Somatoform Disorders

Publication Title: 
Indian Journal of Psychological Medicine

Medically unexplained symptoms (MUS) commonly present across the board in medical specialties and are often challenging to treat. Our objective was to assess the efficacy for cognitive-behavior therapy (CBT) in MUS. Electronic search of databases was carried out for published controlled trials in English language peer-reviewed journals from inception till August 2016. Effect sizes for the trials were computed using standardized mean difference, and I(2) test was used to assess sample heterogeneity. Pooled mean effect sizes were derived using a random-effects model.

Author(s): 
Menon, Vikas
Rajan, Tess Maria
Kuppili, Pooja Patnaik
Sarkar, Siddharth
Publication Title: 
Tijdschrift Voor Psychiatrie

BACKGROUND The daily lives of patients with somatoform disorders are often severely impaired by the symptoms of their illness. Cognitive behavioural therapy has proved to be an effective treatment for somatoform disorders. However, patients with these disorders are often reluctant to consult a psychologist for their physical symptoms. Mindfulness-based cognitive therapy (mbct) might be a useful form of treatment because it gives explicit attention to physical experiences and because it has a strong focus on acceptance of symptoms.

Author(s): 
van Ravesteijn, H.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Medically unexplained physical symptoms (MUPS) are physical symptoms for which no adequate medical explanation can be found after proper examination. The presence of MUPS is the key feature of conditions known as 'somatoform disorders'. Various psychological and physical therapies have been developed to treat somatoform disorders and MUPS. Although there are several reviews on non-pharmacological interventions for somatoform disorders and MUPS, a complete overview of the whole spectrum is missing.

Author(s): 
van Dessel, Nikki
den Boeft, Madelon
van der Wouden, Johannes C.
Kleinstäuber, Maria
Leone, Stephanie S.
Terluin, Berend
Numans, Mattijs E.
van der Horst, Henriëtte E.
van Marwijk, Harm
Publication Title: 
The Australian and New Zealand Journal of Psychiatry

OBJECTIVE: To identify whether mindfulness-based stress reduction is effective in improving physical health outcomes for long-term physical conditions. METHOD: A systematic review of the literature (retrieved from MEDLINE, PubMed and PsycINFO). RESULTS: Fifteen studies were included in the review. None of the studies assessed as having a low risk of bias demonstrated significant improvements in physical health status although there was some emerging evidence that mindfulness-based stress reduction may be useful in pain conditions.

Author(s): 
Crowe, Marie
Jordan, Jennifer
Burrell, Beverley
Jones, Virginia
Gillon, Deborah
Harris, Shirley
Publication Title: 
Journal of Psychosomatic Research

OBJECTIVE: The objective of the present study is to estimate the economic consequences of somatization disorder and functional somatic syndromes such as fibromyalgia and chronic fatigue syndrome, defined as bodily distress syndrome (BDS), when mindfulness therapy is compared with enhanced treatment as usual. METHODS: A total of 119 BDS patients were randomized to mindfulness therapy or enhanced treatment as usual and compared with 5950 matched controls. Register data were analyzed from 10years before their inclusion to 15-month follow-up.

Author(s): 
Fjorback, Lone Overby
Carstensen, Tina
Arendt, Mikkel
Ornbøl, Eva
Walach, Harald
Rehfeld, Emma
Fink, Per
Publication Title: 
PloS One

BACKGROUND: Mindfulness-based therapy (MBT) has been used effectively to treat a variety of physical and psychological disorders, including depression, anxiety, and chronic pain. Recently, several lines of research have explored the potential for mindfulness-therapy in treating somatization disorders, including fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome. METHODS: Thirteen studies were identified as fulfilling the present criteria of employing randomized controlled trials to determine the efficacy of any form of MBT in treating somatization disorders.

Author(s): 
Lakhan, Shaheen E.
Schofield, Kerry L.
Publication Title: 
Journal of Consulting and Clinical Psychology

A meta-analysis was performed on 18 studies in which a cognitive-behavioral therapy was compared with the same therapy supplemented by hypnosis. The results indicated that the addition of hypnosis substantially enhanced treatment outcome, so that the average client receiving cognitive-behavioral hypnotherapy showed greater improvement than at least 70% of clients receiving nonhypnotic treatment.

Author(s): 
Kirsch, I.
Montgomery, G.
Sapirstein, G.
Publication Title: 
Chest

BACKGROUND: We conducted a systematic review on the management of psychogenic cough, habit cough, and tic cough to update the recommendations and suggestions of the 2006 guideline on this topic. METHODS: We followed the American College of Chest Physicians (CHEST) methodologic guidelines and the Grading of Recommendations, Assessment, Development, and Evaluation framework. The Expert Cough Panel based their recommendations on data from the systematic review, patients' values and preferences, and the clinical context.

Author(s): 
Vertigan, Anne E.
Murad, Mohammad H.
Pringsheim, Tamara
Feinstein, Anthony
Chang, Anne B.
Newcombe, Peter A.
Rubin, Bruce K.
McGarvey, Lorcan P.
Weir, Kelly
Altman, Kenneth W.
Weinberger, Miles
Irwin, Richard S.
Adams, Todd M.
Altman, Kenneth W.
Barker, Alan F.
Birring, Surinder S.
Blackhall, Fiona
Bolser, Donald C.
Boulet, Louis-Philippe
Braman, Sidney S.
Brightling, Christopher
Callahan-Lyon, Priscilla
Canning, Brendan J.
Chang, Anne B.
Coeytaux, Remy
Cowley, Terrie
Davenport, Paul
Diekemper, Rebecca L.
Ebihara, Satoru
El Solh, Ali A.
Escalante, Patricio
Feinstein, Anthony
Field, Stephen K.
Fisher, Dina
French, Cynthia T.
Gibson, Peter
Gold, Philip
Gould, Michael K.
Grant, Cameron
Harding, Susan M.
Harnden, Anthony
Hill, Adam T.
Irwin, Richard S.
Kahrilas, Peter J.
Keogh, Karina A.
Lane, Andrew P.
Lim, Kaiser
Malesker, Mark A.
Mazzone, Peter
Mazzone, Stuart
McCrory, Douglas C.
McGarvey, Lorcan
Molasiotis, Alex
Murad, M. Hassan
Newcombe, Peter
Nguyen, Huong Q.
Oppenheimer, John
Prezant, David
Pringsheim, Tamara
Restrepo, Marcos I.
Rosen, Mark
Rubin, Bruce
Ryu, Jay H.
Smith, Jaclyn
Tarlo, Susan M.
Vertigan, Anne E.
Wang, Gang
Weinberger, Miles
Weir, Kelly
Wiener, Renda Soylemez
CHEST Expert Cough Panel
Publication Title: 
Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie

The paper discusses a variety of perspectives of psychoanalytic psychosomatics in the past, the present and the future. An epigenetic model of scientific development is introduced and developmental strains in psychosomatic medicine are evaluated according to the claims of the bio-psycho-social model. In historical terms, the psychological dimension of psychoanalytic psychosomatics has been the first strain to be elaborated; it is being extended still.

Author(s): 
K¸chenhoff, J.
Publication Title: 
Psychiatry Research

It has been suggested that serotonergic hypofunction and serotonergic pathway genes underlie the somatic symptoms of somatoform disorders. We examined a variety of serotonin-related gene polymorphisms to determine whether undifferentiated somatoform disorder is associated with specific serotonin-related gene pathways. Serotonin-related polymorphic markers were assessed using single nucleotide polymorphism (SNP) genotyping. One hundred and two patients with undifferentiated somatoform disorder and 133 healthy subjects were enrolled.

Author(s): 
Koh, Kyung Bong
Choi, Eun Hee
Lee, Young-Joon
Han, Mooyoung

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