Somatoform Disorders: Causes

Pathogenesis (development of disease)

Somatoform disorders usually have a multifactorial genesis. Individuals with somatoform disorders often have psychosocial and/or sociocultural stress factors. In addition, trauma is also frequently present. In addition, comorbidities such as depression or anxiety/panic disorders are usually found in those affected.

Etiology (causes)

Biographical causes

  • Ethnic minorities
  • Socioeconomic factors
    • Low socioeconomic status
    • Lack of social support
    • Socio-cultural factors such as changes in the health care system.
  • Living alone
  • Refugees
  • Childhood living conditions such as abuse, neglect.
  • Early learning experiences through illness (own/family).
  • Strong fears of illness, catastrophizing thinking.
  • Historical factors – frequently presented symptomatology may change over the years.
  • Deficits in the personality structure
  • Mental illness in the family environment
  • Sexual abuse
  • Stress in the workplace
  • Pension request
  • Limited cognition
  • Permanent stress load

Behavioral causes

  • Consumption of stimulants
    • Alcohol (woman: > 40 g/day; man: > 60 g/day).
  • Psycho-social situation
    • Stress

Causes related to disease

  • Alcohol dependence
  • Anxiety disorders
  • Depression
  • Personality disorders
  • Pre-existing somatic illnesses