Improving mental health through body-awareness with dynamic interpersonal therapy in patients with persistent somatic symptoms: 2026 Rovers et al

Andy

Andy

Senior Member (Voting rights)
Full title: Improving mental health through body-awareness with dynamic interpersonal therapy in patients with persistent somatic symptoms: an explorative cohort study

Abstract​

Introduction:

This study explored the changes in mental health and body-awareness in patients with severe persistent somatic symptoms (PSS) treated with multidisciplinary Dynamic Interpersonal Therapy.

Methods:

In this longitudinal study 56 patients with severe somatic-symptom disorder (DSM-5) were included. Analyses were conducted on available outcome data from 32–38 patients. All were treated with a multidisciplinary DIT program for 6 months in a specialized care facility. Patients were followed up during treatment with the questionnaires Mental Health Continuum Short Form (MHC-SF) and Multidimensional Assessment of Interoceptive Awareness (MAIA) at baseline, 3 months and 6 months. Change was analysed with repeated measures ANOVA. The association between change in MAIA and change in MHC-SF was explored with linear regression analysis.

Results:

Both mental health (MHC-SF total score 28 to 33, p<0.001) and interoceptive awareness (MAIA score 88 to 92 p=0.045) increased after treatment. The improvement was mostly seen in the psychological and social wellbeing subscales of the MHC-SF and the self-regulation and body listening subscales of the MAIA. A higher pre- to post-treatment change on the MAIA was associated with a higher change on the MHC-SF (R2 = 0.352, B = 1.464, p < 0.001).

Conclusions:

This study shows that patients with PSS 1 have lower mental health scores relative to general population norm, 2) seem to have reduced capacity for interoceptive awareness 3) improve in both areas after completing DIT for PSS and 4) shows that improvement in interoceptive awareness was associated with improvement in mental health. Interoception based interventions in DIT-PSS might be a starting point for adequate treatment of PSS.

Open access
 
"With a an estimated 4% prevalence rate in the general population, somatic symptom disorder (SSD) is one of the most common mental disorders as described in the DSM-5 (1–3). Prevalence rates are likely higher in primary and secondary health care settings; however, recent and methodologically comparable epidemiological studies using contemporary SSD criteria are currently lacking. Patients with SSD suffer from bodily symptoms that persist for at least 6 months which disrupt their daily life and are accompanied by excessive or disproportionate thoughts, feelings, or behaviours related to the symptoms (1). SSD often comes accompanied with severe suffering, lowered mental health and comorbid diagnoses such as major depressive disorder, anxiety disorders and personality disorders (2, 4–6). Persistent somatic complaints may also be classified under other diagnostic frameworks, including somatoform disorders (ICD-10), bodily distress disorder (ICD-11), and single functional somatic syndromes such as irritable bowel syndrome, fibromyalgia, functional neurological disorder, and chronic fatigue syndrome.) (7)."
 
Clearly, if you give plants Brawndo, they will grow better than if you don't, because Brawndo has what plants crave. They crave it. You give it to them, it can't be bad, therefore has to be good. New science! Same as pre-science.

Just like holistic, multidisciplinary has become fashionable despite not being needed and also not really meaning anything:
psychotherapy, psychosomatic physical therapy, psychomotor therapy, art therapy and behavioural therapy
Click to expand...
Those are not really multiple disciplines, and would not fit any description of what patients would think it means.
 
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