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A Review of Psychological Models and Interventions for Medically Unexplained Somatic Symptoms in Children

Kaneez Husain1, Tess Browne1, Trudie Chalder1

  • 1Academic Department of Psychological Medicine, King's College London, Weston Education Centre, Cutcombe Road, London SE5 9RJ, UK.

Child and Adolescent Mental Health
|August 20, 2020
PubMed

Insights

This review examines psychological models for medically unexplained somatic symptoms in children. It assesses evidence-based interventions and their impact on understanding these conditions.

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Behavioral Medicine

Background:

  • Medically unexplained somatic symptoms (MUSS) are common in pediatric populations.
  • Understanding the psychological underpinnings of MUSS is crucial for effective treatment.
  • Existing models offer frameworks for conceptualizing these symptoms in children.

Purpose of the Study:

  • To review psychological models of MUSS in children.
  • To outline interventions derived from these models.
  • To evaluate the evidence base for these interventions.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs).
  • Analysis of psychological models applied to pediatric MUSS.
  • Synthesis of findings from evaluated interventions.

Main Results:

  • Various psychological models explain MUSS in children.
  • Interventions based on these models show varying degrees of efficacy.
  • Evidence from RCTs informs the refinement of theoretical models.

Conclusions:

  • Psychological models provide valuable frameworks for understanding pediatric MUSS.
  • Intervention effectiveness supports the utility of cognitive-behavioral and other psychological approaches.
  • Further research is needed to optimize interventions and refine models.

Keywords:
Medically unexplained symptomscognitive behaviour therapyevidence of psychological treatments

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