A European research agenda for somatic symptom disorders, bodily distress disorders, and functional disorders: Results of an estimate-talk-estimate Delphi expert study

C.M. van der Feltz-Cornelis, I. Elfeddali, U. Werneke, U.F. Malt, O. Van den Bergh, R. Schaefert, W.J. Kop, A. Lobo, M. Sharpe, W. Sollner, B. Lowe, European Alliance for Personalised Medicine (EAPM)

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Abstract

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
Original languageEnglish
Article number151
JournalFrontiers in Psychology
Volume9
DOIs
Publication statusPublished - 2018

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Delphi Technique
Translational Medical Research
Mental Health
Patient Participation
Patient Preference
Validation Studies
Medically Unexplained Symptoms
General Hospitals
Communication
Interviews
Education

Cite this

van der Feltz-Cornelis, C.M. ; Elfeddali, I. ; Werneke, U. ; Malt, U.F. ; Van den Bergh, O. ; Schaefert, R. ; Kop, W.J. ; Lobo, A. ; Sharpe, M. ; Sollner, W. ; Lowe, B. ; European Alliance for Personalised Medicine (EAPM). / A European research agenda for somatic symptom disorders, bodily distress disorders, and functional disorders : Results of an estimate-talk-estimate Delphi expert study. In: Frontiers in Psychology. 2018 ; Vol. 9.
@article{cbd03ed8eb734689a74aa6fadf496523,
title = "A European research agenda for somatic symptom disorders, bodily distress disorders, and functional disorders: Results of an estimate-talk-estimate Delphi expert study",
abstract = "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",
author = "{van der Feltz-Cornelis}, C.M. and I. Elfeddali and U. Werneke and U.F. Malt and {Van den Bergh}, O. and R. Schaefert and W.J. Kop and A. Lobo and M. Sharpe and W. Sollner and B. Lowe and {European Alliance for Personalised Medicine (EAPM)}",
year = "2018",
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language = "English",
volume = "9",
journal = "Frontiers in Psychology",
issn = "1664-1078",
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A European research agenda for somatic symptom disorders, bodily distress disorders, and functional disorders : Results of an estimate-talk-estimate Delphi expert study. / van der Feltz-Cornelis, C.M.; Elfeddali, I.; Werneke, U.; Malt, U.F.; Van den Bergh, O.; Schaefert, R.; Kop, W.J.; Lobo, A.; Sharpe, M.; Sollner, W.; Lowe, B.; European Alliance for Personalised Medicine (EAPM).

In: Frontiers in Psychology, Vol. 9, 151, 2018.

Research output: Contribution to journalArticleScientificpeer-review

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 - van der Feltz-Cornelis, C.M.

AU - Elfeddali, I.

AU - Werneke, U.

AU - Malt, U.F.

AU - Van den Bergh, O.

AU - Schaefert, R.

AU - Kop, W.J.

AU - Lobo, A.

AU - Sharpe, M.

AU - Sollner, W.

AU - Lowe, B.

AU - European Alliance for Personalised Medicine (EAPM)

PY - 2018

Y1 - 2018

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

U2 - 10.3389/fpsyt.2018.00151

DO - 10.3389/fpsyt.2018.00151

M3 - Article

VL - 9

JO - Frontiers in Psychology

JF - Frontiers in Psychology

SN - 1664-1078

M1 - 151

ER -