Cognitive–behavioural group treatment for a range of functional somatic syndromes: Randomised trial
Open accessAbstract
Background: Many specialty-specific functional somatic syndrome diagnoses exist to describe people who are experiencing so-called medically unexplained symptoms. Although cognitive–behavioural therapy can be effective in the management of such syndromes, it is rarely available. A cognitive–behavioural therapy suitable for group treatment of people with different functional somatic syndromes could address this problem. Aims: To test the efficacy of a cognitive–behavioural therapy (Specialised Treatment for Severe Bodily Distress Syndromes, STreSS) designed for patients with a range of severe functional somatic syndromes. Method: A randomised controlled trial (clinicaltrials.gov, NCT00132197) compared STreSS (nine 3.5 h sessions over 4 months,n= 54) with enhanced usual care (management by primary care physician or medical specialist,n= 66). The primary outcome was improvement in aggregate score on subscales of the 36-item Short Form Health Survey (physical functioning, bodily pain and vitality) at 16 months. Results: Participants receiving STreSS had a greater improvement on the primary outcome (adjusted mean difference 4.0, 95% CI 1.4–6.6,P= 0.002) and on most secondary outcomes. Conclusions: In the management of functional somatic syndromes, a cognitive–behavioural group treatment was more effective than enhanced usual care.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Based on previous studies, the proportion experiencing a minimum of a 4-point improvement at the primary outcome, the aggregate score, is estimated to be 35-50% in the intervention group and 10-25% in the active control group.
“Based on previous studies, we estimate the proportion experiencing a minimum of a 4-point improvement at the primary outcome, the aggregate score, to be 35–50% in the intervention group and 10–25% in the active control group [[17], [18], [19], [20]].”
From Internet-delivered treatment for patients suffering from severe functional somatic disorders: Protocol for a randomized controlled trial (2023) · cites this paper as [17]
The Outcome measures and Secondary outcomes sections define response as at least a 4-point improvement in the SF-36 aggregate score and report a higher response rate with STreSS than with enhanced usual care. Our copy gives a relative risk of 1.8 and a number needed to treat of 5, but does not provide the group-specific percentages needed to verify the estimated ranges of 35–50% and 10–25%. (LLM, conf=0.77)
Experimental — accuracy not yet measuredClinical trials have provided evidence for an effect of psychological interventions for functional somatic disorder multi-organ type.
“A number of clinical trials have provided evidence for an effect of psychological interventions for FSD multi-organ type [[17], [18], [19]].”
From Internet-delivered treatment for patients suffering from severe functional somatic disorders: Protocol for a randomized controlled trial (2023) · cites this paper as [17]
The aggregate physical health score has previously been used in an RCT with group-based CBT for adults with multiple FSS, i.e. multi-organ BDS.
“The aggregate score has previously been used in an RCT with group-based CBT for adults with multiple FSS, i.e. multi-organ BDS [37].”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [37]
In adults with multiple FSS, a generic group-based treatment approach has been found effective regardless of main symptom.
“In adults with multiple FSS, a generic group-based treatment approach has been found effective regardless of main symptom [37].”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [37]
The SF-36 aggregate score has previously been used as the primary outcome in a comparable trial in adults due to well-known psychometric problems with the existing physical component score (PCS) and based on the rationale that these three subscales have shown to be key domains affected in this patient group.
“This score has previously been used as the primary outcome in a comparable trial in adults39 due to well-known psychometric problems with the existing physical component score (PCS)73 and based on the rationale that these three subscales have shown to be key domains affected in this patient group.74”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
SF-36 health survey: Manual and interpretation guide
Ware, J. (2003) · Medical Entomology and Zoology · Cited by 11,424 · see citing works
Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003) · Medical Care · doi:10.1097/01.mlr.0000062554.74615.4c · Cited by 4,700 · 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
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
Self-citationBARSKY, A. J., Orav, E. J., & Bates, D. W. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.8.903 · Cited by 912 · see citing works
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
Self-citationManagement 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
Deary, V., Chalder, T., & Sharpe, M. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.07.002 · Cited by 480 · see citing works
Self-citationEfficacy of treatment for somatoform disorders: a review of randomized controlled trials
Kroenke, K. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31815b00c4 · Cited by 450 · see citing works
Explaining medically unexplained symptoms-models and mechanisms
Rief, W., & Broadbent, E. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.07.005 · Cited by 412 · see citing works
Cognitive behaviour therapy for chronic fatigue syndrome in adults
Price, J. R., Mitchell, E., Tidy, E., & Hunot, V. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001027.pub2 · Cited by 401 · 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
Fink, P., & Schröder, A. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.02.004 · Cited by 334 · see citing works
Self-citationScreening 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
Self-citationFink, P., Toft, T., Hansen, M. S., Ørnbøl, E., & Olesen, F. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31802e46eb · Cited by 314 · see citing works
Self-citationSimon, G. E., Gater, R. A., Kisely, S. R., & Piccinelli, M. P. (1996) · Psychosomatic Medicine · doi:10.1097/00006842-199609000-00010 · Cited by 237 · see citing works
The use of hospitalizations by persistent somatizing patients
Fink, P. (1992) · Psychological Medicine · doi:10.1017/s0033291700032827 · Cited by 218 · see citing works
Self-citationKleinstäuber, M., Witthöft, M., & Hiller, W. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.09.001 · Cited by 212 · see citing works
“Unexplained” Somatic Symptoms, Functional Syndromes, and Somatization: Do We Need a Paradigm Shift?
Sharpe, M., & Carson, A. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-9_part_2-200105011-00018 · Cited by 209 · see citing works
Self-citationCognitive-Behavioral Therapy for Somatization Disorder: A Randomized Controlled Trial
Allen, L. A., Woolfolk, R. L., Escobar, J. I., Gara, M. A., & Hamer, R. M. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.14.1512 · Cited by 209 · see citing works
Graphical method for depicting randomised trials of complex interventions
Perera, R., Heneghan, C. J., & Yudkin, P. L. (2007) · BMJ · doi:10.1136/bmj.39045.396817.68 · Cited by 182 · see citing works
Psychological treatments for the management of irritable bowel syndrome
Zijdenbos, I. L., de Wit, N. J., van der Heijden, G. J., Rubin, G., & Quartero, A. O. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006442.pub2 · Cited by 180 · see citing works
Surgery and medical treatment in persistent somatizing patients
Fink, P. (1992) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(92)90004-l · Cited by 172 · see citing works
Self-citationDonta, S. T., Clauw, D. J., Engel, C. C., Guarino, P., Peduzzi, P., Williams, D. A., Skinner, J. S., Barkhuizen, A., Taylor, T., Kazis, L. E., et al. (2003) · JAMA · doi:10.1001/jama.289.11.1396 · Cited by 160 · 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
Quest, chaos and restitution: Living with chronic fatigue syndrome/myalgic encephalomyelitis
Whitehead, L. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.09.008 · Cited by 129 · see citing works
Somatoform disorders: severe psychiatric illnesses neglected by psychiatrists
Bass, C., Peveler, R., & House, A. O. (2001) · The British Journal of Psychiatry · doi:10.1192/bjp.179.1.11 · Cited by 111 · see citing works
Pathophysiologic mechanisms of fibromyalgia and its related disorders.
Bradley, L. A. (2008) · PubMed · Cited by 96 · see citing works
Walwyn, R., & Roberts, C. (2010) · Statistical Methods in Medical Research · doi:10.1177/0962280209105017 · Cited by 93 · see citing works
The SF-36 scales are not accurately summarised by independent physical and mental component scores.
Hann, M., & Reeves, D. (2008) · Quality of Life Research · doi:10.1007/s11136-008-9310-0 · Cited by 73 · see citing works
Fernandez, E. F. (2006) · Elsevier eBooks · doi:10.1016/b978-032303734-1.50032-1 · Cited by 70 · see citing works
The Course of Nonspecific Chest Pain in Primary Care
Glombiewski, J. A. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.474 · Cited by 55 · see citing works
A brief diagnostic screening instrument for mental disturbances in general medical wards
Fink, P., Ørnbøl, E., Huyse, F. J., de Jonge, P., Lobo, A., Herzog, T. R., Slaets, J. P. J., Arolt, V., Cardoso, G., Rigatelli, M., et al. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00374-x · Cited by 54 · see citing works
Self-citationShould general psychiatry ignore somatization and hypochondriasis?
Creed, F. H. (2006) · Europe PMC (PubMed Central) · Cited by 41 · see citing works
Should Rheumatologists Retain Ownership of Fibromyalgia?
Shir, Y., & Fitzcharles, M. (2009) · The Journal of Rheumatology · doi:10.3899/jrheum.081073 · Cited by 41 · see citing works
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-citationWalwyn, R. E. A., Potts, L. C., McCrone, P., Johnson, A. L., DeCesare, J. C., Baber, H., Goldsmith, K., Sharpe, M., Chalder, T., & White, P. D. (2013) · Trials · doi:10.1186/1745-6215-14-386 · Cited by 30 · see citing works
Self-citationPotential Mechanisms in Chemical Intolerance and Related Conditions
Clauw, D. J. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05828.x · Cited by 28 · see citing works
Schröder, A., & Fink, P. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.06.013 · Cited by 26 · see citing works
Self-citationAssessment of Patients with Fibromyalgia Syndrome
Mease, P. J. (2008) · Journal of Musculoskeletal Pain · doi:10.1080/10582450801960347 · Cited by 20 · see citing works
Feinstein, A. R. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(00)00374-7 · Cited by 19 · see citing works
Neuroimaging in Functional Somatic Syndromes
Wood, P. B. (2005) · International review of neurobiology · doi:10.1016/s0074-7742(05)67005-5 · Cited by 18 · see citing works
Shelton, J. S., & Beach, J. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0101 · Cited by 14 · see citing works
Nielsen, J. M., Vedsted, P., & Olesen, F. (2002) · PubMed · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [25]25. Ware JE, Kosinski M. SF-36 Physical and Mental Health Summary Scales: A Manual for Users of Version 1, Second Edition. Quality Metric, 2001.
- [29]29. Derogatis LR, Cleary PA. Confirmation of the dimensional structure of the SCL-90: A study in construct validation. J Clin Psychol 1977; 33: 981-9.
Cited by
Sorted by citations
van Dessel, N., den Boeft, M., van der Wouden, J. C., Kleinstäuber, M., Leone, S. S., Terluin, B., Numans, M. E., van der Horst, H. E., & van Marwijk, H. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011142.pub2 · Cited by 302 · see citing works
Rief, W., & Martin, A. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153745 · Cited by 251 · see citing works
Hvidberg, M. F., Brinth, L., Olesen, A. V., Petersen, K. D., & Ehlers, L. (2015) · PLoS ONE · doi:10.1371/journal.pone.0132421 · Cited by 197 · see citing works
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
Fjorback, L. O., Arendt, M., Ørnbøl, E., Walach, H., Rehfeld, E., Schröder, A., & Fink, P. (2013) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.09.006 · Cited by 144 · see citing works
Self-citationLaird, K. T., Tanner-Smith, E., Russell, A. C., Hollon, S., & Walker, L. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.11.001 · Cited by 140 · see citing works
Rief, W., Burton, C., Frostholm, L., Henningsen, P., Kleinstäuber, M., Kop, W. J., Löwe, B., Martin, A., Malt, U., Rosmalen, J., et al. (2017) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000502 · Cited by 129 · see citing works
Self-citationBodily distress syndrome: a new diagnosis for functional disorders in primary care?
Budtz-Lilly, A., Schröder, A., Rask, M. T., Fink, P., Vestergaard, M., & Rosendal, M. (2015) · BMC Family Practice · doi:10.1186/s12875-015-0393-8 · Cited by 115 · see citing works
Self-citationChristensen, S. S., Frostholm, L., Ørnbøl, E., & Schröder, A. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.12.005 · Cited by 111 · see citing works
Self-citationCastelnuovo, G., Giusti, E. M., Manzoni, G. M., Saviola, D., Gatti, A., Gabrielli, S., Lacerenza, M., Pietrabissa, G., Cattivelli, R., Spatola, C. A. M., et al. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00115 · Cited by 91 · see citing works
Bonvanie, I. J., Kallesøe, K. H., Janssens, K. A. M., Schröder, A., Rosmalen, J. G. M., & Rask, C. U. (2017) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2017.03.017 · Cited by 84 · see citing works
Self-citationRask, M. T., Ørnbøl, E., Rosendal, M., & Fink, P. (2017) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000405 · Cited by 81 · see citing works
Self-citationSchaefert, R., Kaufmann, C., Wild, B., Schellberg, D., Boelter, R., Faber, R., Szécsényi, J., Sauer, N., Guthrie, E., & Herzog, W. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000343652 · Cited by 69 · see citing works
Stigsdotter, U. K., Corazon, S. S., Sidenius, U., Nyed, P. K., Larsen, H. B., & Fjorback, L. O. (2018) · The British Journal of Psychiatry · doi:10.1192/bjp.2018.2 · Cited by 59 · see citing works
Corazon, S. S., Nyed, P. K., Sidenius, U., Poulsen, D. V., & Stigsdotter, U. K. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15010137 · Cited by 58 · see citing works
Agger, J. L., Schröder, A., Gormsen, L. K., Jensen, J. S., Jensen, T. S., & Fink, P. K. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30126-8 · Cited by 52 · see citing works
Self-citationBudtz-Lilly, A., Vestergaard, M., Fink, P., Carlsen, A. H., & Rosendal, M. (2015) · British Journal of General Practice · doi:10.3399/bjgp15x686545 · Cited by 51 · see citing works
Self-citationBriquet syndrome revisited: implications for functional neurological disorder
Maggio, J., Alluri, P. R., Paredes-Echeverri, S., Larson, A. G., Sojka, P., Price, B. H., Aybek, S., & Perez, D. L. (2020) · Brain Communications · doi:10.1093/braincomms/fcaa156 · Cited by 49 · 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
Self-citationThe prognosis of bodily distress syndrome: a cohort study in primary care
Budtz-Lilly, A., Vestergaard, M., Fink, P., Carlsen, A. H., & Rosendal, M. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.08.002 · Cited by 41 · see citing works
Self-citationWhy Bioethics Should Be Concerned With Medically Unexplained Symptoms
O’Leary, D. (2018) · The American Journal of Bioethics · doi:10.1080/15265161.2018.1445312 · Cited by 42 · see citing works
Maroti, D., Lumley, M. A., Schubiner, H., Lilliengren, P., Bileviciute-Ljungar, I., Ljótsson, B., & Johansson, R. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111068 · Cited by 40 · see citing works
Ionescu, C. G., Popa-Velea, O., Mihăilescu, A. I., Talasman, A., & Bădărău, I. A. (2021) · Healthcare · doi:10.3390/healthcare9091128 · Cited by 42 · see citing works
Menon, V., Rajan, T. M., Kuppili, P. P., & Sarkar, S. (2017) · Indian Journal of Psychological Medicine · doi:10.4103/ijpsym.ijpsym_17_17 · Cited by 40 · see citing works
RIFD – A brief clinical research interview for functional somatic disorders and health anxiety
Petersen, M. W., Schröder, A., Jørgensen, T., Ørnbøl, E., Dantoft, T. M., Eliasen, M., & Fink, P. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.04.001 · Cited by 38 · see citing works
Self-citationFjorback, L. O., Carstensen, T. B. W., Arendt, M. C. B. B., Ørnbøl, E., Walach, H., Rehfeld, E., & Fink, P. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.09.010 · Cited by 35 · see citing works
Self-citationStapersma, 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
Maroti, D., Ek, J., Widlund, R.-M., Schubiner, H. H., Lumley, M. A., Lilliengren, P., Bilevičiūtė-Ljungar, I., Ljótsson, B., & Johansson, R. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.620359 · Cited by 32 · see citing works
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
“In adults with multiple FSS, a generic group-based treatment approach has been found effective regardless of main symptom [37].”
BackgroundSelf-citationMedically unexplained symptom management
Schröder, A., Sharpe, M., & Fink, P. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00233-3 · Cited by 27 · see citing works
Self-citationPetersen, M. W., Rosendal, M., Ørnbøl, E., Fink, P., Jørgensen, T., Dantoft, T. M., & Schröder, A. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-042880 · Cited by 26 · see citing works
Self-citationElectroconvulsive therapy treatment in patients with somatic symptom and related disorders
Leong, K., Vila‐Rodriguez, F., Tham, J. C. W., & Scamvougeras, A. (2015) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s90969 · Cited by 26 · see citing works
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
“Furthermore, all patients are given a thorough assessment providing them with a positive and evidence-based understanding of their illness,(88) 89 and the treatment model is developed based on treatments with proven effect for both paediatric and adult patients with FSS and related disorders.(39) 40 44 Bias is minimis…”
BackgroundMethodSelf-citationSwainston, K., Thursby, S., Bell, B., Poulter, H., Dismore, L., & Copping, L. (2023) · British Journal of Health Psychology · doi:10.1111/bjhp.12613 · Cited by 25 · see citing works
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
Self-citationSchröder, A., Ørnbøl, E., Jensen, J. S., Sharpe, M., & Fink, P. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.01.005 · Cited by 25 · see citing works
Self-citationPedersen, 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
Self-citationA history of liaison psychiatry in the UK
Aitken, P., Lloyd, G., Mayou, R., Bass, C., & Sharpe, M. (2016) · BJPsych Bulletin · doi:10.1192/pb.bp.116.053728 · Cited by 24 · see citing works
Self-citationBerens, S., Stroe‐Kunold, E., Kraus, F., Tesarz, J., Gauss, A., Niesler, B., Herzog, W., & Schaefert, R. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.12.002 · Cited by 23 · see citing works
Evaluating Commonalities Across Medically Unexplained Symptoms
Guo, D., Kleinstäuber, M., Johnson, M. H., & Sundram, F. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16050818 · Cited by 23 · see citing works
Gottschalk, J.-M., Bleichhardt, G., Kleinstäuber, M., Berking, M., & Rief, W. (2015) · Verhaltenstherapie · doi:10.1159/000371526 · Cited by 17 · see citing works
Chalder, T., Patel, M., Hotopf, M. H., Moss-Morris, R. E., Ashworth, M. J., Watts, K., David, A. S., McCrone, P., Husain, M., Garrood, T., et al. (2021) · Psychological Medicine · doi:10.1017/s0033291721001793 · Cited by 20 · see citing works
Drop-out from a psychodynamic group psychotherapy outpatient unit
Jensen, H. H., Mortensen, E. L., & Lötz, M. (2014) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2014.902499 · Cited by 20 · see citing works
Kallesøe, K. H., Schröder, A., Jensen, J. S., Wicksell, R. K., & Rask, C. U. (2021) · JCPP Advances · doi:10.1002/jcv2.12047 · Cited by 19 · see citing works
Self-citationLind, A. B., Delmar, C., & Nielsen, K. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.07.015 · Cited by 19 · see citing works
Three different approaches to delimitation of functional somatic disorders: DanFunD
Petersen, M. W., Schröder, A., Eliasen, M., Fink, P., Dantoft, T. M., & Jørgensen, T. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110475 · Cited by 19 · see citing works
Self-citationPetersen, M. W., Carstensen, T. B. W., Frostholm, L., Wellnitz, K. B., Ørnbøl, E., Jørgensen, T., Eplov, L. F., Dantoft, T. M., & Fink, P. (2023) · Clinical Epidemiology · doi:10.2147/clep.s399914 · Cited by 17 · see citing works
Self-citationMedically Unexplained Symptoms and Attachment Theory: The BodyMind Approach®
Payne, H., & Brooks, S. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01818 · Cited by 18 · see citing works
Skovenborg, E. L., & Schröder, A. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.09.006 · Cited by 15 · see citing works
Self-citationNetwork analysis of persistent somatic symptoms in two clinical patient samples
Senger, K., Heider, J., Kleinstäuber, M., Sehlbrede, M., Witthöft, M., & Schröder, A. (2022) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000999 · Cited by 14 · see citing works
Self-citationA cognitive behavioural group treatment for somatic symptom disorder: a pilot study
Jongsma, K., Darboh, B. S., Davis, S. M., & MacKillop, E. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05141-9 · Cited by 13 · see citing works
Is psychotherapy for functional somatic syndromes harmful? A mixed methods study on negative effects
Holsting, A. F., Pedersen, H. F., Rask, M. T., Frostholm, L., & Schröder, A. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.05.010 · Cited by 13 · see citing works
Self-citationPetersen, M. W., Skovenborg, E. L., Rask, C. U., Høeg, M. D., Ørnbøl, E., & Schröder, A. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.11.005 · Cited by 13 · see citing works
Self-citationRasmussen, S., Jensen, C. T., Rosendal, M., Vægter, H. B., Søndergaard, J., & Jarbøl, D. E. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.109941 · Cited by 13 · see citing works
Nicklas, L., Albiston, M., Dunbar, M., Gillies, A. C., Hislop, J., Moffat, H., & Thomson, J. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08158-0 · Cited by 12 · see citing works
Carlier, I. V. E., Wiltens, D. H. A., van Rood, Y. R., van Veen, T., Dekker, J., & van Hemert, A. M. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2191 · Cited by 10 · see citing works
The use of prescription medication in 239 patients with multiple functional somatic syndromes
Agger, J. L., Fink, P., Gormsen, L. K., Jensen, T. S., & Schröder, A. (2018) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2018.02.001 · Cited by 10 · see citing works
Self-citationMoving on: the BodyMind Approach<sup>TM</sup>for medically unexplained symptoms
Payne, H., & Brooks, S. D. M. (2017) · Journal of Public Mental Health · doi:10.1108/jpmh-10-2016-0052 · Cited by 9 · see citing works
Demirci, O. O., Sağaltıcı, E., Yıldırım, A., & Boysan, M. (2017) · Sleep and Hypnosis · doi:10.5350/sleep.hypn.2017.19.0146 · Cited by 9 · see citing works
Somatoforme Störungen – somatoforme Belastungsstörung und verwandte Störungen
Kapfhammer, H. (2017) · Springer eBooks · doi:10.1007/978-3-662-49295-6_74 · Cited by 8 · see citing works
Hornemann, C., Schröder, A., Ørnbøl, E., Christensen, N. B., Høeg, M. D., Mehlsen, M., & Frostholm, L. (2020) · European Journal of Pain · doi:10.1002/ejp.1486 · Cited by 8 · see citing works
Self-citationKallesøe, K. H., Wellnitz, K. B., Ørnbøl, E., & Rask, C. U. (2023) · Children · doi:10.3390/children10071101 · Cited by 7 · see citing works
Self-citationHybelius, J., Gustavsson, A., Hammarberg, S. A. W., Toth-Pal, E., Johansson, R., Ljótsson, B., & Axelsson, E. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-01105-0 · Cited by 7 · see citing works
Raasthøj, I., Rasmussen, S., Carstensen, T. B. W., Wehberg, S., Rosendal, M., & Jarbøl, D. E. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111140 · Cited by 7 · see citing works
Role of mental health professionals in the management of functional somatic symptoms in primary care
Morriss, R. K. (2012) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.111.104083 · Cited by 7 · see citing works
Pedersen, H. F., Lamm, T. T., Fink, P., Ørnbøl, E., & Frostholm, L. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101069 · Cited by 4 · see citing works
“Furthermore, participants should have had an affiliation to the labour market or educational Abbreviations: FSD Functional somatic disorders FSS Functional somatic syndromes RCT Randomized controlled trial CBT Cognitive Behavioural Therapy DeFuD The Department for Functional Disorders AUH Aarhus University Hospital PH…”
MethodInfluentialSelf-citationPredictors of non-responding in short-term psychodynamic group therapy
Jensen, H. H., Mortensen, E. L., & Lötz, M. (2017) · Nordic Psychology · doi:10.1080/19012276.2017.1323664 · Cited by 4 · see citing works
Sitnikova, K., Leone, S. S., Zonneveld, L. N. L., van Marwijk, H., Bosmans, J. E., van der Wouden, J. C., & van der Horst, H. E. (2017) · Trials · doi:10.1186/s13063-017-1951-2 · Cited by 4 · 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
Self-citationMindfulness for the Treatment of Stress Disorders
Pallesen, K. J., Dahlgaard, J., & Fjorback, L. O. (2015) · Springer eBooks · doi:10.1007/978-3-319-22255-4_8 · Cited by 3 · see citing works
Patients with severe ME/CFS need hope and expert multidisciplinary care
Miller, A., Symington, F., Garner, P., & Pedersen, M. (2025) · BMJ · doi:10.1136/bmj.r977 · Cited by 2 · see citing works
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
Self-citationJespersen, 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
Self-citationRaasthøj, I., Jarbøl, D. E., Rasmussen, S., Carstensen, T. B. W., & Rosendal, M. (2024) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2024.10.005 · Cited by 2 · see citing works
Zur Bedeutung der Gruppenleitung für therapeutische Prozesse in der Gruppe
Tschuschke, V., Baumbach, N., Rembold, S. M. E., Horn, E., & Tress, W. (2020) · Gruppenpsychotherapie und Gruppendynamik · doi:10.13109/grup.2020.56.2.109 · Cited by 2 · see citing works
Wang, Y., Li, L., Huang, L., Ma, J., Zheng, L., Fritzsche, K., Leonhart, R., Toussaint, A.-K., Schaefert, R., & Zhang, L. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115660 · Cited by 2 · see citing works
Agger, J. L., Schröder, A., Ørnbøl, E., Jensen, J. S., Pedersen, H. F., Fink, P., & Gormsen, L. K. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114474 · Cited by 1 · see citing works
Self-citationTreatment Course Comparison Between Anxiety-Related Disorders in Adult Outpatients
Carlier, I. V. E., van der Elst, L. V., de Jong, K., & van Vliet, I. M. (2023) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001667 · Cited by 1 · see citing works
Petersen, M. W., Wellnitz, K. B., Oernboel, E., Carstensen, T. B. W., Dantoft, T. M., Bjerregaard, A. A., Joergensen, T., & Fink, P. (2025) · BMJ Public Health · doi:10.1136/bmjph-2025-003318 · Cited by 1 · see citing works
Self-citationEffectiveness of Cardiovascular Specific Psychotherapy on Heart Disease Patients’ Quality of Life
Shal, R. S., Sharbaf, H. A., abdkhodaie, M. S., & Tayyebi, M. (2016) · ranian Journal of Health Education and Health Promotion · doi:10.18869/acadpub.ihepsaj.4.3.244 · Cited by 1 · see citing works
Somatoforme Störungen – somatoforme Belastungsstörung und verwandte Störungen
Kapfhammer, H. (2016) · Springer eBooks · doi:10.1007/978-3-642-45028-0_74-1 · Cited by 1 · see citing works
Ohta, D. (2017) · Journal of General and Family Medicine · doi:10.1002/jgf2.45
Sollmann, U., Li, W., & Haojie, W. (2017) · International journal of body, mind and culture · doi:10.22122/ijbmc.v4i2.96
Medical and Behavioral Health Information Gathering by Value-Based Integrated Case Managers
Kathol, R. G., Andrew, R. L., Squire, M., & Dehnel, P. J. (2018) · Springer eBooks · doi:10.1007/978-3-319-74742-2_9
Psychosomatic Medicine: The British Experience
Aitken, P., & Lloyd, G. (2019) · Springer eBooks · doi:10.1007/978-3-030-12584-4_10
Somatic Symptom and Related Disorders
Reichenberg, L. W., & Seligman, L. (2016) · doi:10.1002/9781394259465.ch10
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986608
Self-citationKallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986599
Self-citationKallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986602
Self-citationKallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986605
Self-citationHybelius, J., Gustavsson, A., af Winklerfelt Hammarberg, S., Toth-Pal, E., Johansson, R., Ljótsson, B., & Axelsson, E. (2022) · Figshare · doi:10.6084/m9.figshare.20342406
A nationwide healthcare program for functional somatic disorders (FSD) in Denmark
Gormsen, L. K., Rosendal, M., & Fink, P. (2026) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2026.112664
Self-citationPetersen, M. W., Carstensen, T. B. W., Wellnitz, K. B., Ørnbøl, E., Dantoft, T. M., Eplov, L. F., Frostholm, L., & Fink, P. (2026) · Research Square · doi:10.21203/rs.3.rs-9551629/v1
Self-citationLamm, T. T., Frostholm, L., & Pedersen, H. F. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100953
Holst, I. P. R., Jarbøl, D. E., Wehberg, S., Carstensen, T. B. W., Balasubramaniam, K., & Sætre, L. M. S. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1766709
- Authors
- Schröder, A., Rehfeld, E., Ørnbøl, E., Sharpe, M., Licht, R. W., & Fink, P.
- Affiliations
- Aarhus University Hospital (DK)
- University of Oxford (GB)
- Corresponding author
- Schröder, Andreas
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2012-06
- Volume
- 200
- Issue
- 6
- Pages
- 499-507
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2160493942
- Cited by
- 95
- References
- 46
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 6 · 2020: 9 · 2019: 7 · 2018: 8 · 2017: 15 · 2016: 9 · 2015: 8 · 2014: 5 · 2013: 1 · 2012: 4
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Aarhus Universitet
- Aarhus Universitetshospital
- A.P. Møller og Hustru Chastine Mc-Kinney Møllers Fond til almene Formaal
- Region Midtjylland
- Fonden til Lægevidenskabens Fremme
- 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
- functional somatic syndromes, cognitive behavioral therapy, group therapy, medically unexplained symptoms, stress, physical function, bodily pain, vitality, usual care comparison, primary care
- MeSH terms
- Adult, Female, Health Status, Humans, Male, Somatoform Disorders, 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
