Management of functional somatic syndromes

  title={Management of functional somatic syndromes},
  author={Peter Henningsen and Stephan Zipfel and Wolfgang Herzog},
  journal={The Lancet},

Management of Functional Somatic Syndromes and Bodily Distress

It is concluded that activating, patient-involving, and centrally acting therapies appear to be more effective than passive ones that primarily act on peripheral physiology, and stepped care approaches that translate a truly biopsychosocial approach into actual management of the patient are recommended.

[Treatment of non-specific, functional and somatoform bodily complaints].

A biopsychosocial diagnostic evaluation combines a thorough assessment of bodily complaints and early introduces a sensitive discussion of signs of psychosocial stress, which can be extended carefully in case problems of this type are present.

Identification, assessment and treatment of individual patients

This chapter considers three groups, medically unexplained symptoms, somatoform disorders, and functional somatic syndromes, and talks about their prevalence in cross-sectional studies in primary, secondary care and population-based studies.

Recent developments in the understanding and management of functional somatic symptoms in primary care

There is an immediate need for a common language and a theoretical framework of understanding of functional symptoms and disorders across medical specialties, clinically and scientifically.

Similar but different : Implications for the one versus many functional somatic syndromes discussion

The aim of this thesis was to investigate the validity and meaning of functional somatic syndrome (FSS) diagnoses, and to examine to which degree these diagnoses are able to identify separate groups

Functional somatic syndromes and somatoform disorders in special psychosomatic units: organizational aspects and evidence-based treatment.

Psychological approaches to origins and treatments of somatoform disorders.

Current models of etiology and pathogenesis, the existing evidence on the efficacy and effectiveness of psychotherapy for SFD, and future directions and some current blind spots in research on SFD are outlined.

Somatic symptoms in consultation-liaison psychiatry

The clinical work of a consultation-liaison psychiatrist involves evaluation of patients with medically unexplained symptoms for probable psychiatric disorders and treatment of psychiatric morbidity and also management of patients without Psychiatric morbidity.

Irritable bowel syndrome and somatoform disorders.




Assessment and treatment of functional disorders in general practice: the extended reattribution and management model--an advanced educational program for nonpsychiatric doctors.

The objective of The Extended Reattribution and Management (TERM) model presented here is to assist the process of improving treatment options for patients with physical symptoms with no organic basis and prevent inappropriate illness behavior.

There is only one functional somatic syndrome

Functional somatic symptoms and syndromes are a major health issue. They are common, costly, persistent and may be disabling. Most of the current literature pertains to specific syndromes defined by

Functional somatic symptoms and syndromes

Functional symptoms are described, which does not assume psychogenesis but only a disturbance in bodily functioning, and are useful in everyday medical practice, and recent studies show there is substantial overlap between them.

Functional Somatic Syndromes

The functional somatic syndromes include multiple chemical sensitivity, the sick building syndrome, repetition stress injury, chronic whiplash, chronic Lyme disease, the side effects of silicone breast implants, candidiasis hypersensitivity, the Gulf War syndrome, food allergies, mitral valve prolapse, and hypoglycemia are included in this review.

Medically unexplained physical symptoms in medical practice: a psychiatric perspective.

This article discusses the common features that unite multiple unexplained symptoms or functional somatic syndromes as a class and discusses the nosological issues, clinical assessment, how these syndrome are viewed within the various medical specialties, and clinical management and treatment.

Functional symptoms in neurology: questions and answers

The objective of this review is to answer questions many neurologists have about disorders characterised by unexplained symptoms (functional disorders) by conducting a multidisciplinary review based on published reports and clinical experience.

Depression, pain, and somatoform disorders

Treating the overlap of depression, pain and other somatic symptoms as the rule rather than the exception is necessary for adequate aetiological research as well as for diagnosis and treatment, with one-dimensional classificatory and treatment approaches almost certainly being insufficient.

Psychosocial Treatments for Multiple Unexplained Physical Symptoms: A Review of the Literature

Although seemingly beneficial, psychosocial treatments have not yet been shown to have a lasting and clinically meaningful influence on the physical complaints of polysymptomatic somatizers.

Chronic fatigue syndrome.