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Can Neuroimaging Help Us to Understand and Classify Somatoform Disorders? A Systematic and Critical Review

Can Neuroimaging Help Us to Understand and Classify Somatoform Disorders? A Systematic and... Can Neuroimaging Help Us to Understand and Classify Somatoform Disorders? A Systematic and Critical Review MICHAEL BROWNING, MBBS, DPHIL PAUL FLETCHER, MBBS, PHD, AND MICHAEL SHARPE,MD Objective: Debate about the nature of somatoform disorders and their current diagnostic classification has been stimulated by the anticipation of new editions of Diagnostic and Statistical Manual of Mental Disorders and International Statistical Classification of Diseases and Related Health Problems diagnostic classifications. In the current paper, we review systematically the literature on the neuroimaging of somatoform disorders and related conditions with the aim of addressing two specific questions: Is there evidence of altered neural function or structure that is specifically associated with somatoform disorders? What conclusions can we draw from these findings about the etiology of somatoform disorders? Methods: Studies reporting neuroimaging findings in patients with a somatoform disorder or a functional somatic syndrome (such as fibromyalgia) were found using Pubmed, PsycINFO, and EMBASE database searches. Reported structural and functional neuroimaging findings were then extracted to form a narrative review. Results: A relatively mature literature on symptoms of pain and less developed literatures on conversion and fatigue symptoms were identified. The available evidence indicates that, when compared with nonclinical groups, somatoform diagnoses are http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychosomatic Medicine Wolters Kluwer Health

Can Neuroimaging Help Us to Understand and Classify Somatoform Disorders? A Systematic and Critical Review

Sharpe, Michael
Psychosomatic Medicine , Volume 73 (2) – Feb 1, 2011
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References (144)

ISSN
0033-3174
eISSN
1534-7796
DOI
10.1097/PSY.0b013e31820824f6
pmid
21217095
Publisher site
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Abstract

Can Neuroimaging Help Us to Understand and Classify Somatoform Disorders? A Systematic and Critical Review MICHAEL BROWNING, MBBS, DPHIL PAUL FLETCHER, MBBS, PHD, AND MICHAEL SHARPE,MD Objective: Debate about the nature of somatoform disorders and their current diagnostic classification has been stimulated by the anticipation of new editions of Diagnostic and Statistical Manual of Mental Disorders and International Statistical Classification of Diseases and Related Health Problems diagnostic classifications. In the current paper, we review systematically the literature on the neuroimaging of somatoform disorders and related conditions with the aim of addressing two specific questions: Is there evidence of altered neural function or structure that is specifically associated with somatoform disorders? What conclusions can we draw from these findings about the etiology of somatoform disorders? Methods: Studies reporting neuroimaging findings in patients with a somatoform disorder or a functional somatic syndrome (such as fibromyalgia) were found using Pubmed, PsycINFO, and EMBASE database searches. Reported structural and functional neuroimaging findings were then extracted to form a narrative review. Results: A relatively mature literature on symptoms of pain and less developed literatures on conversion and fatigue symptoms were identified. The available evidence indicates that, when compared with nonclinical groups, somatoform diagnoses are

Journal

Psychosomatic Medicine – Wolters Kluwer Health

Published: Feb 1, 2011

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