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

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Andy, Sep 6, 2022.

  1. Andy

    Andy Committee Member

    Messages:
    21,810
    Location:
    Hampshire, UK
    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
     
    Peter Trewhitt likes this.
  2. Jaybee00

    Jaybee00 Senior Member (Voting Rights)

    Messages:
    1,858
    Random, rancid nonsense.
     
  3. Peter Trewhitt

    Peter Trewhitt Senior Member (Voting Rights)

    Messages:
    3,636
    Saying something is ‘among the most common mental disorders’ when we have no concrete evidence that it even exists is a damning inditement of research in this field/ group of fields.
     
    RedFox, Snow Leopard, Lilas and 12 others like this.
  4. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    12,296
    Location:
    Canada
    "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.
     
    livinglighter, Mithriel, Wyva and 6 others like this.
  5. bobbler

    bobbler Senior Member (Voting Rights)

    Messages:
    2,311

    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)
     
  6. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

    Messages:
    6,048
    Location:
    UK
    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.
     
    Mithriel, Lou B Lou, Sean and 3 others like this.
  7. TiredSam

    TiredSam Committee Member

    Messages:
    10,482
    Location:
    Germany
    Oh good, a narrative review.
     
  8. Lou B Lou

    Lou B Lou Senior Member (Voting Rights)

    Messages:
    429
    "More experimental studies and ecological momentary assessments are needed"

    "Give us the money!!"
     
    bobbler and Peter Trewhitt like this.
  9. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

    Messages:
    3,819
    Location:
    Australia
    Of the kind where they write the conclusion before the results.
     
    FMMM1, Sean, rvallee and 5 others like this.
  10. Mithriel

    Mithriel Senior Member (Voting Rights)

    Messages:
    2,815
    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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