18 July 2011
Note: Four members of the DSM-5 "Somatic Symptom Disorders" Work Group ar=
e
contributors to this new book, published in July: Arthur Barsky, Francis
Creed, Sing Lee and Michael Sharpe.
This book appears to have developed out of the White Paper by the "MUS"
workgroup of the European Association for Consultation-Liaison Psychiatry
and Psychosomatics [1], on which I have previously reported and meetings
held in Manchester in May 2009 [2] and Munich in September 2009 [3]:
Published by Cambridge University Press, 14 July 2011
Medically Unexplained Symptoms, Somatisation and Bodily Distress:
Developing Better Clinical Services.
Creed, Francis; Henningsen, Peter; Fink, Per
Product details
Hardcover: 288 pages
Publisher: Cambridge University Press (14 July 2011)
Language English
ISBN-10: 0521762235
ISBN-13: 978-0521762236
RRP: =A355
Product Description
Medically unexplained symptoms and somatisation are the fifth most common
reason for visits to doctors in the USA, and form one of the most expensi=
ve
diagnostic categories in Europe. The range of disorders involved includes
irritable bowel syndrome, chronic widespread pain and chronic fatigue
syndrome. This book reviews the current literature, clarifies and
disseminates clear information about the size and scope of the problem, a=
nd
discusses current and future national and international guidelines. It al=
so
identifies barriers to progress and makes evidence-based recommendations
for the management of medically unexplained symptoms and somatisation.
Written and edited by leading experts in the field, this authoritative te=
xt
defines international best practice and is an important resource for
psychiatrists, clinical psychologists, primary care doctors and those
responsible for establishing health policy.
About the Author
Francis Creed is Professor of Psychological Medicine, School of
Community-Based Medicine, University of Manchester, Manchester, UK.
Peter Henningsen is Professor of Psychosomatic Medicine, Technical
University Munich, Munich, Germany.
Per Fink is Professor of Functional Disorders, The Research Clinic for
Functional Disorders and Psychosomatics, Aarhus University Hospital,
Aarhus, Denmark.
--------
Some pages of this book can be read on Google Books at:
http://books.google.com/books?id=3DUQjdZrkyWkoC&pg=3DPA1#v=3Donepage&q&f=3D=
false
Contents
1. Epidemiology: prevalence, causes and consequences Francis Creed, Arthu=
r
Barsky and Kari Ann Leiknes;
2. Terminology, classification and concepts Peter Henningsen, Per Fink,
Constanze Hausteiner-Wiehle and Winfried Rief;
3. Evidence-based treatment Francis Creed, Kurt Kroenke, Peter Henningsen=
,
Alka Gudi and Peter White;
4. Current state of management and organisation of care Per Fink, Chris
Burton, Jef de Bie, Wolfgang S=F6llner and Kurt Fritzsche;
5. Barriers to improving treatment Peter Henningsen, Christian Fazekas an=
d
Michael Sharpe;
6. Gender, lifespan and cultural aspects Constanze Hausteiner-Wiehle,
Gudrun Schneider, Sing Lee, Athula Sumipathala and Francis Creed;
7. Medically unexplained symptoms in children and adolescents Emma
Weisblatt, Peter Hindley and Charlotte Rask;
8. Identification, assessment and treatment of individual patients Franci=
s
Creed, Christina van der Feltz, Else Guthrie, Peter Henningsen, Winfried
Rief, Andreas Schr=F6der and Peter White;
9. Training Per Fink, Kurt Fritzsche, Wolfgang S=F6llner and Astrid Laris=
ch;
10. Achieving optimal treatment organisation in different countries -
suggestions for service development applicable across different healthcar=
e
systems Francis Creed, Peter Henningsen and Richard Byng; Index
Contributors
Francis Creed, Arthur Barsky, Kari Ann Leiknes, Peter Henningsen, Per Fin=
k,
Constanze Hausteiner-Wiehle, Winfried Rief, Kurt Kroenke, Alka Gudi, Pete=
r
White, Chris Burton, Jef de Bie, Wolfgang S=F6llner, Kurt Fritzsche,
Christian Fazekas, Michael Sharpe, Gudrun Schneider, Sing Lee, Athula
Sumipathala, Emma Weisblatt, Peter Hindley, Charlotte Rask, Christina van
der Feltz, Else Guthrie, Andreas Schr=F6der, Peter White, Astrid Larisch,
Richard Byng
--------
Preface available to view
Chapter One Epidemiology: prevalance, causes and consequences
Frances Creed, Arthur Barsky and Kari Ann Leiknes
Pages 1, 2, 5, 6, 9-12, 14, 16-19, 21, 35-38, 42 available to view.
Chapter Two: Terminology, classification and concepts
Peter Henningsen, Per Fink, Constanze Hausteiner-Wiehle and Winifried Rie=
f
Pages 43-46, 49 available to view.
Pages 50 to 258 of this book are not available to view.
"They [unexplained bodily symptoms] form one of the most expensive
categories of health care expenditure in Europe. This book makes the case
for shifting some of this expenditure away from numerous investigations f=
or
organic disease and towards effective treatment of bodily distress."
(Preface vi)
"Since the traditional labels 'medically unexplained symptoms' or
'somatisation' are so unhelpful, we propose the term 'bodily distress' as=
a
more useful term for these disorders..." (Preface vi)
"ICD-10 included neurasthenia (chronic fatigue), as one of the somatoform
disorders. This is considered here as chronic fatigue syndrome under the
heading of functional somatic syndromes." (Page 8)
Some discussion of functional somatic syndromes on Page 10-16.
DSM-5 proposals for "CSSD" discussed briefly on Pages 43-45 with discussi=
on
of alternative terms (bodily distress disorder, functional somatic
disorder/syndrome).
Current classification of "Somatoform Disorders" in DSM-IV and ICD-10
discussed on Page 46.
--------------
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 Franci=
s
Creed: http://www.eaclpp.org/working_groups.html
http://www.eaclpp.org/documents/Patientswithmedicallyunexplainedsymptomsa=
ndsomatisation_000.doc
[2] Is there a better term than "Medically unexplained symptoms"? Creed F=
,
Guthrie E, Fink P, Henningsen P, Rief W, Sharpe M and White P (Journal of
Psychosom Research: Volume 68, Issue 1, Pages 5-8 January 2010) discusses
the deliberations of the EACLPP MUS study group. The Editorial also
includes references to the DSM and ICD revision processes.
http://www.ncbi.nlm.nih.gov/pubmed/20004295
[3] European Science Foundation: Setting Science Agendas for Europe
Exploratory Workshop Scheme, Standing Committee for the European
Medical Research Councils (EMRC)
ESF Exploratory Workshop on "Understanding the genetic, physiological and
psychological mechanisms underlying disabling medically unexplained
symptoms and somatisation", Munich, 10-12 September 2009
Report on September 2009 European Science Foundation workshop:
http://www.esf.org/index.php?eID=3Dtx_nawsecuredl&u=3D0&file=3Dfileadmin/=
be_user/ew_docs/08-041_Report.pdf&t=3D1287485446&hash=3D133780e153fa8ef0f=
f02c62b9418b142
[4] "One single diagnosis, bodily distress syndrome, succeeded to capture
10 diagnostic categories of functional somatic syndromes and somatoform
disorders." Psychosom Res. 2010 May;68(5):415-26. Fink P, Schr=F6der A.
The Research Clinic for Functional Disorders and Psychosomatics, Aarhus
University Hospital, 8000 Aarhus, Denmark.
http://www.ncbi.nlm.nih.gov/pubmed/20403500
[5] EURASMUS
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
http://eurasmus.net/
Suzy Chapman
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