Recall bias in reporting medically unexplained symptoms comes from semantic memory

Houtveen, Jan H.; Oei, Nicole Y.L.

doi:10.1016/j.jpsychores.2006.11.006

Cited by 105 publications

(49 citation statements)

References 22 publications

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“…Schema-driven processes are probably even more likely to occur when remembering bodily sensations as compared to when perceiving them, as memorial processes have a reconstructive character. Houtveen and Oei [36] demonstrated that retrospective symptom reports in high MUS persons increased over time. They attributed this finding to a shift in memory retrieval strategy from using episodic (specific, personal) to using semantic (unspecific, schema-related) information.…”

Section: Discussionmentioning

confidence: 99%

High symptom reporters are less interoceptively accurate in a symptom-related context

Bogaerts

Millen

Wan

et al. 2008

Journal of Psychosomatic Research

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Section: Discussionmentioning

confidence: 99%

High symptom reporters are less interoceptively accurate in a symptom-related context

Bogaerts

Millen

Wan

et al. 2008

Journal of Psychosomatic Research

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“…With questionnaires, subjects have to summarize a changing pattern of bowel symptoms over an extended time period. It has been shown that reports of medically unrelated symptoms from people increase with time [24] and that the agreement between bowel habits reported by diary, and questionnaire is low [25].…”

Section: Discussionmentioning

confidence: 99%

Combination therapy with biofeedback, loperamide, and stool-bulking agents is effective for the treatment of fecal incontinence in women – a randomized controlled trial

Sjödahl

Walter

Johansson

et al. 2015

Scandinavian Journal of Gastroenterology

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Combination therapy with biofeedback, loperamide, and stool-bulking agents is effective for the treatment of fecal incontinence in women -a randomized controlled trial, 2015, Scandinavian Journal of Gastroenterology, (50) Material and Methods. Sixty-four consecutive female patients, referred to a tertiary centre for FI were included. The patients were randomized to start with either biofeedback (4-6 months) or medical treatment with loperamide and stool-bulking agents (2 months). Both groups continued with a combination of treatments, i.e. medical treatment was added to biofeedback and vice versa. A two-week prospective bowel symptom diary and anorectal physiology were evaluated at baseline, after single-and combination treatments. There was no significant difference between the two groups at any time point. Conclusions:The combination therapy with biofeedback and medical treatment is effective for symptom relief in FI. The symptom improvement was associated with improved fecal consistency, reduced urgency, and increased rectal sensory thresholds.3

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“…Also the variability of symptoms is an important variable (Stone et al, 2005): greater momentary variability was associated with greater discrepancy between momentary and retrospective ratings and higher retrospective ratings overall. Overestimation typically also increases with longer recall periods (Broderick et al, 2008), although in a study recording physical symptoms in daily life in students, a gradual increase in overestimation of experienced symptoms with longer time frames was observed only among high, but not low habitual symptom reporters (Houtveen and Oei, 2007). Furthermore, actual state during recall plays a role: lower current pain intensity at the moment of recall was associated with underestimation of recalled pain, whereas higher current pain was associated with overestimation (Smith and Safer, 1993;Lefebvre and Keefe, 2002;Gendreau et al, 2003).…”

Section: Memorymentioning

confidence: 96%

Symptom Perception, Awareness and Interpretation

Bergh

Bogaerts

Diest

2015

International Encyclopedia of the Social &Amp; Behavioral Sciences

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Self-reported health complaints result from a complex integration of interoceptive (bottom-up) information emerging from peripheral physiological activity with (top-down) perceptual-cognitive and affective processes. Interoceptive signals have to be sensed, perceived, attended to, appreciated and interpreted, put into language and expressed, mostly in a social context. In this article, we will discuss the role of perceptual and attentional processes, anticipation, symptom schemata and illness beliefs, emotion and personality, and memory processes. Their role may importantly influence the relationship between indicators of peripheral physiological activity and self-reported health complaints. Interoception and Symptom PerceptionAlthough all self-reported health complaints are the result of processes in the brain, a general assumption is that they accurately reflect dysfunctional processes in the peripheral body. The afferent or sensory processes transmitting information from the body to the brain can be called interoception. However, although interoception and symptom perception are related processes, they are not the same.

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Recall bias in reporting medically unexplained symptoms comes from semantic memory

Cited by 105 publications

References 22 publications

High symptom reporters are less interoceptively accurate in a symptom-related context

High symptom reporters are less interoceptively accurate in a symptom-related context

Combination therapy with biofeedback, loperamide, and stool-bulking agents is effective for the treatment of fecal incontinence in women – a randomized controlled trial

Symptom Perception, Awareness and Interpretation

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