Abstract
Medically unexplained symptoms are highly prevalent. Patients with persistent medically unexplained symptoms suffer from psychological distress, functional impairment, and social isolation. There is a need for non-harming practical tools in order to help patients to take responsibility for their own health and well-being. Mindfulness has a body-focused and experiential approach, which is different from more cognitive approaches used in cognitive behavioral therapy. Two training formats have been developed for patients with medically unexplained symptoms: a 2.5-h format and a 3.5-h format. The latter contains more extensive psycho-education about medically unexplained symptoms and seems most suitable for patients with severe disability due to the symptoms. Mindfulness training can open up a path of awareness of the body and it can help patients to stay out of avoidance strategies. At the same time it can prevent patients from identifying too much with their symptoms. Mindfulness training can help participants in developing the ability to tolerate symptoms while at the same time not letting the symptoms dictate behavior.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Konnopka A, Schaefert R, Heinrich S, Kaufmann C, Luppa M, Herzog W, et al. Economics of medically unexplained symptoms: a systematic review of the literature. Psychother Psychosom. 2012;81(5):265–75.
Barsky AJ, Orav EJ, Bates DW. Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Arch Gen Psychiatry. 2005;62(8):903–10.
Edwards TM, Stern A, Clarke DD, Ivbijaro G, Kasney LM. The treatment of patients with medically unexplained symptoms in primary care: a review of the literature. Ment Health Fam Med. 2010;7(4):209–21.
Deary V, Chalder T, Sharpe M. The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical review. Clin Psychol Rev. 2007;27(7):781–97.
Zonneveld LN, van Rood YR, Timman R, Kooiman CG, Van't Spijker A, Busschbach JJ. Effective group training for patients with unexplained physical symptoms: a randomized controlled trial with a non-randomized one-year follow-up. PLoS One. 2012;7(8):e42629.
Kabat-Zinn J. Full catastrophe living, how to cope with stress, pain and illness using mindfulness meditation. New York, NY: Bantam Doubleday Dell; 1990.
Ravesteijn HJ. Mindfulness-based cognitive therapy for patients with medically unexplained symptoms. Nijmegen: Radboud University Medical Center; 2013.
Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000;68(4):615–23.
Fjorback LO. Mindfulness and bodily distress. Aarhus: Aarhus University; 2012.
van Ravesteijn H, Lucassen P, Bor H, van Weel C, Speckens A. Mindfulness-based cognitive therapy for patients with medically unexplained symptoms: a randomized controlled trial. Psychother Psychosom. 2013;82(5):299–310.
Fjorback LO, Arendt M, Ornbol E, Walach H, Rehfeld E, Schroder A, et al. Mindfulness therapy for somatization disorder and functional somatic syndromes – randomized trial with one-year follow-up. J Psychosom Res. 2013;74(1):31–40.
Lakhan SE, Schofield KL. Mindfulness-based therapies in the treatment of somatization disorders: a systematic review and meta-analysis. PLoS One. 2013;8(8):e71834.
Fjorback LO, Carstensen T, Arendt M, Ornbol E, Walach H, Rehfeld E, et al. Mindfulness therapy for somatization disorder and functional somatic syndromes: analysis of economic consequences alongside a randomized trial. J Psychosom Res. 2013;74(1):41–8.
van Ravesteijn H, Grutters J, olde Hartman T, Lucassen P, Bor H, van Weel C, et al. Mindfulness-based cognitive therapy for patients with medically unexplained symptoms: a cost-effectiveness study. J Psychosom Res. 2013;74(3):197–205.
van Ravesteijn HJ, Suijkerbuijk YB, Langbroek JA, Muskens E, Lucassen PL, van Weel C, et al. Mindfulness-based cognitive therapy (MBCT) for patients with medically unexplained symptoms: process of change. J Psychosom Res. 2014;77(1):27–33.
Lind AB, Delmar C, Nielsen K. Searching for existential security: a prospective qualitative study on the influence of mindfulness therapy on experienced stress and coping strategies among patients with somatoform disorders. J Psychosom Res. 2014;77(6):516–21.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
van Ravesteijn, H., Fjorback, L. (2016). Mindfulness-Based Cognitive Therapy: Medically Unexplained Symptoms. In: Eisendrath, S. (eds) Mindfulness-Based Cognitive Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-29866-5_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-29866-5_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29864-1
Online ISBN: 978-3-319-29866-5
eBook Packages: MedicineMedicine (R0)