Pediatric Somatic Symptom Disorders


Somatic symptom disorder (SSD) is a common disorder encountered in pediatric medicine. It involves the presentation of physical symptoms that are either disproportionate or inconsistent with history, physical examination, laboratory, and other investigative findings. SSDs result in significant impairment with considerable increase in healthcare utilization, school absenteeism, and the potential for unnecessary diagnostic evaluation and treatment intervention. Patients and families often feel dismissed and may worry that a serious condition has been missed. Primary care providers are frequently frustrated due to a lack of a successful approach to patients and families impacted by SSD. The result is often a cycle of disability, frustration and missed opportunities for collaboration towards enhanced patient functionality. This review summarizes the current evidence-based understanding, as well as insights from clinician experience, on the evaluation and management of pediatric SSD.

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Papers of particular interest, published recently, have been highlighted as: • Of importance

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The editors would like to thank Dr. Tami D. Benton for taking the time to review this manuscript.

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Correspondence to Nasuh Malas.

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Nasuh Malas, Roberto Ortiz-Aguayo, Lisa Giles, and Patricia Ibeziako declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Complex Medical-Psychiatric Issues

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Malas, N., Ortiz-Aguayo, R., Giles, L. et al. Pediatric Somatic Symptom Disorders. Curr Psychiatry Rep 19, 11 (2017).

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  • Somatic symptom disorder
  • Somatization
  • Somatoform
  • Conversion
  • Functional
  • Pediatric
  • Medically unexplained symptoms