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