A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study
Background: Somatic Symptom Disorders (SSD), Bodily Distress Disorders (BDD) and functional disorders (FD) are associated with high medical and societal costs and pose a substantial challenge to the population and health policy of Europe. To meet this challenge, a specific research agenda is needed...
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Frontiers Media S.A.
2018-05-01
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Online Access: | http://journal.frontiersin.org/article/10.3389/fpsyt.2018.00151/full |
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author | Christina M. van der Feltz-Cornelis Christina M. van der Feltz-Cornelis Iman Elfeddali Iman Elfeddali Ursula Werneke Ulrik F. Malt Ulrik F. Malt Omer Van den Bergh Rainer Schaefert Rainer Schaefert Willem J. Kop Antonio Lobo Antonio Lobo Michael Sharpe Wolfgang Söllner Bernd Löwe |
author_facet | Christina M. van der Feltz-Cornelis Christina M. van der Feltz-Cornelis Iman Elfeddali Iman Elfeddali Ursula Werneke Ulrik F. Malt Ulrik F. Malt Omer Van den Bergh Rainer Schaefert Rainer Schaefert Willem J. Kop Antonio Lobo Antonio Lobo Michael Sharpe Wolfgang Söllner Bernd Löwe |
author_sort | Christina M. van der Feltz-Cornelis |
collection | DOAJ |
description | Background: Somatic Symptom Disorders (SSD), Bodily Distress Disorders (BDD) and functional disorders (FD) are associated with high medical and societal costs and pose a substantial challenge to the population and health policy of Europe. To meet this challenge, a specific research agenda is needed as one of the cornerstones of sustainable mental health research and health policy for SSD, BDD, and FD in Europe.Aim: To identify the main challenges and research priorities concerning SSD, BDD, and FD from a European perspective.Methods: Delphi study conducted from July 2016 until October 2017 in 3 rounds with 3 workshop meetings and 3 online surveys, involving 75 experts and 21 European countries. EURONET-SOMA and the European Association of Psychosomatic Medicine (EAPM) hosted the meetings.Results: Eight research priorities were identified: (1) Assessment of diagnostic profiles relevant to course and treatment outcome. (2) Development and evaluation of new, effective interventions. (3) Validation studies on questionnaires or semi-structured interviews that assess chronic medical conditions in this context. (4) Research into patients preferences for diagnosis and treatment. (5) Development of new methodologic designs to identify and explore mediators and moderators of clinical course and treatment outcomes (6). Translational research exploring how psychological and somatic symptoms develop from somatic conditions and biological and behavioral pathogenic factors. (7) Development of new, effective interventions to personalize treatment. (8) Implementation studies of treatment interventions in different settings, such as primary care, occupational care, general hospital and specialty mental health settings. The general public and policymakers will benefit from the development of new, effective, personalized interventions for SSD, BDD, and FD, that will be enhanced by translational research, as well as from the outcomes of research into patient involvement, GP-patient communication, consultation-liaison models and implementation.Conclusion: Funding for this research agenda, targeting these challenges in coordinated research networks such as EURONET-SOMA and EAPM, and systematically allocating resources by policymakers to this critical area in mental and physical well-being is urgently needed to improve efficacy and impact for diagnosis and treatment of SSD, BDD, and FD across Europe. |
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language | English |
last_indexed | 2024-04-12T06:07:49Z |
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spelling | doaj.art-ec1c6b8840be47059d6586e962455f4a2022-12-22T03:44:49ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402018-05-01910.3389/fpsyt.2018.00151353812A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert StudyChristina M. van der Feltz-Cornelis0Christina M. van der Feltz-Cornelis1Iman Elfeddali2Iman Elfeddali3Ursula Werneke4Ulrik F. Malt5Ulrik F. Malt6Omer Van den Bergh7Rainer Schaefert8Rainer Schaefert9Willem J. Kop10Antonio Lobo11Antonio Lobo12Michael Sharpe13Wolfgang Söllner14Bernd Löwe15Clinical Centre of Excellence for Body, Mind, and Health, GGz Breburg, Tilburg, NetherlandsTranzo Department, Tilburg University, Tilburg, NetherlandsClinical Centre of Excellence for Body, Mind, and Health, GGz Breburg, Tilburg, NetherlandsTranzo Department, Tilburg University, Tilburg, NetherlandsSunderby Research Unit, Division of Psychiatry, Department of Clinical Sciences, Umeå University, Umeå, SwedenInstitute of Clinical Medicine, University of Oslo, Oslo, NorwaySection for Psychosomatic Medicine, Division of Mental Health and Dependency, University Hospital Oslo, Oslo, NorwayDepartment of Health Psychology, University of Leuven, Leuven, BelgiumDivision of Internal Medicine, Department of Psychosomatic Medicine, University and University Hospital Basel, Basel, SwitzerlandDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyDepartment of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands0Department of Medicine and Psychiatry, University of Zaragoza, Zaragoza, Spain1Instituto de Investigación Sanitaria Aragón (IIS Aragón), CIBERSAM, National Institute of Health Carlos III, Zaragoza, Spain2University of Oxford, Oxford, United Kingdom3Department of Psychosomatic Medicine and Psychotherapy, Nuremberg General Hospital, Paracelsus Medical University, Nuremberg, Germany4Institute for Psychosomatic Medicine and Psychotherapy, University Clinic Hamburg-Eppendorf, Hamburg, GermanyBackground: Somatic Symptom Disorders (SSD), Bodily Distress Disorders (BDD) and functional disorders (FD) are associated with high medical and societal costs and pose a substantial challenge to the population and health policy of Europe. To meet this challenge, a specific research agenda is needed as one of the cornerstones of sustainable mental health research and health policy for SSD, BDD, and FD in Europe.Aim: To identify the main challenges and research priorities concerning SSD, BDD, and FD from a European perspective.Methods: Delphi study conducted from July 2016 until October 2017 in 3 rounds with 3 workshop meetings and 3 online surveys, involving 75 experts and 21 European countries. EURONET-SOMA and the European Association of Psychosomatic Medicine (EAPM) hosted the meetings.Results: Eight research priorities were identified: (1) Assessment of diagnostic profiles relevant to course and treatment outcome. (2) Development and evaluation of new, effective interventions. (3) Validation studies on questionnaires or semi-structured interviews that assess chronic medical conditions in this context. (4) Research into patients preferences for diagnosis and treatment. (5) Development of new methodologic designs to identify and explore mediators and moderators of clinical course and treatment outcomes (6). Translational research exploring how psychological and somatic symptoms develop from somatic conditions and biological and behavioral pathogenic factors. (7) Development of new, effective interventions to personalize treatment. (8) Implementation studies of treatment interventions in different settings, such as primary care, occupational care, general hospital and specialty mental health settings. The general public and policymakers will benefit from the development of new, effective, personalized interventions for SSD, BDD, and FD, that will be enhanced by translational research, as well as from the outcomes of research into patient involvement, GP-patient communication, consultation-liaison models and implementation.Conclusion: Funding for this research agenda, targeting these challenges in coordinated research networks such as EURONET-SOMA and EAPM, and systematically allocating resources by policymakers to this critical area in mental and physical well-being is urgently needed to improve efficacy and impact for diagnosis and treatment of SSD, BDD, and FD across Europe.http://journal.frontiersin.org/article/10.3389/fpsyt.2018.00151/fullsomatic symptom disorderbodily distress disorderfunctional disordersresearch agendaeuropedelphi study |
spellingShingle | Christina M. van der Feltz-Cornelis Christina M. van der Feltz-Cornelis Iman Elfeddali Iman Elfeddali Ursula Werneke Ulrik F. Malt Ulrik F. Malt Omer Van den Bergh Rainer Schaefert Rainer Schaefert Willem J. Kop Antonio Lobo Antonio Lobo Michael Sharpe Wolfgang Söllner Bernd Löwe A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study Frontiers in Psychiatry somatic symptom disorder bodily distress disorder functional disorders research agenda europe delphi study |
title | A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study |
title_full | A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study |
title_fullStr | A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study |
title_full_unstemmed | A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study |
title_short | A European Research Agenda for Somatic Symptom Disorders, Bodily Distress Disorders, and Functional Disorders: Results of an Estimate-Talk-Estimate Delphi Expert Study |
title_sort | european research agenda for somatic symptom disorders bodily distress disorders and functional disorders results of an estimate talk estimate delphi expert study |
topic | somatic symptom disorder bodily distress disorder functional disorders research agenda europe delphi study |
url | http://journal.frontiersin.org/article/10.3389/fpsyt.2018.00151/full |
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