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The Apprehension/Fear and Somatic Preoccupation/Somatisation Dimensions

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Abstract

In this chapter, we critically reviewed findings suggesting the existence of two psychopathological dimensions: apprehension/fear and somatic concern/somatisation. The complex interplay between environment, genetics, endocrine and immune systems, and brain circuitries underlying these two dimensions is discussed, with a specific focus on relevance in terms of trans-diagnostic expression. Furthermore, starting with the data presented in Chap. 2, we provide evidence of a clear expression of these two dimensions across traditional diagnostic boundaries, further highlighting the need for a dimensional approach to psychiatric syndromes. Finally, we describe some clinical cases that in our clinical experience might represent an important portrait of a real-word scenario in which these theoretical notions could be applied. Starting with these considerations, an overview of the potential implication for treatment is provided.

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Authors and Affiliations

  1. Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy

    Roberto Delle Chiaie & Amedeo Minichino

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  1. Roberto Delle Chiaie
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  2. Amedeo Minichino
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Correspondence to Roberto Delle Chiaie .

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  1. Department of Human Neurosciences, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy

    Massimo Biondi

  2. Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy

    Massimo Pasquini

  3. Centre for Behavioural Sciences and Mental Health, Italian National Institute of Health, Rome, Italy

    Angelo Picardi

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Delle Chiaie, R., Minichino, A. (2018). The Apprehension/Fear and Somatic Preoccupation/Somatisation Dimensions. In: Biondi, M., Pasquini, M., Picardi, A. (eds) Dimensional Psychopathology. Springer, Cham. https://doi.org/10.1007/978-3-319-78202-7_3

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