TY - JOUR
T1 - A European research agenda for somatic symptom disorders, bodily distress disorders, and functional disorders
T2 - Results of an estimate-talk-estimate delphi expert study
AU - On Behalf of EAPM
AU - van der Feltz-Cornelis, Christina M.
AU - Elfeddali, Iman
AU - Werneke, Ursula
AU - Malt, Ulrik F.
AU - Bergh, Omer Van den
AU - Schaefert, Rainer
AU - Kop, Willem J.
AU - Lobo, Antonio
AU - Sharpe, Michael
AU - Söllner, Wolfgang
AU - Löwe, Bernd
AU - Allaz, Anne Françoise
AU - Ancane, Gunta
AU - Bendix, Marie
AU - Berney, Alexandre
AU - Blanch, Jordi
AU - Boye, Birgitte
AU - Burton, Chris
AU - Cardoso, Graça
AU - Cathébras, Pascal
AU - Cosci, Fiammetta
AU - Dantoft, Thomas Meinert
AU - Enck, Paul
AU - Ferrari, Silvia
AU - Fink, Per
AU - Fortes, Sandra
AU - Fritzsche, Kurt
AU - Frostholm, Lisbeth
AU - Geiser, Franziska
AU - Gündel, Harald
AU - Guthrie, Else
AU - Henningsen, Peter
AU - Hüsing, Paul
AU - Hyphantis, Thomas
AU - Jenewein, Josef
AU - Kenedi, Chris
AU - Keller, Monika
AU - Khohlova, Ksenya
AU - Kohlmann, Sebastian
AU - Kotsis, Konstantinos
AU - Lahmann, Claas
AU - Lemogne, Cédric
AU - Pohontsch, Nadine
AU - Weigel, Angelika
AU - Rief, Winfried
AU - Hartman, Tim Olde
AU - Nater, Urs
AU - Natsov, Ivo Ivanov
AU - Nedelcu, Laurentiu
AU - Noll-Hussong, Michael
N1 - Publisher Copyright:
© 2018 van der Feltz-Cornelis, Elfeddali, Werneke, Malt, Van den Bergh, Schaefert, Kop, Lobo, Sharpe, Söllner and Löwe.
PY - 2018/5/14
Y1 - 2018/5/14
N2 - 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.
AB - 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.
KW - Bodily distress disorder
KW - Delphi study
KW - EAPM
KW - Europe
KW - Expert survey
KW - Functional disorders
KW - Research agenda
KW - Somatic symptom disorder
UR - http://www.scopus.com/inward/record.url?scp=85047003409&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2018.00151
DO - 10.3389/fpsyt.2018.00151
M3 - Article
AN - SCOPUS:85047003409
SN - 1664-0640
VL - 9
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
IS - MAY
M1 - 151
ER -