Neuropsychological aspects of the patient’s personality in the context of psychosomatic experience, 2025, Krause and Forgon

Andy

Andy

Senior Member (Voting rights)
The primary objective of this study was to examine the relationship between personal variables, as measured by the NEO-PI-R, and psychosomatic symptoms, assessed through the PSS, from a neuropsychological perspective. The secondary aim was to evaluate the frequency of various psychosomatic symptoms and assess the extent to which participants experience these symptoms.

This online study included participants from across Slovakia (n = 222, M = 34.0, SD = 9.49). Participants completed the Big Five personality questionnaire (NEO-PI-R) and the Scale of Psychosomatic Symptoms (PSS). Analysis revealed significant relationships between conscientiousness and overall health perception (β=−1.19∗∗), with conscientiousness positively correlating with the intensity of pseudoneurological (β=.21∗∗), cardiovascular (β=.15∗), and musculoskeletal symptoms (β=.15∗). Neuroticism was significantly related to overall health perception (β=.19∗∗), problem frequency (β=−.19∗∗), and the extent of health-related suffering (β=−.15∗), as well as the frequency of respiratory (β=−.14∗) and gastrointestinal issues (β=−.16∗), pain-related problems (β=−.18∗∗), and the intensity of gastrointestinal symptoms (β=−.14∗). Extraversion, openness, and agreeableness did not show significant relationships with psychosomatic symptoms (p>0.05). The majority of participants (56%) did not seek medical attention, while 44% did. Seventy percent had no medical diagnosis, while 30% reported a diagnosis from a healthcare professional. The most frequently reported symptoms were fatigue (M=2.69,SD=0.835) and back pain (M=2.32,SD=0.950).

Open access
 
"In essence, fatigue, back pain, a bloated stomach, and headaches appear to be psychosomatic symptoms that frequently manifest, often in combination. This suggests that special attention should be paid to such symptom clusters during differential diagnosis, since, as Wise (1) explains, biological, psychological, and social factors interact significantly, and the expert’s initial task is to determine which factor triggers the patient’s reported difficulties. Once the underlying cause of the symptoms is identified by a healthcare professional, the subsequent treatment process can be considerably more effective."
 
"Our findings reveal that the most frequently reported psychosomatic symptoms are fatigue, back pain, a bloated stomach, and headaches. These physical symptoms often lie at the intersection of psychological and somatic factors, which largely accounts for the manifestation of psychosomatization. Consequently, adopting a multidisciplinary approach to differential diagnosis in patient management is both logical and essential, since physical symptoms frequently have their origins in psychological experiences, and the extent of psychological distress is reciprocally influenced by the frequency of somatic symptoms. In some cases, patients become trapped in a cycle of their own physical ailments, expecting that a specialist will not only help them understand and conceptualize their condition but also select an appropriate treatment plan."
 

Conclusions and Implications​

In our study, we demonstrated that paying attention to psychosomatic experiences is worthwhile, as we found that conscientiousness and neuroticism play a significant role in the frequency of psychosomatic symptoms.
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Lies. You found correlation, not causation.
We observed statistically significant correlations among various psychosomatic symptoms, which indicates that individuals prone to psychosomatization tend to experience a cumulative effect - where one symptom leads to another - resulting in a vicious cycle of bodily symptoms that are often merely a consequence of a mental apparatus subjected to excessive stress or tension.
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More lies based on speculations about correlations.

The rest of the conclusion is more of the same. There is no excuse, it’s pathetic.
 
The paper said:
In some cases, patients become trapped in a cycle of their own physical ailments, expecting that a specialist will not only help them understand and conceptualize their condition but also select an appropriate treatment plan.
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The funny thing about this is that their own literature makes it clear that people get over this fantasy nonsense very quickly, and get the loud and clear message that medicine is not there to help us. So it's impressively delusional. They can't stop stroking their egos even as they are pulling a Glonzo, misattributing a problem to some random cause, simply because they can't handle reality.

Low effort garbage that's been done thousands of times already. Can they get to a million? I think they can. They are clearly stuck in a cycle of their own psychological failures, expecting that someone, anyone, will help them deal with those pesky whiny worried well.

More importantly: in what way is this better than the old stuff about the humors? It's even more ridiculous considering how much more we know by now.
 
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