Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Denmark.
Br J Psychiatry. 2012 Jun;200(6):499-507. doi: 10.1192/bjp.bp.111.098681. Epub 2012 Apr 26.
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.
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.
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.
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.
In the management of functional somatic syndromes, a cognitive-behavioural group treatment was more effective than enhanced usual care.
许多特定于专业的功能性躯体综合征诊断用于描述那些经历所谓的无法解释的症状的人。虽然认知行为疗法在这些综合征的管理中可能是有效的，但它很少被使用。一种适合不同功能性躯体综合征患者的群体治疗的认知行为疗法可以解决这个问题。
测试一种认知行为疗法（专门治疗严重躯体不适综合征，STreSS）对一系列严重功能性躯体综合征患者的疗效。
一项随机对照试验（clinicaltrials.gov，NCT00132197）比较了 STreSS（九个 3.5 小时的疗程，共 4 个月，n = 54）与增强的常规护理（由初级保健医生或医学专家管理，n = 66）。主要结局是在 16 个月时，36 项简短健康调查问卷（身体功能、身体疼痛和活力）子量表的综合评分改善。
接受 STreSS 的参与者在主要结局上有更大的改善（调整后的平均差异 4.0，95%置信区间 1.4-6.6，P = 0.002）和大多数次要结局上有更大的改善。
在功能性躯体综合征的管理中，认知行为团体治疗比增强的常规护理更有效。
