Tags

Type your tag names separated by a space and hit enter

[Treatment of non-specific, functional and somatoform bodily complaints].
Dtsch Med Wochenschr. 2014 Mar; 139(12):602-7.DM

Abstract

In primary and secondary medicine "non-specific, functional, and somatoform bodily complaints" are common and often take a chronic course, with the patients' quality of life usually markedly impaired, and give rise to high direct and indirect costs. They are challenging as they can deteriorate in case of inappropriate behavior on the physician's part. Coordinated by both German professional associations of Psychosomatic Medicine a new evidence based guideline was developed, aiming to transfer relevant diagnostic and therapeutic knowledge to all physicians who are in charge of these patients. After establishing a stable therapeutic alliance a symptom- and coping-oriented attitude could be demonstrated to be helpful. 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. In less severe courses, physical/social activation is recommended and the patient's explanatory disease model should be extended towards a psychological dimension. More severe and complicated courses require a more structured approach consisting of regular appointments (as opposed to ad-hoc appointments whenever the patient feels worse) and an active cooperation of the patient. A coordinated, multimodal management includes additional measures as graded activation, psychotherapy, relaxation training or--if indicated--temporary medication.

Authors+Show Affiliations

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie der TU München.Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg.Klinik Innere Medizin I, Klinikum Saarbrücken gGmbH.Institut für Allgemeinmedizin der Otto-von-Guericke-Universität Magdeburg.Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie der TU München.Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie der TU München.Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie der TU München.

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

24619719

Citation

Sattel, H, et al. "[Treatment of Non-specific, Functional and Somatoform Bodily Complaints]." Deutsche Medizinische Wochenschrift (1946), vol. 139, no. 12, 2014, pp. 602-7.
Sattel H, Schaefert R, Häuser W, et al. [Treatment of non-specific, functional and somatoform bodily complaints]. Dtsch Med Wochenschr. 2014;139(12):602-7.
Sattel, H., Schaefert, R., Häuser, W., Herrmann, M., Ronel, J., Henningsen, P., & Hausteiner-Wiehle, C. (2014). [Treatment of non-specific, functional and somatoform bodily complaints]. Deutsche Medizinische Wochenschrift (1946), 139(12), 602-7. https://doi.org/10.1055/s-0034-1369857
Sattel H, et al. [Treatment of Non-specific, Functional and Somatoform Bodily Complaints]. Dtsch Med Wochenschr. 2014;139(12):602-7. PubMed PMID: 24619719.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of non-specific, functional and somatoform bodily complaints]. AU - Sattel,H, AU - Schaefert,R, AU - Häuser,W, AU - Herrmann,M, AU - Ronel,J, AU - Henningsen,P, AU - Hausteiner-Wiehle,C, Y1 - 2014/03/11/ PY - 2014/3/13/entrez PY - 2014/3/13/pubmed PY - 2014/9/6/medline SP - 602 EP - 7 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 139 IS - 12 N2 - In primary and secondary medicine "non-specific, functional, and somatoform bodily complaints" are common and often take a chronic course, with the patients' quality of life usually markedly impaired, and give rise to high direct and indirect costs. They are challenging as they can deteriorate in case of inappropriate behavior on the physician's part. Coordinated by both German professional associations of Psychosomatic Medicine a new evidence based guideline was developed, aiming to transfer relevant diagnostic and therapeutic knowledge to all physicians who are in charge of these patients. After establishing a stable therapeutic alliance a symptom- and coping-oriented attitude could be demonstrated to be helpful. 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. In less severe courses, physical/social activation is recommended and the patient's explanatory disease model should be extended towards a psychological dimension. More severe and complicated courses require a more structured approach consisting of regular appointments (as opposed to ad-hoc appointments whenever the patient feels worse) and an active cooperation of the patient. A coordinated, multimodal management includes additional measures as graded activation, psychotherapy, relaxation training or--if indicated--temporary medication. SN - 1439-4413 UR - https://www.unboundmedicine.com/medline/citation/24619719/[Treatment_of_non_specific_functional_and_somatoform_bodily_complaints]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0034-1369857 DB - PRIME DP - Unbound Medicine ER -