The emotion regulation process in somatic symptom disorders and related conditions - A systematic narrative review, 2022, Schnabel et al

Andy

Andy

Retired committee member
Highlights
• Somatic symptom disorders (SSD) are related to emotion regulation (ER) deficits.
• SSD is related to reduced emotional awareness, clarity and dysfunctional beliefs.
• SSD is related to less functional and more dysfunctional self-reported strategies.
• Few existing experimental studies show no clear evidence of ER deficits in SSD.
• More experimental studies and ecological momentary assessments are needed.

Abstract

Somatic symptom disorders and related conditions (SSD-RC), along with depression and anxiety disorders, are among the most common mental disorders. Disturbances in emotion regulation (ER) are considered a key factor in the etiology and pathogenesis of SSD-RC. The present review aims to summarize relevant research on ER in SSD-RC and integrate results in the extended process model of ER. We conducted a systematic literature search in PubMed, PsycInfo, Psyndex, and Web of Science. After screening and systematic quality appraisal, 105 (n = 29332 participants) out of 2118 identified studies were included. Correlations with somatic symptoms in general and clinical populations as well as group comparisons with non-SSD-RC groups were included to summarize effects. We found evidence for deficits in the identification process of ER, especially reduced emotional clarity and ER self-efficacy, in patients with SSD-RC. SSD-RC were also significantly associated with a deviant pattern of habitual strategies (selection process) including a more frequent use of expressive suppression and a less frequent use of cognitive reappraisal. However, for both the identification and selection stages, there were many studies that did not find evidence for alterations in SSD-RC. Furthermore, self-report data suggests impairments in implementing ER. Experimental studies are scarce and have not found conclusive evidence for ER implementation deficits in SSD-RC. In addition to experimental studies, particularly ecological momentary assessments are needed to better understand potential alterations regarding ER in SSD-RC. Clinical interventions that target the identification of the need for ER, self-efficacy, and the repertoire of different strategies currently appear most promising.

Open access, https://www.sciencedirect.com/science/article/pii/S0272735822000812
 
"Witches are defined as being dunked in water"
*Dunks women in water*
"WIIIIIIIIIITCHEEEEEEEEEEEEES"
"You can tell they're witches by the way we're dunking them in water"

This "medical doctors being completely baffled by the concept of illness and that it is actually bad" thing is genuinely one of the most bizarre things in the modern world.
 
Andy said:
Highlights
• Somatic symptom disorders (SSD) are related to emotion regulation (ER) deficits.
• SSD is related to reduced emotional awareness, clarity and dysfunctional beliefs.
• SSD is related to less functional and more dysfunctional self-reported strategies.
• Few existing experimental studies show no clear evidence of ER deficits in SSD.
• More experimental studies and ecological momentary assessments are needed.

Abstract

Somatic symptom disorders and related conditions (SSD-RC), along with depression and anxiety disorders, are among the most common mental disorders. Disturbances in emotion regulation (ER) are considered a key factor in the etiology and pathogenesis of SSD-RC. The present review aims to summarize relevant research on ER in SSD-RC and integrate results in the extended process model of ER. We conducted a systematic literature search in PubMed, PsycInfo, Psyndex, and Web of Science. After screening and systematic quality appraisal, 105 (n = 29332 participants) out of 2118 identified studies were included. Correlations with somatic symptoms in general and clinical populations as well as group comparisons with non-SSD-RC groups were included to summarize effects. We found evidence for deficits in the identification process of ER, especially reduced emotional clarity and ER self-efficacy, in patients with SSD-RC. SSD-RC were also significantly associated with a deviant pattern of habitual strategies (selection process) including a more frequent use of expressive suppression and a less frequent use of cognitive reappraisal. However, for both the identification and selection stages, there were many studies that did not find evidence for alterations in SSD-RC. Furthermore, self-report data suggests impairments in implementing ER. Experimental studies are scarce and have not found conclusive evidence for ER implementation deficits in SSD-RC. In addition to experimental studies, particularly ecological momentary assessments are needed to better understand potential alterations regarding ER in SSD-RC. Clinical interventions that target the identification of the need for ER, self-efficacy, and the repertoire of different strategies currently appear most promising.

Open access, https://www.sciencedirect.com/science/article/pii/S0272735822000812
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thanks for the summary - sounds like a manifesto for hysterical women ideology and how to sanitise/pretend it's 'science' and 'logical'. oh sorry, I mean justifying oneself having that ideology. How much actual logic is there in here? Maybe we could get some professional from the right area to assess this and give a 'rational or irrational/logical or illogical' assessment of that belief/ideology/way of acting based on such writings now they've explained how it comes about in their head?

I guess at least this would be a map to work out which dysfunctional thought-patterns we need to unpick in them/shows psychiatry or whichever area this is from isn't a science - even in the philosophy-origin definitions of that term (I was meaning 'logic' - but of course philosophy of science is even more stringent and would require deduction-induction-deduction, which this area is ridiculously far away from given it begins from an 'I want to justify and believe in' place, is upside-down to this and carries on regardless where 'no connection' gets found)
 
Arnie Pye said:
I can imagine a scenario where a torture victim cries in the presence of a doctor and is thus tarred with the SSD brush. It really is that ridiculous.
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When I received reports about ME from a bulletin board before the www, there was a child about 11 being held in a locked ward in Australia. Nurses were encouraged to gently mock her, to leave food where she had to move to reach it and so on.

One of the things they used to "prove" she was not really ill but just attention seeking was she only cried when her mother was there. :(
 
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