BACKGROUND Without stimulation, the human brain spontaneously produces highly organized, low-frequency fluctuations of neural activity in intrinsic connectivity networks (ICNs). Furthermore, without adequate explanatory nociceptive input, patients with somatoform pain disorder experience pain symptoms, thus implicating a central dysregulation of pain homeostasis. The present study aimed to test...

OBJECTIVE Current diagnostic criteria for somatoform disorders demand revisions due to their insufficient clinical as well as scientific usability. Various psychological and behavioral characteristics have been considered for the proposed new category Somatic Symptom Disorder (SSD). With this study, we were able to jointly assess the validity of these variables in an inpatient sample. METHODS...

Patients presenting with somatoform disorders often incur excessive health care charges and fail to respond to standard treatment. The purpose of this article is to provide an overview of the diagnostic criteria and demographic and clinical characteristics of each somatoform disorder and to examine the research assessing the efficacy of cognitive behavioral therapy (CBT) for each disorder. The ...

Objective: As noted in previous reviews, the prevalence rates for somatoform disorders in the elderly that have been reported are highly heterogeneous. The main aim of this paper is to identify the reasons for the substantial variation in prevalence rates and discuss the potential of future diagnostic criteria to address current difficulties. Methods: We conducted a selective review of the lite...

BACKGROUND The familial relationship between obsessive-compulsive disorder (OCD) and "obsessive-compulsive spectrum" disorders is unclear. This study investigates the relationship of OCD to somatoform disorders (body dysmorphic disorder [BDD] and hypochondriasis), eating disorders (e.g., anorexia nervosa and bulimia nervosa), pathologic "grooming" conditions (e.g., nail biting, skin picking, tr...

OBJECTIVE Psychiatric consultation in primary care is meant to enhance and improve treatment for mental disorder in that setting. An estimate of the effect for different conditions as well as identification of particularly effective elements is needed. METHODS Database search for randomized controlled trials (RCTs) on psychiatric consultation in primary care. Validity assessment and data extr...

In most of the recent scientific and clinical literature, dissociation has been equated with dissociative amnesia, depersonalization, derealization, and fragmentation of identity. However, according to Pierre Janet and several World War I psychiatrists, dissociation also pertains to a lack of integration of somatoform components of experience, reactions, and functions. Some clinical observation...

In addition to the Somatoform Disorders, as listed in DSM-IV, such as Somatization Disorder (SD), Conversion Disorder (CD), Hypochondriasis (HD), Body Dysmorphic Disorder (BDD), Pain Disorder, and Undifferentiated Somatoform Disorder (USD), there are a group of disorders called “Functional Somatic Syndromes” (4), such as Chronic Fatigue Syndrome, Irritable Bowel Syndrome, or Fibromyalgia. Facti...

Somatoform pain disorders are strongly associated with adverse, mostly traumatic childhood experiences. Little is known, however, about the psychodynamic background, for example, regard to defence, affect regulation, and representations. As part of a qualitative study in which 13 patients somatoform disorder were investigated, we compared interviews drawings by two featured most pictorial codes...