11 extractive question-and-answer pairs built from Somatoform Disorder, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow (stw), icd10-f45, medically unexplained somatic symptoms, chronic pain, world health organization, mhgap training manuals, psychosocial assessment, psychotropic medications. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 10 list, 1 factual. 10 of the 11 pairs (90.9%) ask explanatory questions; the remaining 1 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 11 extractive question-and-answer pairs focused on somatoform disorders, sourced from a single-page publication by icmr.gov.in. The questions primarily explore treatment approaches, symptoms, and management strategies for somatic disorders. Answers are verbatim excerpts from the source document, ensuring accuracy and traceability. Topics include chronic pain management, psychosocial assessments, and psychotropic medications, among others.
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import desidata
df = desidata.load("www-icmr-gov-in-2dbbac472489e2b16c003a694c2a0299")
df.head()First 10 of 11 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What approaches are included in structured therapy for chronic pain symptoms? | Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach | Use of Gabapentin, Carbamazepine if chronic pain symptom predominates ∙ Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach ∙ Use of alternative medicine approach – Yoga ∙ Collaborative approach – involve Physician, Neurology team and Pain Clinic referral (where indicated) ∙ Vocational rehabilitation if needed ∙ Physical therapies – guided exercise and physiotherapy | 72 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Use of Gabapentin, Carbamazepine if chronic pain symptom predominates ∙ Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach ∙ Use of alternative medicine approach – Yoga ∙ Collaborative approach – involve Physician, Neurology team and Pain Clinic referral (where indicated) ∙ Vocational rehabilitation if needed ∙ Physical therapies – guided exercise and physiotherapy | 1 | page=1,block=47 | 0.700 | valid |
| What are some behaviours related to somatic symptoms or associated health concerns? | Disproportionate and persistent thoughts about the seriousness of one’s symptoms | Excessive thoughts, feelings, or behaviours related to the somatic symptoms or associated health concerns as manifested by at least one of the following: 1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms 2. Persistently high level of anxiety about health or symptoms 3. Excessive time and energy devoted to these symptoms or health concerns C. | 157 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Excessive thoughts, feelings, or behaviours related to the somatic symptoms or associated health concerns as manifested by at least one of the following: 1. Disproportionate and persistent thoughts about the seriousness of one’s symptoms 2. | 1 | page=1,block=9 | 0.700 | valid |
| What are some common sexual and menstrual complaints mentioned? | ejaculatory or erectile dysfunction, hyperemesis of pregnancy, irregular menses, menorrhagia, sexual indifference | Abnormal skin sensations (itching, burning, tingling, numbness, soreness) and blotchiness 4. Sexual and menstrual complaints (ejaculatory or erectile dysfunction, hyperemesis of pregnancy, irregular menses, menorrhagia, sexual indifference) are also common | 126 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Sexual and menstrual complaints (ejaculatory or erectile dysfunction, hyperemesis of pregnancy, irregular menses, menorrhagia, sexual indifference) are also common | 1 | page=1,block=9 | 0.700 | valid |
| What are some examples of abnormal skin sensations that are commonly reported? | itching, burning, tingling, numbness, soreness | Abnormal skin sensations (itching, burning, tingling, numbness, soreness) and blotchiness 4. Sexual and menstrual complaints (ejaculatory or erectile dysfunction, hyperemesis of pregnancy, irregular menses, menorrhagia, sexual indifference) are also common | 26 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Abnormal skin sensations (itching, burning, tingling, numbness, soreness) and blotchiness 4. | 1 | page=1,block=9 | 0.700 | valid |
| What are some of the symptoms experienced by patients that may lead them to consult a doctor? | Pain at multiple sites Functional disturbance of different organ systems Fatigue and exhaustion Significant distress and impairment | TO A DOCTOR Pain at multiple sites Functional disturbance of different organ systems Fatigue and exhaustion Significant distress and impairment Focus of patient is on symptom relief rather than cause of illness REFER TO SECONDARY | 12 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | TO A DOCTOR Pain at multiple sites Functional disturbance of different organ systems Fatigue and exhaustion Significant distress and impairment Focus of patient is on symptom relief rather than cause of illness REFER TO SECONDARY | 1 | page=1,block=33 | 0.700 | valid |
| What characterizes a severe persistent course of somatic symptoms? | severe symptoms, marked impairment, and long duration (more than 6 months) | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the commonest symptoms 1. Pain symptoms at multiple sites (such as abdominal, back, chest, dysmenorrhea, dysuria, extremity, head, joint, rectal) is often present 2. Gastrointestinal sensations (pain, belching, regurgitation, vomiting, nausea) 3. | 183 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the | ||||
| What medications are considered second-line treatments for comorbid psychiatric illness in secondary care? | SSRIs (Escitalopram 10-20 mg, Sertraline 50-100 mg, Fluoxetine 20 mg) and SNRIs (Venlafaxine 75 – 150 mg, Duloxetine 30- 60 mg) | Comorbid psychiatric illness SECONDARY CARE ∙ Investigations – to rule out any medical illnesses that might explain the symptoms ∙ Complete history with behavioural observation ∙ Use 2nd line medications – SSRIs (Escitalopram 10-20 mg, Sertraline 50-100 mg, Fluoxetine 20 mg) and SNRIs (Venlafaxine 75 – 150 mg, Duloxetine 30- 60 mg) ∙ Combination of two psychotropic medications (might be required if poor response to single medication) ∙ Brief counselling ∙ Psycho education – focusing on relationship between stress and physical symptoms ∙ Relaxation training, regular exercise, yoga and meditation TERTIARY CARE ∙ Inpatient care if needed ∙ Combination of two psychotropic medications (when required) ∙ Add on second and third line medications – Duloxetine, Mirtazapine, anticonvulsants ( Lamotrigine, Pregabalin). | 206 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Comorbid psychiatric illness SECONDARY CARE ∙ Investigations – to rule out any medical illnesses that might explain the symptoms ∙ Complete history with behavioural observation ∙ Use 2nd line medications – SSRIs (Escitalopram 10-20 mg, Sertraline 50-100 mg, Fluoxetine 20 mg) and SNRIs (Venlafaxine 75 – 150 mg, Duloxetine 30- 60 mg) ∙ Combination of two psychotropic medications (might be required if poor response to single medication) ∙ Brief counselling ∙ Psycho education – focusing on relationship between stress and physical symptoms ∙ Relaxation training, regular exercise, yoga and | ||||
| What professionals are involved in a collaborative approach for managing chronic pain symptoms? | Physician, Neurology team and Pain Clinic | Use of Gabapentin, Carbamazepine if chronic pain symptom predominates ∙ Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach ∙ Use of alternative medicine approach – Yoga ∙ Collaborative approach – involve Physician, Neurology team and Pain Clinic referral (where indicated) ∙ Vocational rehabilitation if needed ∙ Physical therapies – guided exercise and physiotherapy | 262 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Use of Gabapentin, Carbamazepine if chronic pain symptom predominates ∙ Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach ∙ Use of alternative medicine approach – Yoga ∙ Collaborative approach – involve Physician, Neurology team and Pain Clinic referral (where indicated) ∙ Vocational rehabilitation if needed ∙ Physical therapies – guided exercise and physiotherapy | 1 | page=1,block=47 | 0.700 | valid |
| What should patients be advised to engage in as part of primary care treatment? | routine activities, physical exercise and relaxation techniques like deep breathing | PRIMARY CARE ∙ Detailed physical examination ∙ Management of anemia and nutritional deficiencies ∙ Avoid irrational use of pain medications ∙ Low dose of antidepressant medications – Amitriptyline 12.5 mg to 50 mg (max) night dose ∙ Explain that onset of medication effect will take 2-3 weeks ∙ Validate the somatic symptoms ∙ Advise to engage in routine activities, physical exercise and relaxation techniques like deep breathing ∙ Discuss with family members that the symptom, distress and disability are genuine ∙ Strengthen supports ∙ Regular follow up 1. No improvement in 2nd line treatment 2. High suicidal risk 3. Needing intense counselling/ psychotherapy 4. Difficult patients A. One or more somatic symptoms that are distressing or result in significant disruption of daily life. B. | 347 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | PRIMARY CARE ∙ Detailed physical examination ∙ Management of anemia and nutritional deficiencies ∙ Avoid irrational use of pain medications ∙ Low dose of antidepressant medications – Amitriptyline 12.5 mg to 50 mg (max) night dose ∙ Explain that onset of medication effect will take 2-3 weeks ∙ Validate the somatic symptoms ∙ Advise to engage in routine activities, physical exercise and relaxation techniques like deep breathing ∙ Discuss with family members that the symptom, distress and disability are genuine ∙ Strengthen supports ∙ Regular follow up 1. | ||||
| What medications are used if chronic pain symptoms predominate? | Gabapentin, Carbamazepine | Use of Gabapentin, Carbamazepine if chronic pain symptom predominates ∙ Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach ∙ Use of alternative medicine approach – Yoga ∙ Collaborative approach – involve Physician, Neurology team and Pain Clinic referral (where indicated) ∙ Vocational rehabilitation if needed ∙ Physical therapies – guided exercise and physiotherapy | 7 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952330_psychiatry_somatoform_disorder.pdf | Use of Gabapentin, Carbamazepine if chronic pain symptom predominates ∙ Structured Cognitive Behavioural Therapy, Cognitive restructuring, Mindfulness and acceptance based approach ∙ Use of alternative medicine approach – Yoga ∙ Collaborative approach – involve Physician, Neurology team and Pain Clinic referral (where indicated) ∙ Vocational rehabilitation if needed ∙ Physical therapies – guided exercise and physiotherapy | 1 | page=1,block=47 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
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