Psychobiological perspectives on somatoform disorders.

Abstract:

:Common physical symptoms such as abdominal pain, headache, back pain and dizziness play a major role for the health care system. Existing models for the development and maintenance of these symptoms emphasize a vicious circle with cognitive-perceptual, behavioral, and psychobiological components. In this manuscript, we present examples of psychobiological factors that might contribute to somatoform disorders. We emphasize that somatoform symptoms are not strictly mental events, but are associated with a diversity of biological processes. The possible role of the endocrine and immune system, amino acids and neurotransmitters, but also physiological activation and cerebral activity is exemplified. These approaches are categorized using a model of perception and filtering of bodily signals. Studies are needed that combine the investigation of different biological systems with assessments of psychological variables in longitudinal trials, but also experimental investigations in humans examining the interaction of behavior changes, biological variations, and body perception are still rare.

journal_title

Psychoneuroendocrinology

authors

Rief W,Barsky AJ

doi

10.1016/j.psyneuen.2005.03.018

keywords:

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

996-1002

issue

10

eissn

0306-4530

issn

1873-3360

pii

S0306-4530(05)00101-0

journal_volume

30

pub_type

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