Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: A meta-analysis

Kleinstäuber, Maria; Witthöft, Michael; Hiller, Wolfgang

doi:10.1016/j.cpr.2010.09.001

Cited by 187 publications

(136 citation statements)

References 78 publications

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“…A recent meta-analysis indicated CBT is modestly effective in reducing somatization symptomatology and minimally effective improving physical functioning (Kleinstäuber, Witthöft, & Hiller, 2011). To date there is no evidence that CBT reduces health care services when the cost of CBT itself is considered.…”

Section: Integrating Cbt Into Primary Carementioning

confidence: 99%

Cognitive Behavioral Therapy for Somatoform Disorders

Allen¹,

Woolfolk

2010

Psychiatric Clinics of North America

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Section: Integrating Cbt Into Primary Carementioning

confidence: 99%

Cognitive Behavioral Therapy for Somatoform Disorders

Allen¹,

Woolfolk

2010

Psychiatric Clinics of North America

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“…Studies of psychological treatments for MUS in general show relatively low effect sizes (Kleinstäuber et al, 2011;Van Dessel et al, 2014) and there is much room for improvement. A major weakness the somatosensory amplification and signal filtering models have in common is that they do not flesh out the process by which conscious symptom experiences come about in the first place.…”

Section: Treatment Implicationsmentioning

confidence: 99%

Symptoms and the body: Taking the inferential leap

Bergh

Witthöft

Petersen

et al. 2017

Neuroscience & Biobehavioral Reviews

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378

354

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a b s t r a c tThe relationship between the conscious experience of physical symptoms and indicators of objective physiological dysfunction is highly variable and depends on characteristics of the person, the context and their interaction. This relationship often breaks down entirely in the case of "medically unexplained" or functional somatic symptoms, violating the basic assumption in medicine that physical symptoms have physiological causes. In this paper, we describe the prevailing theoretical approach to this problem and review the evidence pertaining to it. We then use the framework of predictive coding to propose a new and more comprehensive model of the body-symptom relationship that integrates existing concepts within a unifying framework that addresses many of the shortcomings of current theory. We describe the conditions under which a close correspondence between the experience of symptoms and objective physiology might be expected, and when they are likely to diverge. We conclude by exploring some theoretical and clinical implications of this new account.

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“…Há extensa reflexão na literatura internacional sobre a necessidade e a viabilidade de que estudos clínicos no campo específico das psicoterapias sejam, pelo menos, randomizados, indicando inclusive a oportunidade de as inúmeras interferências serem relativamente controladas por avaliações prévias à inclusão no estudo com qualidade e nível de detalhamento suficiente para gerarem pareamento e controle de fatores de confusão [56][57][58][59][60][61] .…”

Section: Discussionunclassified