Preview

Somatoform disorders. The second part: technique of cognitive-behavioral psychotherapy

Abstract

The technique of cognitive behavioral psychotherapy was proposed in accordance with the multifactorial model of somatoform disorders (SFD). Four stages of therapy were emphasized: preparatory (diagnostic), psychoeducational, basic (actually CBT) and supportive (fixation of achieved changes and relapse prevention). The characteristics of psychotherapeutic interventions in each of these stages were considered. The basic cognitive-behavioral techniques and targets of influence were reviewed, as well as features of typical for SFD pathological cycles, which support SFD symptoms. Also reviewed opportunities for interrupting of these cycles. Preliminary data about the effectiveness of the proposed method were received.

About the Authors

A. A. Pribytkov
Penza institution of advanced medical studies
Russian Federation


A. N. Erichev
St. Petersburg Psychoneurological Research Institute named after V.M. Behterev
Russian Federation


References

1. Прибытков А.А. Когнитивно-поведенческая терапия соматоформных расстройств (описание серии случаев) // Архивь внутренней медицины (специальный выпуск), «Психосоматическая медицина в России: достижения и перспективы - 2016»: сборник материалов межвузовской научно-практической конференции. Москва, 24 марта 2016г. - 2016. - С. 126-127.

2. Холмогорова А.Б., Гаранян Н.Г. Интеграция когнитивного и психодинамического подходов на примере психотерапии соматоформных расстройств // Консультативная психология и психотерапия. - 1996. - № 3. - С. 141-163.

3. Allen L.A., Woolfolk R.L. Cognitive behavioral therapy for somatoform disorders // Psychiatr. Clin. North Am. - 2010. - Vol. 33, № 3. - P. 579-593.

4. Beck J.S. Cognitive behavior therapy: basics and beyond (2nd edition) // New York: The Guilford Press. - 2011. - 391 p.

5. De Greek M., Scheidt L., Bölter A.F. et al. Multimodal psychodynamic psychotherapy induces normalization of reward related activity in somatoform disorder // World J. Biol. Psychiatry. - 2011. - Vol. 12, № 4. - P. 296-308.

6. Decoutere L., van den Eede F., Moorkens G., Sabbe B.G. Antipsychotic agents in the treatment of somatoform disorders; a review // Tijdschr. Psychiatr. - 2011. - Vol. 53, № 3. - P. 163-173.

7. Egloff N., Beer C., Gschossmann J.M. et al. Multimodal therapy of functional gastrointestinal disorders // Praxis (Bern 1994). - 2010. - Vol. 99, № 8. - P. 487-493.

8. Gholamrezaei A., Ardestani S.K., Emami M.H. Where does hypnotherapy stand in the management of irritable bowel syndrome? A systematic review // J. Altern. Complement Med. - 2012. - Vol. 12, № 6. - P. 517-527.

9. Gottschalk J.M., Rief W. Psychotherapeutic approaches for patients with somatoform disorders // Nervenarzt. 2012. - Vol. 83, № 9. - P. 1115-1127.

10. Hauser W., Bernardy K., Arnold B. et al. Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials // Arthritis Rheum. - 2009. - Vol. 61, № 2. - P. 216-224.

11. Henningsen P., Zipfel S., Herzog W. Management of functional somatic syndromes // Lancet. - 2007. - Vol. 369, № 9565. - P. 946-955.

12. Houtveen J.H., van Broeckhuysen-Kloth S., Lintmeijer L.L. et al. Intensive multidisciplinary treatment of severe somatoform disorder: a prospective evaluation // J. Nerv. Ment. Dis. - 2015. - Vol. 203, № 2. - P. 141-148.

13. Koelen J.A., Houtveen J.H., Abbass A. et al. Effectiveness of psychotherapy for severe somatoform disorder: meta-analysis // Br. J. Psychiatry. - 2014. - Vol. 204, № 1. - P. 12-19.

14. Kroenke K. Efficacy of treatment for somatoform disorders: a review of randomized controlled trials // Psychosom. Med. - 2007. - Vol. 69, № 9. - P. 881-888.

15. Sattel H., Lahmann C., Gündel H. et al. Brief psychodynamic interpersonal psychotherapy for patients with multisomatoform disorder: randomised controlled trial // Br. J Psychiatry. - 2012. - Vol. 200, № 1. - P. 60-67.

16. Schröder A., Fink P. Functional somatic syndromes and somatoform disorders in special psychosomatic units: organizational aspects and evidence-based treatment // Psychiatr. Clin. North Am. - 2011. - Vol. 34, № 3. - P. 673-687.

17. Smith R.C., Lyles J.S., Gardiner J.C. et al. Primary care clinicians treat patients with medically unexplained symptoms: a randomized controlled trial // J. Gen. Intern. Med. - 2006. - Vol. 21, № 7. - P. 671-677.

18. Somashekar B., Jainer A., Wuntakal B. Psychopharmacotherapy of somatic symptoms disorders // Int. Rev. Psychiatry. - 2013. - Vol. 25, № 1. - P. 107-115.

19. Sumathipala A. What is the evidence for the efficacy of treatments for somatoform disorders? A critical review of previous intervention studies // Psychosom. Med. - 2007. - Vol. 69, № 9. - P. 889900.

20. van Dessel N., den Boeft M., van der Wouden J.C. et al. Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults // Cochrane Database Syst. Rev. - 2014. - Vol. 11. - CD011142.


Review

For citations:


Pribytkov A.A., Erichev A.N. Somatoform disorders. The second part: technique of cognitive-behavioral psychotherapy. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2017;(2):10-16. (In Russ.)

Views: 1448


ISSN 2313-7053 (Print)
ISSN 2713-055X (Online)