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Related Experiment Videos

[Functional somatic diseases--a review].

Ulrik Fredrik Malt1, Eva Albertsen Malt, Svein Blomhoff

  • 1Psykosomatisk avdeling Rikshospitalet 0027 Oslo. ulrik.fredrik.malt@rikshospitalet.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|July 9, 2002
PubMed
Summary

Functional somatic illness involves medically unexplained physical symptoms stemming from psychological distress. Treatment involves a biopsychosocial approach, integrating psychological therapies and sometimes physiotherapy or medication.

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Area of Science:

  • Psychiatry and Psychology
  • Somatic Symptom Disorders

Context:

  • Medically unexplained somatic symptoms are often linked to psychological distress.
  • Functional somatic illness can manifest as conditions like fibromyalgia or irritable bowel syndrome.
  • Potential causes include psychiatric disorders, stress, catastrophic thinking, and conditioning.

Purpose:

  • To define functional somatic illness and explore its potential causes.
  • To outline a recommended approach for physician-patient interaction and treatment.
  • To review the limited evidence from randomized trials on treatment efficacy.

Summary:

  • Functional somatic illness involves physical symptoms expressing psychological distress, potentially linked to psychiatric disorders, stress, or conditioning.
  • Effective therapeutic alliance requires acknowledging subjective complaints while exploring etiology.

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  • A biopsychosocial approach, focusing on stressors and reinforcing variables, is recommended.
  • Psychological treatments should be structured, incorporating information, alternative perceptions, and problem-solving.
  • Physiotherapy and psychopharmacological drugs may benefit selected patients.
  • Impact:

    • Highlights the complex interplay between psychological factors and physical symptoms.
    • Provides a framework for clinicians to manage patients with functional somatic illness.
    • Emphasizes the need for structured, evidence-based psychological interventions.