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[Functional somatic syndromes: A comprehensive cognitive model].

V Pitron¹, B Ranque², H Vulser³

¹UMR 8129, ENS/EHESS/CNRS, IEC, PSL, Instit Jean-Nicod, 29, rue d'Ulm, 75005 Paris, France; Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, hôpitaux universitaires Paris Ouest, AP-HP, 20, rue Leblanc, 75015 Paris, France.

La Revue De Medecine Interne

|June 5, 2019

Summary

This summary is machine-generated.

Functional somatic syndromes are common, but patient acceptance hinders treatment. A Bayesian cognitive model offers new insights, improving understanding and physician-patient relationships for these disorders.

Keywords:

Bayesian model Functional somatic syndromes Medically unexplained symptoms Modèle bayésien Perception corporelle Persistent somatic symptoms Somatic Symptom Disorders Symptômes médicalement inexpliqués Trouble somatique fonctionnel Trouble à symptomatologie somatique

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Area of Science:

Cognitive Science
Psychiatry
Internal Medicine

Background:

Functional somatic syndromes are prevalent in healthcare settings.
Patient reluctance to accept diagnoses, due to misconceptions, impedes effective treatment.
Recent cognitive science advances offer novel pathophysiological insights.

Purpose of the Study:

To explore how cognitive science, specifically the Bayesian model, can reframe the understanding and treatment of functional somatic syndromes.
To enhance patient and caregiver acceptance of these diagnoses.
To improve the physician-patient relationship in managing these conditions.

Main Methods:

Review of recent advances in cognitive science and their application to functional somatic disorders.
Explanation of the Bayesian model's relevance to the cognitive mechanisms underlying these syndromes.
Discussion of practical examples and implications for treatment.

Main Results:

The Bayesian model provides a framework consistent with current scientific understanding of functional somatic syndromes.
This cognitive approach can demystify the pathophysiology, making diagnoses more acceptable.
The model facilitates a better physician-patient dialogue regarding these conditions.

Conclusions:

Cognitive science, particularly the Bayesian model, offers a valuable perspective on functional somatic syndromes.
This approach can overcome patient reluctance by providing a scientifically grounded and understandable explanation.
Implementing this model can improve treatment adherence and the therapeutic alliance.