Changes in illness perceptions mediated the effect of cognitive behavioural therapy in severe functional somatic syndromes

Christensen, Sara Sletten; Frostholm, Lisbeth; Ørnbøl, Eva; Schröder, Andreas

doi:10.1016/j.jpsychores.2014.12.005

Cited by 111Psychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Changes in illness perceptions mediated the effect of cognitive behavioural therapy in severe functional somatic syndromes

Christensen, Sara Sletten, Frostholm, Lisbeth, Ørnbøl, Eva, Schröder, Andreas·2015·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2014.12.005

Open this paper in CoChat — free account

Abstract

Objective Although there is substantial evidence that cognitive behavioural therapy alleviates symptoms in functional somatic syndromes, the mechanisms of change are less investigated. This study examined whether changes in illness perceptions mediated the effect of cognitive behavioural therapy.Methods We analysed additional data from a randomised controlled trial comparing completers of cognitive behavioural group therapy (46 patients) to an enhanced usual care group (66 patients). Proposed mediators (illness perceptions) and primary (physical health) and secondary (somatic symptoms and illness worry) outcomes were assessed by means of questionnaires at referral, baseline, end of treatment, and 10 and 16 months after randomisation. Multiple mediation analysis determined whether (1) changes in specific illness perceptions during treatment mediated the effect of cognitive behavioural therapy (primary analysis), and (2) whether changes in illness perceptions during the whole trial period were associated with improved outcome (secondary analysis).Results Improvements in illness perceptions during treatment partially mediated the effect of cognitive behavioural therapy on physical health one year after treatment (sum of indirect effects 1.556, BCa 95% CI (0.006; 3.620)). Improving perceived control was particularly important. Changes in illness perceptions from baseline to 16 months after randomisation were associated with clinically meaningful improvements in physical health, somatic symptoms and illness worry during the same period.Conclusion Our results suggest that changing patients' illness perceptions is an important process in cognitive behavioural therapy for functional somatic syndromes. Challenging patients' own understanding of their illness may hence be a key element of successful treatment.

Integrity signals

Registry

Crossref · 10.1016/j.jpsychores.2014.12.005

Cites

43 of 43 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

In a comparable study with adults, changes in illness perceptions partly mediated the effect of treatment on outcome.
“In a comparable study with adults, changes in illness perceptions partly mediated the effect of treatment on outcome.76”
From Comparing group-based acceptance and commitment therapy (ACT) with enhanced usual care for adolescents with functional somatic syndromes: A study protocol for a randomised trial (2016) · cites this paper as [76]

Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models
Preacher, K. J., & Hayes, A. F. (2008) · Behavior Research Methods · doi:10.3758/brm.40.3.879 · Cited by 34,117 · see citing works
Mediation Analysis
MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085542 · Cited by 5,688 · see citing works
The revised illness perception questionnaire (IPQ-R)
Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002) · Psychology & Health · doi:10.1080/08870440290001494 · Cited by 2,949 · see citing works
SCAN: Schedules fonr Clinical Assessment in Neuropsychiatry
Wing, J. K. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810180089012 · Cited by 2,517 · see citing works
Mediators and Mechanisms of Change in Psychotherapy Research
Kazdin, A. E. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091432 · Cited by 2,504 · cited 2× · see citing works
“There is arguably overlap between these measures, and meta-cognition(s), influencing all of these measures, might hence account for some these findings [45].”
MethodResult
The illness perception questionnaire: A new method for assessing the cognitive representation of illness
Weinman, J. A., Petrie, K. J., Moss-Morris, R. E., & Horne, R. (1996) · Psychology and Health · doi:10.1080/08870449608400270 · Cited by 1,557 · see citing works
Functional somatic syndromes: one or many?
Wessely, S., Nimnuan, C., & Sharpe, M. (1999) · The Lancet · doi:10.1016/s0140-6736(98)08320-2 · Cited by 1,211 · see citing works
Advances in cognitive theory and therapy: The generic cognitive model
Beck, A. T., & Haigh, E. A. P. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153734 · Cited by 1,055 · see citing works
Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial
White, P., Goldsmith, K., Johnson, A., Potts, L., Walwyn, R., DeCesare, J., Baber, H., Burgess, M., Clark, L., Cox, D., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60096-2 · Cited by 897 · see citing works
The common-sense model of self-regulation of health and illness.
Leventhal, H. O. R. D., & Brissette, I. F. (2012) · doi:10.4324/9780203553220-10 · Cited by 870 · see citing works
The Self-Regulation of Health and Illness Behaviour
(2012) · Routledge eBooks · doi:10.4324/9780203553220 · Cited by 780 · see citing works
Management of functional somatic syndromes
Henningsen, P., Zipfel, S., & Herzog, W. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60159-7 · Cited by 741 · see citing works
Why illness perceptions matter
Petrie, K., & Weinman, J. (2006) · Clinical Medicine · doi:10.7861/clinmedicine.6-6-536 · Cited by 475 · see citing works
Mediation and moderation of treatment effects in randomised controlled trials of complex interventions
Emsley, R., Dunn, G., & White, I. R. (2010) · Statistical Methods in Medical Research · doi:10.1177/0962280209105014 · Cited by 356 · see citing works
Psychological treatments for fibromyalgia: A meta-analysis
Glombiewski, J. A., Sawyer, A. T., Gutermann, J., Koenig, K., Rief, W., & Hofmann, S. G. (2010) · Pain · doi:10.1016/j.pain.2010.06.011 · Cited by 341 · see citing works
One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders
Fink, P., & Schröder, A. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.02.004 · Cited by 334 · see citing works
Self-citation
Screening for somatization and hypochondriasis in primary care and neurological in-patients
Fink, P., Ewald, H., Jensen, J., Sørensen, L., Engberg, M., Holm, M., & Munk-Jørgensen, P. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00092-0 · Cited by 314 · see citing works
Patients’ Perceptions of Their Illness
Petrie, K. J., & Weinman, J. A. (2012) · Current Directions in Psychological Science · doi:10.1177/0963721411429456 · Cited by 246 · see citing works
A Randomized Controlled Graded Exercise Trial for Chronic Fatigue Syndrome: Outcomes and Mechanisms of Change
Moss-Morris, R. E., Sharon, C., Tobin, R., & Baldi, J. C. (2005) · Journal of Health Psychology · doi:10.1177/1359105305049774 · Cited by 242 · see citing works
Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: a meta-analysis
Kleinstäuber, M., Witthöft, M., & Hiller, W. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.09.001 · Cited by 212 · see citing works
Illness representation, coping and outcome in irritable bowel syndrome (IBS)
Rutter, C. L., & Rutter, D. R. (2002) · British Journal of Health Psychology · doi:10.1348/135910702320645372 · Cited by 181 · see citing works
Coping and adaptive outcome in chronic fatigue syndrome
Heijmans, M. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00265-1 · Cited by 179 · see citing works
How Does Cognitive Behavior Therapy for Irritable Bowel Syndrome Work? A Mediational Analysis of a Randomized Clinical Trial
Lackner, J. M., Jaccard, J., Krasner, S. S., Katz, L. A., Gudleski, G. D., & Blanchard, E. B. (2007) · Gastroenterology · doi:10.1053/j.gastro.2007.05.014 · Cited by 172 · see citing works
The aggressive characteristics of abused and neglected children
Reidy, T. J. (1977) · Journal of Clinical Psychology · doi:10.1002/1097-4679(197710)33:4 · Cited by 159 · see citing works
How does cognitive behaviour therapy reduce fatigue in patients with chronic fatigue syndrome? The role of physical activity
Wiborg, J. F., Knoop, H., Stulemeijer, M., Prins, J. B., & Bleijenberg, G. (2010) · Psychological Medicine · doi:10.1017/s0033291709992212 · Cited by 147 · see citing works
Changes in illness-related cognitions rather than distress mediate improvements in irritable bowel syndrome (IBS) symptoms and disability following a brief cognitive behavioural therapy intervention
Chilcot, J., & Moss-Morris, R. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.07.007 · Cited by 146 · see citing works
Do illness perceptions predict health outcomes in primary care patients? A 2-year follow-up study
Frostholm, L., Oernboel, E., Christensen, K. S., Toft, T., Olesen, F., Weinman, J. A., & Fink, P. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.09.003 · Cited by 126 · see citing works
The central role of cognitive processes in the perpetuation of chronic fatigue syndrome
Knoop, H., Prins, J. B., Moss-Morris, R. E., & Bleijenberg, G. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.01.022 · Cited by 117 · see citing works
Cognitive–behavioural group treatment for a range of functional somatic syndromes: Randomised trial
Schröder, A., Rehfeld, E., Ørnbøl, E., Sharpe, M., Licht, R. W., & Fink, P. (2012) · British Journal of Psychiatry · doi:10.1192/bjp.bp.111.098681 · Cited by 95 · see citing works
Self-citation
Mechanisms of change in an exposure-based treatment for irritable bowel syndrome.
Ljótsson, B., Hesser, H., Andersson, E., Lindfors, P., Hursti, T., Rück, C., Lindefors, N., Andersson, G., & Hedman, E. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0033439 · Cited by 94 · cited 2× · see citing works
“org/ number of studies have examined mediators of change in FSS treatments, all of which emphasize the role of illness-related cognitions [11–20].”
BackgroundResult
Illness perceptions in patients with fibromyalgia
van Ittersum, M. W., van Wilgen, C. P., Hilberdink, W. K. H. A., Groothoff, J. W., & van der Schans, C. P. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.07.041 · Cited by 89 · see citing works
Patients' Perceptions of Their Pain Condition Across a Multidisciplinary Pain Management Program
Moss-Morris, R. E., Humphrey, K., Johnson, M. H., & Petrie, K. J. (2007) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e318093fcab · Cited by 70 · see citing works
The process of cognitive behaviour therapy for chronic fatigue syndrome: Which changes in perpetuating cognitions and behaviour are related to a reduction in fatigue?
Heins, M. J., Knoop, H., Burk, W. J., & Bleijenberg, G. (2013) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2013.06.034 · Cited by 67 · see citing works
Visceral sensitivity as a mediator of outcome in the treatment of irritable bowel syndrome
Wolitzky-Taylor, K. B., Craske, M. G., Labus, J. S., Mayer, E. A., & Naliboff, B. D. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.05.010 · Cited by 62 · see citing works
Does a decrease in avoidance behavior and focusing on fatigue mediate the effect of cognitive behavior therapy for chronic fatigue syndrome?
Wiborg, J. F., Knoop, H., Prins, J. B., & Bleijenberg, G. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.12.011 · Cited by 56 · see citing works
Towards an evidence-based treatment model for cognitive behavioral interventions focusing on chronic fatigue syndrome
Wiborg, J. F., Knoop, H., Frank, L. E., & Bleijenberg, G. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.01.018 · Cited by 54 · see citing works
Mediators of the effects on fatigue of pragmatic rehabilitation for chronic fatigue syndrome.
Wearden, A. J., & Emsley, R. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0033561 · Cited by 51 · see citing works
Illness representations in women with fibromyalgia
Glattacker, M., Opitz, U., & Jäckel, W. H. (2009) · British Journal of Health Psychology · doi:10.1348/135910709x466315 · Cited by 44 · see citing works
Mechanisms of change underlying the efficacy of cognitive behaviour therapy for chronic fatigue syndrome in a specialist clinic: a mediation analysis
Stahl, D. R., Rimes, K. A., & Chalder, T. (2013) · Psychological Medicine · doi:10.1017/s0033291713002006 · Cited by 39 · see citing works
Functional Somatic Syndromes and Somatoform Disorders in Special Psychosomatic Units: Organizational Aspects and Evidence-Based Treatment
Schröder, A., & Fink, P. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.05.008 · Cited by 39 · see citing works
Self-citation
Outcome measurement in functional somatic syndromes: SF-36 summary scores and some scales were not valid
Schröder, A., Oernboel, E., Licht, R. W., Sharpe, M., & Fink, P. (2012) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2011.03.012 · Cited by 38 · see citing works
Self-citation
A Structural Equation Model for Measuring Residualized Change and Discerning Patterns of Growth or Decline
Raykov, T. (1993) · Applied Psychological Measurement · doi:10.1177/014662169301700110 · Cited by 32 · see citing works
Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders?
Frostholm, L., Petrie, K. J., Ørnbøl, E., & Fink, P. (2014) · Psychological Medicine · doi:10.1017/s003329171400035x · Cited by 30 · see citing works

Flagged first, then by citations

1 of the 44 references couldn’t be matched to a known paper.

Sorted by citations

The Handbook of Behavior Change
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318 · Cited by 420 · see citing works
Changing Behavior Using the Theory of Planned Behavior
Ajzen, I., & Schmidt, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.002 · Cited by 303 · see citing works
The efficacy of cognitive behavioural therapy in somatoform disorders and medically unexplained physical symptoms: A meta-analysis of randomized controlled trials
Liu, J., Gill, N. S., Teodorczuk, A., Li, Z., & Sun, J. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.10.114 · Cited by 148 · see citing works
Changing Behavior Using the Model of Action Phases
Keller, L., Gollwitzer, P. M., & Sheeran, P. (2020) · The Handbook of Behavior Change · doi:10.1017/9781108677318.006 · Cited by 147 · see citing works
Changing Behavior Using the Health Action Process Approach
Schwarzer, R., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.007 · Cited by 107 · see citing works
Cohort description: The Danish study of Functional Disorders
Dantoft, T. M., Ebstrup, J. F., Linneberg, A. R., Skovbjerg, S., Madsen, A. L., Mehlsen, J., Brinth, L. S., Eplov, L. F., Carstensen, T. B. W., Schröder, A., et al. (2017) · Clinical Epidemiology · doi:10.2147/clep.s129335 · Cited by 108 · see citing works
Habit Interventions
Gardner, B., Rebar, A. L., & Lally, P. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.041 · Cited by 69 · see citing works
Illness Perceptions and Depression Are Associated with Health-Related Quality of Life in Youth with Inflammatory Bowel Disease
Stapersma, L., van den Brink, G., van der Ende, J., Bodelier, A., van Wering, H. V., Hurkmans, P., Mearin, M., Jong, A. E. V. D. M.-D., Escher, J., & Utens, E. M. W. J. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09791-6 · Cited by 38 · see citing works
“For example, cognitive behavioral therapy (CBT) has been proven effective in using techniques to restructure thoughts, such as negative illness perceptions [72].”
Background
Heart rate variability biofeedback therapy and graded exercise training in management of chronic fatigue syndrome: An exploratory pilot study
Windthorst, P., Mazurak, N., Kuske, M., Hipp, A., Giel, K. E., Enck, P., Niess, A. M., Zipfel, S., & Teufel, M. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.11.014 · Cited by 78 · see citing works
Changing Behavior Using Social Cognitive Theory
Łuszczyńska, A., & Schwarzer, R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.003 · Cited by 71 · see citing works
The contribution of clinical and psychosocial factors to fatigue in 182 patients with inflammatory bowel disease: a cross‐sectional study
Artom, M., Czuber‐Dochan, W., Sturt, J. A., Murrells, T., & Norton, C. S. (2016) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.13870 · Cited by 55 · see citing works
“8–50) Current medication 5-ASA 43 (72) 97 (84) 3 (50) 65 (36) Thiopurines 26 (43) 54 (47) 3 (50) 83 (46) Methotrexate 0 (0) 4 (3) 0 (0) 4 (2) Anti-TNF 7 (12) 54 (47) 2 (33) 63 (35) Vedolizumab 3 (5) 3 (3) 1 (17) 7 (4) Antibiotics 1 (2) 4 (3) 0 (0) 5 (3) Steroids 5 (8) 11 (9) 0 (0) 16 (9) Previous surgery 4 (7) 60 (52)…”
Novel interdisciplinary intervention, GAIN, vs. enhanced usual care to reduce high levels of post-concussion symptoms in adolescents and young adults 2–6 months post-injury: A randomised trial
Thastum, M. M., Rask, C. U., Næss‐Schmidt, E. T., Tuborgh, A. H., Jensen, J. S., Svendsen, S. W., Nielsen, J. F., & Schröder, A. (2019) · EClinicalMedicine · doi:10.1016/j.eclinm.2019.11.007 · Cited by 54 · see citing works
Self-Efficacy Interventions
Warner, L. M., & French, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.032 · Cited by 53 · see citing works
Changing Behavior Using Ecological Models
Salmon, J., Hesketh, K. D., Arundell, L., Downing, K. L., & Biddle, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.017 · Cited by 51 · see citing works
Neuroticism and maladaptive coping in patients with functional somatic syndromes
Pedersen, H. F., Frostholm, L., Jensen, J. S., Ørnbøl, E., & Schröder, A. (2016) · British Journal of Health Psychology · doi:10.1111/bjhp.12206 · Cited by 47 · see citing works
A cross-sectional study on self-reported physical and mental health-related quality of life in rheumatoid arthritis and the role of illness perception
Berner, C., Erlacher, L., Fenzl, K. H., & Dorner, T. E. (2018) · Health and Quality of Life Outcomes · doi:10.1186/s12955-018-1064-y · Cited by 47 · see citing works
Changing Behavior Using Self-Determination Theory
Hagger, M. S., Hankonen, N. E., Chatzisarantis, N. L. D., & Ryan, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.008 · Cited by 49 · see citing works
Partially nested designs in psychotherapy trials: A review of modeling developments
Sterba, S. K. (2015) · Psychotherapy Research · doi:10.1080/10503307.2015.1114688 · Cited by 40 · see citing works
“Assessing Mediators of Treatment Effects in Partially Nested Designs In treatment outcome studies interest often focuses on what variables, such as coping skills, mediate the effect of treatment on outcomes, such as depression (e.g., Christensen et al., 2015; Liu et al., 2015).”
Background
Planning and Implementation Intention Interventions
Rhodes, R. E., Grant, S. J., & de Bruijn, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.039 · Cited by 41 · see citing works
Attitudes and Persuasive Communication Interventions
Hamilton, K., & Johnson, B. T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.031 · Cited by 40 · see citing works
Changing Behavior Using Habit Theory
Orbell, S., & Verplanken, B. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.013 · Cited by 39 · see citing works
Changing Behavior: A Theory- and Evidence-Based Approach
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.001 · Cited by 39 · see citing works
Social Identity Interventions
Tarrant, M., Haslam, C., Carter, M., Calitri, R., & Haslam, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.044 · Cited by 37 · see citing works
Changing Behavior Using Integrated Theories
Hagger, M. S., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.015 · Cited by 39 · see citing works
Family‐based interventions for children and adolescents with functional somatic symptoms: a systematic review
Hulgaard, D., Dehlholm‐Lambertsen, G., & Rask, C. U. (2019) · Journal of Family Therapy · doi:10.1111/1467-6427.12199 · Cited by 34 · see citing works
Psychological Outcomes of a Cognitive Behavioral Therapy for Youth with Inflammatory Bowel Disease: Results of the HAPPY-IBD Randomized Controlled Trial at 6- and 12-Month Follow-Up
Stapersma, L., van den Brink, G., van der Ende, J., Szigethy, E., Groeneweg, M., de Bruijne, F. H., Hillegers, M. H. J., Escher, J. C., & Utens, E. M. W. J. (2019) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-019-09649-9 · Cited by 33 · see citing works
The Impact of Illness Perceptions and Coping on the Association Between Back Pain and Health Outcomes in Patients Suspected of Having Axial Spondyloarthritis: Data From the SP ondyloArthritis Caught Early Cohort
van Lunteren, M., Scharloo, M., Ez‐Zaitouni, Z., de Koning, A., Landewé, R., Fongen, C., Ramonda, R., Kaptein, A. A., van Gaalen, F. A., & van der Heijde, D. M. F. M. (2018) · Arthritis Care & Research · doi:10.1002/acr.23566 · Cited by 33 · see citing works
“Peripheral arthritis 69 (16) 28 (19) 24 (30) 17 (9) HLA–B27–positive 178 (42) 130 (90) 5 (6) 43 (22)”
Changing Behavior Using the Transtheoretical Model
DiClemente, C. C., & Graydon, M. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.010 · Cited by 31 · see citing works
Adult patients’ experiences of NHS specialist services for chronic fatigue syndrome (CFS/ME): a qualitative study in England
Broughton, J., Harris, S., Beasant, L., Crawley, E. M., & Collin, S. M. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2337-6 · Cited by 30 · see citing works
“These include acceptance and neuroticism [34], the acceptability of expressing emotions [35], fear and embarrassment avoidance [36, 37], all-or-nothing behaviour [37], beliefs around activity and inactivity [10], sense of control over symptoms [38, 39], and ‘psychological flexibility’ [40].”
Background
Changing Behavior Using the Health Belief Model and Protection Motivation Theory
Orbell, S., Zahid, H., & Henderson, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.004 · Cited by 32 · see citing works
Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease
Lotfi‐Tokaldany, M., Shahmansouri, N., Karimi, A., Sadeghian, S., Saadat, S., Abbasi, S. H., & Jalali, A. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.03.001 · Cited by 30 · see citing works
Changing Behavior by Changing Environments
Marteau, T. M., Fletcher, P. C., Hollands, G. J., & Munafo, M. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.014 · Cited by 27 · see citing works
Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02862-z · Cited by 24 · see citing works
Design, Implementation, and Evaluation of Behavior Change Interventions: A Ten-Task Guide
Abraham, C., & Denford, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.019 · Cited by 26 · see citing works
Changing Behavior Using the Reflective-Impulsive Model
Deutsch, R., & Strack, F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.012 · Cited by 28 · see citing works
Comparing group-based acceptance and commitment therapy (ACT) with enhanced usual care for adolescents with functional somatic syndromes: A study protocol for a randomised trial
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Fink, P., Ørnbøl, E., & Rask, C. U. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012743 · Cited by 23 · see citing works
“comparable study with adults, changes in illness perceptions partly mediated the effect of treatment on outcome.(76) Illness-related behaviour is measured by the Behavioural Responses to Illness Questionnaire (BRIQ)(67) (13 item, 5-point scale).”
Method
Understand your illness and your needs": assessment-informed patient education for people with multiple functional somatic syndromes
Frølund Pedersen, H., Holsting, A., Frostholm, L., Rask, C., Jensen, J. S., Høeg, M. D., & Schröder, A. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.04.016 · Cited by 25 · see citing works
Unexamined assumptions and unintended consequences of routine screening for depression
Cosgrove, L., Karter, J. M., Vaswani, A., & Thombs, B. D. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.03.007 · Cited by 26 · see citing works
Acceptance and Commitment group Therapy for patients with multiple functional somatic syndromes: A three-armed trial comparing ACT in a brief and extended version with enhanced care
Pedersen, H. F., Agger, J. L., Frostholm, L., Jensen, J. S., Ørnbøl, E., Fink, P., & Schröder, A. (2019) · Psychological Medicine · doi:10.1017/s0033291718001666 · Cited by 24 · see citing works
“We have previously found that change in symptom catastrophising and illness perceptions partly mediated the treatment effect (Christensen et al., 2015; Frolund Pedersen et al., 2016) and the literature suggests that these elements may play an important role in the perpetuation of FSS and related…”
BackgroundSelf-citation
Dyadic Behavior Change Interventions
Scholz, U., Berli, C., Lüscher, J., & Knoll, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.043 · Cited by 23 · see citing works
Developing Behavior Change Interventions
Hankonen, N. E., & Hardeman, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.021 · Cited by 26 · see citing works
Moving from Theoretical Principles to Intervention Strategies: Applying the Experimental Medicine Approach
Rothman, A. J., Klein, W. M. P., & Sheeran, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.020 · Cited by 25 · see citing works
Predictors of outcome in cognitive and behavioural interventions for irritable bowel syndrome. A meta-analysis.
Radu, M., Moldovan, R., Pintea, S., Băban, A., & Dumitrascu, D. (2018) · Journal of Gastrointestinal and Liver Diseases · doi:10.15403/jgld.2014.1121.273.bab · Cited by 20 · see citing works
“Four studies reported a mean duration of the condition between 8 to 17 years [15, 28, 29, 30].”
BackgroundMethodInfluential
Imagery, Visualization, and Mental Simulation Interventions
Hagger, M. S., & Conroy, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.033 · Cited by 22 · see citing works
Changing Behavior Using the Common-Sense Model of Self-Regulation
Cameron, L. D., Fleszar‐Pavlović, S. E., & Khachikian, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.005 · Cited by 23 · see citing works
Engagement of Stakeholders in the Design, Evaluation, and Implementation of Complex Interventions
Hudson, J. L., Moon, Z., Hughes, L. D., & Moss-Morris, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.024 · Cited by 20 · see citing works
Incentive-Based Interventions
Uri Gneezy, B., Kajackaite, A., & Meier, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.036 · Cited by 20 · see citing works
Third wave treatments for functional somatic syndromes and health anxiety across the age span: A narrative review
Frostholm, L., & Rask, C. U. (2019) · Clinical Psychology in Europe · doi:10.32872/cpe.v1i1.32217 · Cited by 18 · see citing works
Cognitive behavioral therapy reduces illness perceptions and anxiety symptoms in patients with unruptured intracranial aneurysm
Lemos, M., Román-Calderón, J. P., Restrepo, J., Gómez-Hoyos, J. F., & Jiménez, C. (2020) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2020.07.071 · Cited by 18 · see citing works
“One study with functional somatic syndrome patients showed that improvements in illness perceptions during treatment partially mediated the effect of CBT on physical health one year after treatment [24].”
BackgroundResult
Changing Behavior Using Theories at the Interpersonal, Organizational, Community, and Societal Levels
Ruiter, R. A. C., Crutzen, R., de Leeuw, E., & Kok, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.018 · Cited by 17 · see citing works
Loss of resources and demoralization in the chronically ill
Dischinger, M. I., Lange, L. J., & Vehling, S. (2019) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2019.08.002 · Cited by 16 · see citing works
A feasibility investigation of mindfulness-based cognitive therapy for people with Huntington’s disease
Eccles, F. J. R., Craufurd, D., Smith, A. M. S., Davies, R., Glenny, K., Homberger, M., Peeren, S., Rogers, D., Rose, L., Skitt, Z., et al. (2020) · Pilot and Feasibility Studies · doi:10.1186/s40814-020-00631-z · Cited by 16 · see citing works
Changing Behavior Using Social Identity Processes
Reynolds, K. J., Branscombe, N. R., Subašić, E., & Willis, L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.016 · Cited by 17 · see citing works
Illness representations in depression and their association with clinical and treatment outcomes: A systematic review of the literature
Mavroeides, G., & Koutra, K. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100099 · Cited by 16 · see citing works
Illness perception in patients with migraine: An exploratory study in a tertiary care headache centre
Sirri, L., Pierangeli, G., Cevoli, S., Cortelli, P., Grandi, S., & Tossani, E. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.05.011 · Cited by 14 · see citing works
Precollision Medical Diagnoses Predict Chronic Neck Pain Following Acute Whiplash Trauma
Osterland, T. B., Kasch, H., Frostholm, L., Bendix, T., Jensen, T. S., Jensen, J. S., & Carstensen, T. B. W. (2019) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000683 · Cited by 14 · see citing works
“Evaluation of the Hosmer-Lemeshow fit statistic showed a fine model fit: χ2(8)= 13.”
BackgroundMethod
Effectiveness of psychosomatic therapy for patients with persistent somatic symptoms: Results from the CORPUS randomised controlled trial in primary care
Wortman, M. S. H., van der Wouden, J. C., Twisk, J. W. R., Visser, B., Assendelft, W. J., van der Horst, H. E., & Hartman, T. O. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111178 · Cited by 14 · see citing works
Monitoring Interventions
Webb, T. L., & de Bruin, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.037 · Cited by 14 · see citing works
Using Illness Perceptions to Cluster Chronic Pain Patients
Frostholm, L., Hornemann, C., Ørnbøl, E., Fink, P., & Mehlsen, M. Y. (2018) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000627 · Cited by 13 · see citing works
From illness perceptions to illness reality? Perceived consequences and emotional representations relate to handicap in patients with vertigo and dizziness
Wolf, J., Sattel, H. C., Limburg, K., & Lahmann, C. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.109934 · Cited by 13 · see citing works
Critical and Qualitative Approaches to Behavior Change
Chamberlain, K., & Lyons, A. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.030 · Cited by 12 · see citing works
Adolescents with functional somatic syndromes: Symptom profiles, illness perception, illness worry and attachment orientation
Kallesøe, K. H., Rimvall, M. K., Schröder, A., Jensen, J. S., Wicksell, R. K., & Rask, C. U. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110430 · Cited by 12 · see citing works
Maximizing User Engagement with Behavior Change Interventions
Yardley, L., Morrison, L. G., Müller, I., & Bradbury, K. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.025 · Cited by 11 · see citing works
The Science of Behavior Change: The Road Ahead
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.046 · Cited by 11 · see citing works
Gender and Emotional Representation Matter: Own Illness Beliefs and Their Relationship to Obesity
Henning, C., Schroeder, S., Steins‐Loeber, S., & Wolstein, J. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.799831 · Cited by 11 · see citing works
“An association between SIRs and treatment outcomes has been confirmed for several chronic diseases, including asthma (51, 52), diabetes (53), cardiovascular diseases (54, 55), chronic fatigue syndrome (56), and functional somatic syndromes (57).”
Background
Psychosocial treatments for employees with non-specific and persistent physical symptoms associated with indoor air: A randomised controlled trial with a one-year follow-up
Selinheimo, S., Vuokko, A., Hublin, C., Järnefelt, H., Karvala, K., Sainio, M., Suojalehto, H., & Paunio, T. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.109962 · Cited by 9 · see citing works
Symptom perceptions in functional disorders, major health conditions, and healthy controls: A general population study
Weigel, A., Dantoft, T. M., Jørgensen, T., Carstensen, T. B. W., Löwe, B., Weinman, J. A., & Frostholm, L. (2022) · Clinical Psychology in Europe · doi:10.32872/cpe.7739 · Cited by 9 · see citing works
“, 2002) and severe functional disorders (Christensen et al., 2015).”
Background
The relationship between primary cognitive appraisals, illness beliefs, and adaptation to rheumatoid arthritis: A systematic review and meta-analysis
Pankowski, D., Wytrychiewicz‐Pankowska, K., Janowski, K., & Pisula, E. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111074 · Cited by 9 · see citing works
Autonomy-Supportive Interventions
Reeve, J., & Cheon, S. H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.035 · Cited by 9 · see citing works
Implementation Science and Translation in Behavior Change
Łuszczyńska, A., Łobczowska, K., & Horodyska, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.023 · Cited by 9 · see citing works
Functional Neurologic Disorders, disorders to be managed by neurologists, or are neurologists wandering in a dangerous field with inadequate resources?
ONOFRJ, M. C., Ajdinaj, P., Digiovanni, A., Malek, N., Martinotti, G., Ferro, F. M., Russo, M., Thomas, A., & Sensi, S. L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1120981 · Cited by 10 · see citing works
“CBT shows both early and longterm efficacy (148) and is effective in the reduction of PNES (149, 150).”
Background
Self-Control Interventions
de Ridder, D. T. D., Gillebaart, M., & Friese, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.040 · Cited by 9 · see citing works
Goal Setting Interventions
Epton, T., & Armitage, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.038 · Cited by 8 · see citing works
Understanding Perceived Stress in Adolescent Inflammatory Bowel Disease
Sunavsky, A., Moreau, J., & Tripp, D. (2021) · Journal of the Canadian Association of Gastroenterology · doi:10.1093/jcag/gwab036 · Cited by 7 · see citing works
“Addressing illness uncertainty is important; illness uncertainty was shown to be reduced following cognitive behavioural therapy in patients with functional somatic syndrome (49).”
Background
Evaluation of Behavior Change Interventions
Matthews, L., & Simpson, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.022 · Cited by 7 · see citing works
XML The Role of Health Beliefs and Illness Perceptions in Predicting Health-Promoting Behaviors in Cancer Patients
Basharpoor, S. (2018) · doi:10.30699/acadpub.ijhehp.6.2.102 · Cited by 7 · see citing works
Somatic Symptom and Related Disorders
Williams, S. E., Zahka, N. E., & Kullgren, K. A. (2020) · Issues in clinical child psychology · doi:10.1007/978-3-030-35598-2_14 · Cited by 7 · see citing works
Motivational Interviewing Interventions
Berman, A. H., Beckman, M., & Lindqvist, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.045 · Cited by 7 · see citing works
Economic and Behavioral Economic Approaches to Behavior Change
Brown, P. M., Cameron, L. D., Wilkinson, M., & Taylor, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.042 · Cited by 6 · see citing works
Changing Behavior Using Integrative Self-Control Theory
Hofmann, W., Dohle, S., & Diel, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.011 · Cited by 6 · see citing works
Affect-Based Interventions
Conner, M. T., Williams, D. M., & Rhodes, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.034 · Cited by 6 · see citing works
The Impact of Illness Perceptions on Depressive Symptoms Among Benign Prostatic Hyperplasia Patients with Lower Urinary Tract Symptom
Yang, L., Chen, X., Liu, Z., Sun, W., Yu, D., Tang, H., & Zhang, Z. (2021) · International Journal of General Medicine · doi:10.2147/ijgm.s342512 · Cited by 5 · see citing works
“Cognitive behavioural therapy improved IPs in patients with functional somatic syndromes, thus improving physical health, somatic symptoms and illness worry.(45) In a randomized controlled trial of patients with IBD, compared with the control group, those who received acceptance and commitment therapy reported greater…”
Saliva Amylase as a Measure of Sympathetic Change Elicited by Autogenic Training in Patients with Functional Somatic Syndromes
Kiba, T., Kanbara, K., Ban, I., Kato, F., Kawashima, S., Saka, Y., Yamamoto, K., Nishiyama, J., Mizuno, Y., Abe, T., et al. (2015) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-015-9303-z · Cited by 5 · see citing works
“In a recent study, the diagnosis of ‘‘bodily distress syndrome’’ was used as a new criterion for defining FSS (Christensen et al. 2015).”
Method
Addressing Underserved Populations and Disparities in Behavior Change
Schüz, B., & Hooper, M. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.027 · Cited by 5 · see citing works
Associations of Health Symptoms and Perceptions With Work Volition
Bouchard, L., & Nauta, M. M. (2021) · The Career Development Quarterly · doi:10.1002/cdq.12257 · Cited by 5 · see citing works
Changing Behavior in the Digital Age
Kavanagh, D. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.029 · Cited by 4 · see citing works
FuncData - A national database for functional somatic disorders in Denmark
Eefsen, A. M., Petersen, M. W., Vægter, H. B., Fonager, K., Skjernov, M., Gormsen, L. K., & Schröder, A. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111092 · Cited by 5 · see citing works
Can the pain field learn from the functional somatic disorder field?
Gormsen, L. K., Fink, P., Butler, S. H., Henningsen, P., Loeser, J. D., Rief, W., & Finnerup, N. B. (2025) · Pain · doi:10.1097/j.pain.0000000000003733 · Cited by 3 · see citing works
The role of illness perception and behaviour in the treatment of adolescents with multisystem functional somatic disorders: a post hoc mediation analysis of the AHEAD trial
Kallesøe, K. H., Ørnbøl, E., Wellnitz, K. B., & Rask, C. U. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2521719 · Cited by 3 · see citing works
“The current findings corroborate results from studies in adults with both single system FSD (IBS) and multisystem FSD, where changes to more adaptive illness perceptions mediated the effect of CBT (Chilcot & Moss-Morris, 2013; Christensen et al., 2015).”
The mediating role of emotional symptomatology between anticipatory fatigue and the perception of fatigue
Testal, J. F. R., Márquez, S. F., Senín‐Calderón, C., & Carrasco, M. Á. (2016) · Psicothema · doi:10.7334/psicothema2015.246 · Cited by 2 · see citing works
Changing Behavior Using Control Theory
Mansell, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.009 · Cited by 2 · see citing works
Implications of Cognitive-Behavioural Therapy in Changing Illness Representations
Păduraru, A. E., & Soponaru, C. (2021) · Journal of Intercultural Management and Ethics · doi:10.35478/jime.2021.1.04 · Cited by 2 · see citing works
Efficacy of patient education and duloxetine, alone and in combination, for patients with multisystem functional somatic disorder: Study protocol for the EDULOX trial
Jespersen, C. P., Pedersen, H. F., Kleinstäuber, M., Fink, P., Wellnitz, K. B., Ørnbøl, E., Schröder, A., Agger, J. L., Vase, L., Finnerup, N. B., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107524 · Cited by 2 · see citing works
Intervention Planning for the Tinnitus E-Programme 2.0, an Internet-Based Cognitive Behavioral Intervention for Tinnitus
Greenwell, K., Sereda, M., Bradbury, K. J., Geraghty, A. W. A., Coulson, N., & Hoare, D. J. (2021) · American Journal of Audiology · doi:10.1044/2021_aja-20-00131 · Cited by 2 · see citing works
Behavior Change in Community Contexts
Trickett, E. J., & Paterson, S. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.028 · Cited by 2 · see citing works
Stress, depression, and the therapeutic alliance as mediators on the outcome of brief psychodynamic-interpersonal psychotherapy for multisomatoform disorder
Humer, E. C., Sattel, H. C., Gündel, H., Henningsen, P., Kruse, J., Schneider, G., Lahmann, C., Pieh, C., & Probst, T. (2021) · Psychotherapy Research · doi:10.1080/10503307.2021.1882711 · Cited by 2 · see citing works
Cost-Effectiveness Evaluations of Behavior Change Interventions
Wang, T., Downes, M., Byrnes, J., & Scuffham, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.026 · Cited by 1 · see citing works
The role of illness perceptions in epilepsy throughout the lifespan: A systematic review
Rizou, I., Papavasiliou, A. S., van Middendorp, H., & Gucht, V. D. (2025) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2025.10.013 · Cited by 1 · see citing works
Comparing the Mechanism of Change of Cognitive-Behavioral Therapy and Emotion Efficacy Therapy in Improving Psychological Adjustment of Women with Breast Cancer: the Role of Cognitive and Emotional Flexibility, Illness Perception, and Valued Action
Mazloom, M., Mohammadkhani, S., Akbari, M., Hasani, J., & Esfandbod, M. (2023) · International Journal of Cognitive Therapy · doi:10.1007/s41811-023-00180-2 · Cited by 1 · see citing works
“The significant interaction between CBT and IP is consistent with the finding of Christensen et al. (2015) about severe functional somatic syndromes.”
Loss of Resources and Demoralization in the Chronically Ill: A Mediation Model
Dischinger, T., & Inés, M. (2016)

Changes in illness-related cognitions rather than distress mediate improvements in irritable bowel syndrome (IBS) symptoms and disability following a brief cognitive behavioural therapy intervention
Chilcot, J., & Moss-Morris, R. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.07.007 · Cited by 146 · see citing works
Cognitive-behavioural group therapy for severe functional somatic syndromes -treatment model and empirical evidence
Schröder, A. (2014) · Scopus (Elsevier)
Change and Impact of Illness Perceptions among Patients with Non-cardiac Chest Pain or Benign Palpitations Following Three Sessions of CBT
Jonsbu, E., Martinsen, E. W., Morken, G., Moum, T., & Dammen, T. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465813000179 · Cited by 39 · see citing works
Cognitive–behavioural group treatment for a range of functional somatic syndromes: Randomised trial
Schröder, A., Rehfeld, E., Ørnbøl, E., Sharpe, M., Licht, R. W., & Fink, P. (2012) · British Journal of Psychiatry · doi:10.1192/bjp.bp.111.098681 · Cited by 95 · see citing works
Illness Perceptions and Health: Innovations and Clinical Applications
Broadbent, E. (2010) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2010.00260.x · Cited by 21 · see citing works

Authors: Christensen, S. S., Frostholm, L., Ørnbøl, E., & Schröder, A.
Affiliations: Aarhus University Hospital (DK)
Corresponding author: Schröder, Andreas
ORCID: Frostholm, Lisbeth
Ørnbøl, Eva
Schröder, Andreas
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2015-04
Volume: 78
Issue: 4
Pages: 363-370
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2014.12.005
OpenAlex: W2138752739
Cited by: 111
References: 44
Citations by year: 2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 59 · 2019: 8 · 2018: 10 · 2017: 5 · 2016: 6 · 2015: 2
FWCI: 3.31
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Funders: TrygFonden (7-12-1039)
Torkil Steenbeck's Legat; LundbeckFonden (R129-A11720)
Foreningen Østifterne (12-081)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: cognitive behavioral therapy, functional somatic syndromes, illness perception, perceived control, mechanisms of change, somatic symptoms, physical health outcomes, group therapy
MeSH terms: Adult, Anxiety, Female, Humans, Male, Middle Aged, Psychophysiologic Disorders, Surveys and Questionnaires, Social Perception, Syndrome, Cognitive Behavioral Therapy, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Changes in illness perceptions mediated the effect of cognitive behavioural therapy in severe functional somatic syndromes

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks