IAHRW International Journal of Social Sciences Review

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Treating Somatization:A Multimodal Approach


Affiliations
1 Department of Psychology, RRS College Patliputra University, Patna, Bihar, India
2 Department of Clinical Psychology RINPAS, Ranchi, Jharkhand, India
3 Department of Psychiatry LGBRIMH, Tezpur, Assam, India
     

   Subscribe/Renew Journal


Somatization disorder is a major public health issue for which effective treatment is rarely delivered. Several models of psychotherapy are being practiced in treatment of somatization disorder. The study aimed to assess the efficacy of multimodal psychotherapy package for management of somatization patients on different psychological variables and to see the durability of the therapeutic gains. This study was a center based study using the pre - post design with control group. 30 OPD patients with somatization disorder were selected by purposive sampling technique and divided into two groups' i.e. intervention group and control group using simple random sampling method. Intervention group was given twelve sessions of management package i.e. Symptoms monitoring form, Scheduling of daily activity, Sleep hygiene, Diaphragmatic breathing, Psycho-social Intervention, Psychodynamic individual psychotherapy, Cognitive restructuring (approximately 3 to 4 months). Efficacy and durability were measured by The Bradford Somatic Inventory (BSI), General health Questionnaire-28 GHQ-28), Defense Mechanism Inventory (DMI) and Sack's Sentence Completion Test (SSCT). For baseline analysis of the study variables Mann Whitney U test and Chi square test were done. Wilcoxon Sign Rank test and Mann Whitney U test were done to assess the changes at different time intervals. Results reveals that there is significant differences found among intervention group in comparisons to control group in context of somatic complaints (Bradford Somatic Inventory), quality of life (WHO-Quality of life scale), level of depression (Beck Depression Inventory), and in level of anxiety (IPAT Anxiety Scale). Significant improvement also found between post intervention & follow-up of the intervention group on different study variables. The present study findings established that multimodal psychotherapy program is effective in the improvement of psychological functioning and improvement is also sustained, maintained and improving till follow up sessions.

Keywords

Somatisation, Depression, Anxiety, Quality of Life, Multimodal Approach.
User
Subscription Login to verify subscription
Notifications
Font Size

  • Allen, L.A., Woolfolk, R.L., Lehrer, P.M., Gara, M. A., & Escobar, J.I. (2001). Cognitive behavior therapy for somatization disorder: A preliminary investigation. Journal of Behavior Therapy and Experimental Psychiatry, 32(2), 53-62.

  • Allen, L.A., Woolfolk, R.L., & Escobar, J.I. (2006). Cognitive-behavioral therapy for somatization disorder: Arandomized controlled trial. Archives of Internal Medicine, 766(14), 1512-1518.

  • Bhugra, D., Baldwin, D., & Desai, M. (1997). Focus groups: Implications for primary and cross cultural psychiatry. Primary Care Psychiatry, 3, 45-50.

  • Bakal, D., Steiert, M., Coll, P., & Schaefer, J. (2006). An experiential mind-body approach to the management of medically unexplained symptoms. Medical Hypotheses, 67(6), 1443-1447.

  • De Greek, M., Bolter, A.R, Lehmann, L., Ulrich, C, Stockum, E., Enzi, B., Hoffmann, T., Tempelmann, C, Beutel, M., Frommer, J., & Northoff, G. (2013). Changes in brain activity of somatoform disorder patients during emotional empathy after multimodal psychodynamic psychotherapy. Frontiers in Human Neuroscience, 7, 410.

  • Escobar, J.I., Waitzkin, H., & Silver, R.C. (1998). Abridged somatization: A study in primary care. Psychosomatic Medicine, 60(4), 466-472.

  • Ebigbo, RO. (1982). Development of a culture specific (Nigeria) screening scale of somatic complaints indicating psychiatric disturbance. Culture Medicine and Psychiatry, 6(1),29-43.

  • Egger, N., Konnopka, A., Beutel, M.E., Herpertz, S., Hiller, W., Hoyer, J., Salzer, S., Stangier, U., Strauss, B., Willutzki, U., Wiltink, J., Leichsenring, F, Leibing, E., & Konig, H.H. (2015). Short-term cost-effectiveness of psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder. Journal of Affective Disorders, ISO, 21-28.

  • Fjorback, L.O., Arendt, M., Ornbol, E., Walach, H., Rehfeld, E., & Schroder, A. (2013). Mindfulness therapy for somatization disorder and functional somatic syndromes randomized trial with one-year follow-up. Journal of Psychosomatic Research, 74, 31-40.

  • Flor, H., Fydrich, T., & Turk, D.C. (1992). Efficacy of multi-disciplinary pain treatment centers: ameta-analyticreview. Pain, 49, 221-230.

  • Faravelli, C, Salvatori, S., Galassi, F, Aiazzi, L., Drei, C, & Cabras, R (1997). Epidemiology of somatoform disorders: A community survey in Florence. Social Psychiatry andPsychiatric Epidemiology, 32(1), 24-29.

  • Gili, M., Magallon, R., Lopez-Navarro, E., Roca, M., Morenod, S., Bauza, N., & Garcia-Cammpayo, J. (2014). Health related quality of life changes in somatising patients after individual versus group cognitive behavioural therapy. Journal of Psychosomatic Research, 76, 89-93.

  • Kleinstaeuber, M., Witthoeft, M., & Hiller, W. (2011). Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: A meta- analysis. Clinical Psychology Review, 31, 146-160.

  • Kroenke, K., & Swindle, R. (2000). Cognitive behavioral therapy for somatization and symptom syndromes: A critical review of controlled clinical trials. Psychotherapy andPsychosomatics, 69, 205-215.

  • Larisch, A., Schweickhardt, A., Wirsching, M., & Fritzsche, K. (2004). Psychosocial interventions for somatizing patients by the general practitioner: A randomized controlled trial. Journal of Psychosomatic Research, 57, 507-514.

  • Mc Cahill, M.E. (1995). Focus on the somatoform disorders. Hospital Practice, 30(2), 59,62,65-6.

  • Parker, G., Gladstone, G.L., & Chee, K.T. (2001). Depression in the planets largest ethnic group: The Chinese. The American Journal ofPsychiatry, 158, 857-864.

  • Perez-Benitez, C.I., Zlotnick, C, Gomez, J., Rendon, M.J., & Swanson, A. (2013). Cognitive behavioral therapy for PTSD and somatization: An open trial. Behaviour Research and Therapy, 51(6), 284-289.

  • Pieh, C, Neumeier, S., Loew, T, Altmeppen, J., Angerer, M., Busch, V., & Lahmann, C (2014). Effectiveness of a multimodal treatment program for somatoform pain disorder. Pain Practice, 14(3), E146-E151.

  • Robins, L.N., & Reiger, D. (1991). Psychiatric disorders in America: The epidemiological catchment area study. New York: Free Press.

  • Speckens, A.E.M., Van Hemert, A.M., Bolk, J.H., Hawton, K.E., & Rooijmans, H.G.M. (1995). The acceptability of psychological treatment in patients with medically unexplained physical symptoms. Journal of Psychosomatic Research, 39(7), 855- 863.

  • Sattel, H, Lahmann, C, Gundel, H, Guthrie, E., Kruse, J., & Noll-Hussong, M. (2012). Brief psychodynamic interpersonal psychotherapy for patients with multi somatoform disorder: Randomised controlled trial. The British Journal of Psychiatry, 200, 60-67.

  • Weissman, M.M., Myers, J.K., & Harding, PS. (1978). Psychiatric disorders in a U.S. urban community: 1975-1976. The American Journal ofPsychiatry, 135(4), 459- 462.


Abstract Views: 502

PDF Views: 0




  • Treating Somatization:A Multimodal Approach

Abstract Views: 502  |  PDF Views: 0

Authors

Ranjan Kumar
Department of Psychology, RRS College Patliputra University, Patna, Bihar, India
Masroor Jahan
Department of Clinical Psychology RINPAS, Ranchi, Jharkhand, India
Kangkan Pathak
Department of Psychiatry LGBRIMH, Tezpur, Assam, India

Abstract


Somatization disorder is a major public health issue for which effective treatment is rarely delivered. Several models of psychotherapy are being practiced in treatment of somatization disorder. The study aimed to assess the efficacy of multimodal psychotherapy package for management of somatization patients on different psychological variables and to see the durability of the therapeutic gains. This study was a center based study using the pre - post design with control group. 30 OPD patients with somatization disorder were selected by purposive sampling technique and divided into two groups' i.e. intervention group and control group using simple random sampling method. Intervention group was given twelve sessions of management package i.e. Symptoms monitoring form, Scheduling of daily activity, Sleep hygiene, Diaphragmatic breathing, Psycho-social Intervention, Psychodynamic individual psychotherapy, Cognitive restructuring (approximately 3 to 4 months). Efficacy and durability were measured by The Bradford Somatic Inventory (BSI), General health Questionnaire-28 GHQ-28), Defense Mechanism Inventory (DMI) and Sack's Sentence Completion Test (SSCT). For baseline analysis of the study variables Mann Whitney U test and Chi square test were done. Wilcoxon Sign Rank test and Mann Whitney U test were done to assess the changes at different time intervals. Results reveals that there is significant differences found among intervention group in comparisons to control group in context of somatic complaints (Bradford Somatic Inventory), quality of life (WHO-Quality of life scale), level of depression (Beck Depression Inventory), and in level of anxiety (IPAT Anxiety Scale). Significant improvement also found between post intervention & follow-up of the intervention group on different study variables. The present study findings established that multimodal psychotherapy program is effective in the improvement of psychological functioning and improvement is also sustained, maintained and improving till follow up sessions.

Keywords


Somatisation, Depression, Anxiety, Quality of Life, Multimodal Approach.

References