCID: PMC4442550. eng. |
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Barsky AJ, Orav EJ, Bates DW. Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Arch Gen Psychiatry. 2005 Aug;62(8):903-10. PubMed PMID: 16061768. eng. |
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Zijlema WL, Stolk RP, Löwe B, Rief W, White PD, Rosmalen JG. How to assess common somatic symptoms in large-scale studies: a systematic review of questionnaires. J Psychosom Res. 2013 Jun;74(6):459-68. PubMed PMID: 23731742. Epub 20130424. eng. ABSTRACT ONLY |
| References from Dr Spry's presentation |
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Leutgeb R, Berger S, Szecsenyi J, Laux G. Patients with somatoform disorders: More frequent attendance and higher utilization in primary Out-of-Hours care? PLoS One. 2018;13(8):e0202546. PubMed PMID: 30161150. PMCID: PMC6116940. Epub 20180830. eng. |
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Stone J, Wojcik W, Durrance D, Carson A, Lewis S, MacKenzie L, et al. What should we say to patients with symptoms unexplained by disease? The "number needed to offend". Bmj. 2002 Dec 21;325(7378):1449-50. PubMed PMID: 12493661. PMCID: PMC139034. eng. |
| References from Dr Lawrence's presentation |
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Lumley MA, Schubiner H, Lockhart NA, Kidwell KM, Harte SE, Clauw DJ, et al. Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial. Pain. 2017 Dec;158(12):2354-63. PubMed PMID: 28796118. PMCID: PMC5680092. eng. |
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Abbass A, Town J, Holmes H, Luyten P, Cooper A, Russell L, et al. Short-Term Psychodynamic Psychotherapy for Functional Somatic Disorders: A Meta-Analysis of Randomized Controlled Trials. Psychother Psychosom. 2020;89(6):363-70. PubMed PMID: 32428905. Epub 20200519. eng. |
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Lumley MA, Yamin JB, Pester BD, Krohner S, Urbanik CP. Trauma Matters: Psychological Interventions for Comorbid Psychosocial Trauma and Chronic Pain. Pain. 2021 Jul 29. PubMed PMID: 34338244. Epub 20210729. eng. |
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TEDxAdelaide - Lorimer Moseley - Why Things Hurt |
| References from Dr Elton's presentation |
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Henningsen P, Zipfel S, Herzog W. Management of functional somatic syndromes. Lancet. 2007 Mar 17;369(9565):946-55. PubMed PMID: 17368156. eng. |
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Weiss FD, Rief W, Kleinstäuber M. Health care utilization in outpatients with somatoform disorders: Descriptives, interdiagnostic differences, and potential mediating factors. Gen Hosp Psychiatry. 2017 Jan-Feb;44:22-9. PubMed PMID: 28041572. Epub 20161015. eng. |