Wolfson Institute of Preventive Medicine, Centre for Psychiatry, Queen Mary University of London, London, UK.
East London NHS Foundation Trust, Trust Headquarter, Robert Dolan House, 9 Allie Street, E1 8DE, London, UK.
BMC Psychiatry. 2019 Apr 23;19(1):120. doi: 10.1186/s12888-019-2095-6.
Clinical outcomes for patients with heterogeneous somatoform disorder (bodily distress disorder, including medically unexplained symptoms) are suboptimal, new treatments are required to improve acceptance. Body-oriented psychological therapy approaches have been identified as potentially beneficial additions to the portfolio of treatments. This study was aiming to assess the acceptability, the potential benefits, and associated change processes of manualised group body psychotherapy (BPT) for outpatients with Somatoform Disorder.
A randomized controlled feasibility trial was carried out with follow-up at 6 months after baseline assessments using the Primary Health Questionnaire (PHQ), Somatic Symptom Screening Scale (SOMS-7), quality of life ratings (Short-Form Health Survey-36; SF-36) and body image measures (Dresden Body Image Questionnaire). Acceptance was assessed with the Helping Alliance Scale (HAS).
A total of 24 patients were recruited to participate. Sixteen patients were randomly assigned to receive either manualised BPT or TAU, eight patients were directly assigned to BPT. Drop-out rates were acceptable, patients reported to be highly satisfied with the group intervention. Somatic symptom levels reduced significantly in the BPT group. Additionally, a significant effect on self-acceptance and the mental component of quality of life was observed.
Group body psychotherapy is a feasible and acceptable treatment for patients with somatoform disorder and a larger trial studying the effectiveness of BPT in these patients should be conducted.
Retrospectively registered SRCTN12277345 ; Trial Registraton Date: 27/03/2019.
患有躯体形式障碍（包括无法解释的躯体症状的躯体痛苦障碍）的患者的临床结局不佳，需要新的治疗方法来提高治疗效果。身体为导向的心理治疗方法已被确定为治疗方案的潜在有益补充。本研究旨在评估针对躯体形式障碍门诊患者的标准化团体身体心理治疗（BPT）的可接受性、潜在益处和相关变化过程。
采用随机对照可行性试验，在基线评估后 6 个月使用初级保健问卷（PHQ）、躯体症状筛查量表（SOMS-7）、生活质量评分（简明健康调查-36 量表；SF-36）和身体意象测量（德累斯顿身体意象问卷）进行随访。采用帮助联盟量表（HAS）评估可接受性。
共招募了 24 名患者参与。16 名患者被随机分配接受标准化 BPT 或 TAU，8 名患者直接接受 BPT。脱落率可接受，患者报告对团体干预非常满意。BPT 组的躯体症状水平显著降低。此外，还观察到自我接受和生活质量心理成分的显著影响。
团体身体心理治疗是一种可行且可接受的躯体形式障碍患者的治疗方法，应该进行更大规模的试验研究 BPT 在这些患者中的有效性。
SRCTN12277345（2019 年 3 月 27 日注册）。
