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Biofeedback-based interventions in somatoform disorders: a randomized controlled trial.

Alexandra Nanke1, Winfried Rief1

  • 11Philipps-University, Institute of Psychology, Marburg, Germany.

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Summary
This summary is machine-generated.

Biofeedback therapy significantly reduced catastrophizing and increased psychosocial acceptance in patients with somatoform disorders. This intervention improved cognitive aspects, aiding in better coping mechanisms for somatic sensations.

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Area of Science:

  • Psychology
  • Psychophysiology
  • Behavioral Medicine

Background:

  • Somatoform disorders are characterized by physical symptoms without a clear medical cause, often involving maladaptive cognitions.
  • Cognitive aspects, including catastrophizing and causal attributions, play a crucial role in the experience and management of somatoform disorders.

Purpose of the Study:

  • To evaluate the impact of a 6-session biofeedback intervention on cognitive factors in patients with somatoform disorders.
  • To assess biofeedback's efficacy in modifying maladaptive cognitions, enhancing psychosocial causal attribution, and improving coping strategies.

Main Methods:

  • A controlled therapy study involving 50 patients diagnosed with somatization syndrome.
  • Random assignment to either a biofeedback treatment group or a control relaxation group.
  • Assessment of cognitive characteristics, causal attributions, and self-efficacy using questionnaires before and after intervention.

Main Results:

  • Biofeedback intervention led to a greater reduction in catastrophizing of somatic sensations compared to the control group.
  • Patients in the biofeedback group demonstrated higher acceptance of psychosocial causal attributions.
  • Both groups showed significant improvements in self-efficacy conviction.

Conclusions:

  • Biofeedback therapy can effectively modify cognitive schemata in patients with somatoform disorders.
  • The intervention shows promise in reducing distress associated with somatic sensations and promoting adaptive cognitive patterns.
  • Biofeedback represents a viable therapeutic option for addressing cognitive and psychosocial aspects of somatoform disorders.