By Robert L. Woolfolk PhD, Lesley A. Allen Phd
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Extra resources for Treating Somatization: A Cognitive-Behavioral Approach
Short-term dynamically oriented treatments that explore the stress and emotional distress associated with physical symptoms have been studied systematically with patients with IBS. In one study, a short-term dynamic therapy, aimed at “modifying maladaptive behaviour and finding new solutions to problems,” resulted in significantly greater improvement in IBS symptoms than did a standard medical care treatment condition (Svedlund, Sjodin, Ottosson, & Dotevall, 1983). Differences between groups were observed after treatment as well as 1 year later.
DEFINITIONS AND EPIDEMIOLOGY Somatization Disorder Although medicine has long recognized the existence of a group of patients with multiple medically unexplained symptoms and abnormal illness behavior, there has been and continues to be disagreement over the precise diagnostic criteria for somatization disorder. The term somatization disorder was introduced in the third edition of the American Psychiatric Association’s classification system, the Diagnostic and Statistical Manual of Mental Disorders (DSM-III; American Psychiatric Association, 1980).
2000). , 2005). , 1994). Controlled trials have not produced convincing evidence to support the use of most other pharmacological interventions for CFS or for fibromyalgia. , 2001). , 1996; Tofferi, Jackson, & O’Malley, 2004; Yunus, Masi, & Aldag, 1989b). , 2005). Research on pharmacotherapy for IBS provides some support for the use of a few agents. , 2000; Klein, 1988; Talley, 2003). , 2000). Also, two serotonergic medications, tegaserod and alosetron, have received FDA approval for the treatment of IBS, the former for the constipation-predominant type and the latter 36 TREATING SOMATIZATION for the diarrhea-predominant type.
Treating Somatization: A Cognitive-Behavioral Approach by Robert L. Woolfolk PhD, Lesley A. Allen Phd