Slide presentation: Per Fink: Somatoform disorders – functional somatic syndromes – Bodily distress syndrome (EACLPP lecture, June 2012)
August 2, 2012
Slide presentation: Per Fink: Somatoform disorders – functional somatic syndromes – Bodily distress syndrome (EACLPP lecture, June 2012)
Post #197 Shortlink: http://wp.me/pKrrB-2pN
23 slides in PDF format (i.e. no PowerPoint viewer required)
EACLPP Per Fink Somatoform Disorders
Aarhus University Hospital
The Research Clinic for Functional Disorders and Psychosomatics
Somatoform disorders – functional somatic syndromes – Bodily distress syndrome.
Need for care and organisation of care in an international perspective – EACLPP Lecture
Prof. Per Fink
MD, Ph.D, Dr.Med.Sc.
June 2012 EACLPP Annual Conference*
*The European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and the European Network of Psychosomatic Medicine (ECPR) have recently merged the two associations to create a new society – the European Association of Psychosomatic Medicine (EAPM).
The Annual Scientific Meeting of the European Association for Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and the European Conference on Psychosomatic Research (ECPR) was entitled
“Towards a New Agenda: Cross-disciplinary Approach to Psychosomatic Medicine”
The conference was held in the city of Aarhus, Denmark, on 27 – 30 June 2012.
For last year’s conference, a report was published. I will post any report coming out of this year’s conference.
A Conference Abstract document be accessed here:
http://www.eaclpp-ecpr2012.dk/Home/DownloadOral
Selected Extracts:
Page 61 Nagel A
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf & Schön Klinik Hamburg-Eilbek, Germany, Voigt K Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg- Eppendorf & Schön Klinik Hamburg-Eilbek, Germany
Diagnostic validity of Complex Somatic Symptom Disorder: Which combination of psychological criteria is best suited for DSM-5?
Page 17 Budtz-Lilly A
The Research Unit for General Practice, School of Public Health, Aarhus University, Denmark
Bodily Distress Syndrome: A new diagnosis for functional disorders in primary care
Page 19 Escobar J
Robert Wood Johnson Medical School, New Brunswick, NJ, USA
An Update on DSM-5
Page 32 Fjorback L
Aarhus University Hospital, Research Clinic for Functional Disorders and Psychosomatics
Mindfulness Therapy for Bodily Distress Syndrome – randomized trial, one-year follow-up, active control
Notes on Fink et al and Bodily Distress Syndrome (BDS)
According to Fink and colleagues, Bodily Distress Syndrome is a unifying diagnosis that encompasses somatization disorder, so-called “medically unexplained symptoms” (MUS), fibromyalgia, irritable bowel syndrome and chronic fatigue syndrome and some other conditions which they consider to be closely related, with a likely shared underlying aetiology.
See paper: Fink P, Schröder A. One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders J Psychosom Res. 2010 May;68(5):415-26.
See article: Per Fink,a Marianne Rosendal b Understanding and Management of Functional Somatic Symptoms in Primary Care: The Concept of Functional Somatic Symptoms
aResearch Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Denmark
bResearch Unit for General Practice, University of Aarhus, Denmark
See Per Fink’s clinical trial for BDS: http://clinicaltrials.gov/ct2/show/NCT01518647
See BDS clinician/patient manual: Specialised Treatment for Severe Bodily Distress Syndromes (STreSS)
According to a June 2012 EACLPP Conference Abstract, the concept of Bodily Distress Syndrome (BDS) “is expected to be integrated into the upcoming versions of classification systems.”
The potential for inclusion of Bodily Distress Disorder/Syndrome within ICD-11 could have significant implications for patients, globally, who are diagnosed with one of the so-called “functional somatic syndromes.” These proposals require very close monitoring by patient organizations in those countries that will be implementing ICD-11, post 2015.
Research and clinical professionals, patient organizations and their professional advisors can register now with ICD Revision for input into the ongoing drafting process and urge organizations and professionals to engage in this process.
Abstracts, oral presentations, EACLPP Conference: 27 – 30 June 2012, Aarhus University Campus, Aarhus – Denmark
http://www.eaclpp-ecpr2012.dk/Home/DownloadOral
Extracts
Page 17 Budtz-Lilly A
The Research Unit for General Practice, School of Public Health, Aarhus University, Denmark
Bodily Distress Syndrome: A new diagnosis for functional disorders in primary care
Aim: Medically unexplained or functional symptoms and disorders are common in primary care. Empirical research has proposed specific criteria for a new unifying diagnosis for functional disorders and syndromes: Bodily Distress Syndrome (BDS). This new concept is expected to be integrated into the upcoming versions of classification systems.
And from Page 31 of the Conference Abstracts:
Fjorback L
Aarhus University Hospital, Research Clinic for Functional Disorders and Psychosomatics
Mindfulness Therapy for Bodily Distress Syndrome – randomized trial, one-year follow-up, active control
Objective: To conduct a feasibility and efficacy trial of mindfulness therapy in somatization disorder and functional somatic syndromes such as fibromyalgia, irritable bowel syndrome, and chronic fatigue syndrome, defined as bodily distress syndrome (BDS)…
References and related material:
1] Patients with medically unexplained symptoms and somatisation – a challenge for European health care systems: A white paper of the EACLPP Medically Unexplained Symptoms study group by Peter Henningsen and Francis Creed: http://www.eaclpp.org/working_groups.html
http://www.eaclpp.org/documents/Patientswithmedicallyunexplainedsymptomsandsomatisation_000.doc
2] Creed F, Guthrie E, Fink P, Henningsen P, Rief W, Sharpe M and White. Is there a better term than “Medically unexplained symptoms”? J Psychosom Res: Volume 68, Issue 1, Pages 5-8 January 2010) discusses the deliberations of the EACLPP MUS study group. Editorial also includes references to the DSM and ICD revision processes: http://www.ncbi.nlm.nih.gov/pubmed/20004295
3] Fink P, Schröder A. One single diagnosis, bodily distress syndrome, succeeded to capture 10 diagnostic categories of functional somatic syndromes and somatoform disorders. J Psychosom Res. 2010 May;68(5):415-26. The Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, 8000 Aarhus, Denmark:
http://www.ncbi.nlm.nih.gov/pubmed/20403500
Fink P, Toft T, Hansen MS, Ørnbøl E, Olesen F. Symptoms and syndromes of bodily distress: an exploratory study of 978 internal medical, neurological, and primary care patients. Psychosom Med. 2007 Jan;69(1):30-9.
http://www.ncbi.nlm.nih.gov/pubmed/17244846
Full text: http://www.psychosomaticmedicine.org/content/69/1/30.full
Fink P, Rosendal, M. Recent developments in the understanding and management of functional somatic symptoms in primary care. Current Opinion in Psychiatry 2008, 21:182–188
Rosendal M, Fink P, Falkoe E, Schou Hansen H, Olesen F. Improving the Classification of Medically Unexplained Symptoms in Primary Care. Eur. J. Psychiat. v.21 n.1 Zaragoza ene.-mar. 2007
Text: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-61632007000100004
PDF: http://scielo.isciii.es/pdf/ejpen/v21n1/improv3.pdf
4] EURASMUS http://eurasmus.net/
The multidisciplinary European Research Association for Somatisation and Medically Unexplained Symptoms(EURASMUS) was formed to study the genetic, psychological and physiological mechanisms underlying bodily distress. Co-convenors: Francis Creed, Peter Henningsen
5] Notes from EACLPP Workgroup meeting in Budapest July 2011
EACLPP_WG_Medically_Unexplained_Symptoms_Budapest_2011
Report from Working group meeting on MUS/somatisation/bodily distress, Budapest July 1st 2011
“…We should find out whether the WHO group for classification of somatic distress and dissociative disorders will provide a better diagnostic system for these disorders.”
6] Article: ‘Heartsinks’ and weird symptoms by Tony Dowell, June 15, 2011.
Article Table: Functional somatic syndromes according to medical speciality:
http://www.nzdoctor.co.nz/media/671495/heartsinks.pdf
dx revision watch 