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[Which solution to functional somatic disorder: The ACSEPT program].

Caroline Moumen1, Margot Rousselle2, Jeanne Danel2

  • 1Service de psychiatrie de l'adulte, hôpital Fontan, CHU de Lille, 59000 Lille, France; EPSM Lille-Métropole, 59280 Armentières, France; EPSM des Flandres, 59270 Bailleul, France.

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Summary
This summary is machine-generated.

Functional somatic disorder (FSD) care improved with the ACEPT pathway, offering structured psychiatric consultation and tailored treatments like rTMS or CBT psychoeducation. Further studies will assess effectiveness and regional distribution.

Keywords:
Cognitive behavioral therapyFunctional somatic disorderLiaison psychiatryMedically unexplained symptomPsychiatrie de liaisonSomatic symptom disorderSymptôme médicalement inexpliquéThérapie cognitivo-comportementaleTrouble somatique fonctionnelTrouble à symptomatologie somatique

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Area of Science:

  • Neurology
  • Psychiatry
  • Health Services Research

Background:

  • Functional somatic disorder (FSD) is a prevalent, disabling condition with significant healthcare costs.
  • Limited formalized care programs and diagnostic/treatment challenges complicate FSD management.
  • Cognitive-behavioral therapy (CBT) is a standard psychiatric treatment with proven efficacy for FSD symptoms.

Purpose of the Study:

  • To establish and evaluate the ACEPT care pathway for managing functional somatic disorder (FSD).
  • To provide a structured, interdisciplinary approach for early and organized FSD patient care.
  • To improve FSD patient management through defined orientation and repeatable interventions.

Main Methods:

  • The ACEPT pathway at Lille University Hospital includes psychiatric consultation and individualized referrals.
  • Treatments offered within ACEPT comprise repeated transcranial magnetic stimulation (rTMS) or CBT-based psychoeducation groups.
  • The psychoeducation group uniquely accommodates all FSD patients, irrespective of physical symptoms, and aims to educate professionals and foster research.

Main Results:

  • The ACEPT pathway enhances patient care through defined orientation and interdisciplinary, early, organized, and repeatable interventions.
  • Initial implementation of ACEPT demonstrates an improvement in the care offered to FSD patients.
  • The pathway facilitates structured management, addressing diagnostic and treatment complexities.

Conclusions:

  • The ACEPT pathway offers a structured and improved model for functional somatic disorder (FSD) management.
  • Future research will focus on assessing the effectiveness of ACEPT interventions.
  • The goal is to develop and distribute ACEPT regionally for widespread early FSD management.