[Functional somatic syndromes: A comprehensive cognitive model]

V Pitron; B Ranque; H Vulser; J Y Rotgé; F Limosin; C Lemogne

doi:10.1016/j.revmed.2019.04.005

[Functional somatic syndromes: A comprehensive cognitive model]

Rev Med Interne. 2019 Jul;40(7):466-473. doi: 10.1016/j.revmed.2019.04.005. Epub 2019 May 31.

[Article in French]

Authors

V Pitron¹, B Ranque², H Vulser³, J Y Rotgé⁴, F Limosin⁵, C Lemogne⁵

Affiliations

¹ UMR 8129, ENS/EHESS/CNRS, IEC, PSL, Instit Jean-Nicod, 29, rue d'Ulm, 75005 Paris, France; Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, hôpitaux universitaires Paris Ouest, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: [email protected].
² Service de médecine interne, hôpitaux universitaires Paris Ouest, AP-HP, 20, rue Leblanc, 75015 Paris, France; Faculté de médecine, université Paris Descartes, Sorbonne Paris Cité, 12, rue de l'École de médecine, 75005 Paris, France.
³ Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, hôpitaux universitaires Paris Ouest, AP-HP, 20, rue Leblanc, 75015 Paris, France; Faculté de médecine, université Paris Descartes, Sorbonne Paris Cité, 12, rue de l'École de médecine, 75005 Paris, France.
⁴ Service de psychiatrie d'adultes, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Équipe neurosciences sociales et affectives, ICM CRICM, CNRS UMR 7225, Inserm S 1127, institut du cerveau et de la moelle épinière, 75013 Paris, France; Sorbonne université, 75006 Paris, France.
⁵ Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, hôpitaux universitaires Paris Ouest, AP-HP, 20, rue Leblanc, 75015 Paris, France; Faculté de médecine, université Paris Descartes, Sorbonne Paris Cité, 12, rue de l'École de médecine, 75005 Paris, France; Inserm U894, centre psychiatrie et neuroscience, 102-108, rue de la Santé, 75014 Paris, France.

PMID: 31160125
DOI: 10.1016/j.revmed.2019.04.005

Abstract

Functional somatic syndromes are frequent in general and specialized medicine practices. Several treatments can be useful. However, the treatment program is often hampered by patients' reluctance to acknowledge the diagnosis because of erroneous lay representations. Recent advances in cognitive science offer a new understanding of the pathophysiology of functional somatic disorders, making this diagnosis more acceptable for patients and caregivers. Simply explained with practical examples, the Bayesian model in particular provides some insights into the underlying cognitive mechanisms of functional somatic syndromes and their treatments. Advantages of this approach are twofold: it is consistent with current scientific knowledge and it can facilitate the physician-patient relationship.

Keywords: Bayesian model; Functional somatic syndromes; Medically unexplained symptoms; Modèle bayésien; Perception corporelle; Persistent somatic symptoms; Somatic Symptom Disorders; Symptômes médicalement inexpliqués; Trouble somatique fonctionnel; Trouble à symptomatologie somatique.

Publication types

Review

MeSH terms

Bayes Theorem
Cognition / physiology*
Humans
Medically Unexplained Symptoms*
Models, Theoretical*
Physician-Patient Relations
Psychophysiology
Somatoform Disorders / diagnosis
Somatoform Disorders / etiology*
Somatoform Disorders / therapy
Syndrome