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De somatische symptoom- en aanverwante stoornissen en persoonlijkheidspathologie

  • Kees Kooiman
Chapter
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Samenvatting

Historisch zijn concepten rond lichamelijke klachten, persoonlijkheidspathologie en therapie vanaf het begin van de moderne psychiatrie van groot belang geweest, hoewel de verschillende concepten door de jaren heen regelmatig een andere betekenis hebben gekregen. Vanaf het begin is er een sterke relatie gevonden tussen persoonlijkheidspathologie en wat op dit moment somatische symptoom- en aanverwante stoornissen worden genoemd. Dit hoofdstuk start met een bespreking van enkele algemene begrippen, gevolgd door een bespreking in een historische context van de somatische symptoom- en aanverwante stoornissen. Dan volgt een bespreking van de associatie van de somatische symptoom- en aanverwante stoornissen met DSM-IV-TR-persoonlijkheidspathologie. Gegevens over de associatie van deze stoornissen met pathologie volgens het alternatieve DSM-5-model voor persoonlijkheidspathologie zijn nog niet voorhanden. Aansluitend volgt een overzicht van de associatie met algemene en meer specifieke persoonlijkheidsfactoren en hun veronderstelde pathogenetische betekenis. Het hoofdstuk wordt afgesloten met een beknopt overzicht van algemene behandelprincipes.

Literatuur

  1. Abbass, A. A., Kisely, S. R., Leichsenring, T. J. M., Driessen, E., Maat, S. de, Gerber, A., et al. (2014). Short-term psychodynamic psychotherapies for common mental disorders (review). The Cochrane Database pf Systematic Reviews, Issue 7, art. no.: CD004687. DOI:  10.1002/14651858.CD004687.pub4
  2. Allen, L. A., Escobar, J. I., Lehrer, P. M., Gara, M. A., & Woolfolk, R. L. (2002). Psychosocial treatments for multiple unexplained physical symptoms: A review of the literature. Psychosomatic Medicine, 64, 939–950.PubMedGoogle Scholar
  3. Andersson, G. B. (1999). Epidemiological features of chronic low-back pain. Lancet, 354, 581–585.PubMedCrossRefGoogle Scholar
  4. APA (American Psychiatric Association). (1980). Diagnostic and statistical manual of mental disorders, (3rd ed.). Washington DC: American Psychiatric Association.Google Scholar
  5. APA (American Psychiatric Association). (1987). Diagnostic and statistical manual of mental disorders, (3rd ed.). (DSM-III-R). Washington DC: American Psychiatric Association.Google Scholar
  6. APA (American Psychiatric Association). (1994). Diagnostic and statistical manual of mental disorders, (4th ed.). Washington DC: American Psychiatric Association.Google Scholar
  7. APA (American Psychiatric Association) (2000). Diagnostic and statistical manual of mental disorders, (4th ed.). Washington DC: American Psychiatric Association.Google Scholar
  8. APA (American Psychiatric Association) (2014). Handboek voor de classificatie van psychische stoornissen (DSM−5). Nederlandse vertaling van Diagnostic and statistical manual of mental disorders (5th ed.). Amsterdam: Uitgeverij Boom.Google Scholar
  9. Asher, R. (1951). Munchausen’s syndrome. Lancet, 1, 339–341.PubMedCrossRefGoogle Scholar
  10. Bagayogo, I. P., Interian, A., & Escobar, J. I. (2013). Transcultural aspects of somatic symptoms in the context of depressive disorders. Advances in Psychosomatic Medicine, 33, 64–74.PubMedCrossRefGoogle Scholar
  11. Barsky, A. J. (1998). A comprehensive approach to the chronically somatizing patient. Journal of Psychosomatic Research, 45, 301–306.PubMedCrossRefGoogle Scholar
  12. Barsky, A. J., & Borus, J. F. (1999). Functional somatic syndromes. Annals of Internal Medicine, 130, 910–921.PubMedCrossRefGoogle Scholar
  13. Bass, Ch., & Murphy, M. (1995). Somatoform and personality disorders: Syndromal comorbidity and overlapping developmental pathways. Journal of Psychosomatic Research, 39, 403–427.PubMedCrossRefGoogle Scholar
  14. Berg, B., Grievink, L. van den, Yzermans, J., & Lebret, E. (2005). Medically unexplained physical symptoms in the aftermath of disaster. Epidemiologic Reviews, 27, 92–106.PubMedCrossRefGoogle Scholar
  15. Breuer, J., & Freud, S. (1958/1893). Studies on hysteria. Standard edition; 2, 3–305. London: Hogarth Press.Google Scholar
  16. Bridges, K. W., & Goldberg, D. P. (1985). Somatic presentation of DSM-III psychiatric disorders in primary care. Journal of Psychosomatic Research, 29, 63–569.CrossRefGoogle Scholar
  17. Brown, R. J. (2004). Psychological mechanisms of medically unexplained symptoms: An integrative conceptual model. Psychological Bulletin, 130, 793–812.PubMedCrossRefGoogle Scholar
  18. Brown, R. J., Cardeña, E., Nijenhuis, E., Sar, V., & Hart, O. van der. (2007). Should conversion disorder be reclassified as a dissociative disorder in DSM V? Psychosomatics, 48, 369–378.PubMedCrossRefGoogle Scholar
  19. Burton, Ch. (2003). Beyond somatisation: A review of the understanding and treatment of medically unexplained physical symptoms (MUPS). British Journal of General Practice, 53, 233–241.Google Scholar
  20. Cape, J., & McCulloch, Y. (1999). Patients’ reasons for not presenting emotional problems in general practice consultations. British Journal of General Practice, 49, 875–879.PubMedGoogle Scholar
  21. Carlier, I. V. E., Colijn, S., Rood, Y. R., van, Streevelaar, M. F., Vliet, I. M., van & Veen, T. van (2014). A comparative analysis of personality pathology profiles among patients with pure depressive-, pure anxiety-, and pure somatoform disorders. Journal of Affective Disorders, 168, 322–330.Google Scholar
  22. Cauwenbergh, D., van, Kooning, M. De, Ickmans, K., & Nijs, J. (2012). How to exercise people with chronic fatigue syndrome: Evidence-based practice guidelines. European Journal of Clinical Investigation, 42, 1136–1144.Google Scholar
  23. Couprie, W., Wijdicks, E. F., Rooijmans, H. G., & Gijn, J. van. (1995). Outcome in conversion disorder: A follow up study. Journal of Neurology Neurosurgery Psychiatry, 58, 750–752.CrossRefGoogle Scholar
  24. Craig, T. K. J., Boardman, A. P., Mills, K., Daly-Jones, O., & Drake, H. (1993). The South London Somatisation Study. I: Longitudinal course and the influence of early life experiences. British Journal of Psychiatry, 163, 579–588.PubMedCrossRefGoogle Scholar
  25. Craig, T. K. J., Drake, H., Mills, K., & Boardman, A. P. (1994). The South London Somatisation Study II: Influence of stressful life events, and secundary gain. British Journal of Psychiatry, 165, 248–258.PubMedCrossRefGoogle Scholar
  26. Deary, V., Chalder, T., & Sharpe, M. (2007). The cognitive behavioural model of medically unexplained symptoms: A theoretical and empirical review. Clinical Psychology Review, 27, 781–797.PubMedCrossRefGoogle Scholar
  27. Dersh, J., Polatin, P. B., & Gatchel, J. (2002). Chronic pain and psychopathology: Research findings and theoretical considerations. Psychosomatic Medicine, 64, 773–786.PubMedGoogle Scholar
  28. Dessel, N. van, Boeft, M. den, Wouden, J. C. van der, Kleinstäuber, M., Leone, S. S., Terluin, B., et al. (2014). Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database of Systematic Reviews, Issue 11. Art. No.: CD011142. DOI:  10.1002/14651858.CD011142.pub2.
  29. Dimsdale, J., & Creed, F. (2009). The proposed diagnosis of somatic symptom disorders in DSM-V to replace somatoform disorders in DSM-IV – a preliminary report. Editorial. Journal of Psychosomatics Research, 66, 473–476.CrossRefGoogle Scholar
  30. Dimsdale, J. E., Creed, F., Escobar, J., Sharpe, M., Wulsin, L., Barsky, A., et al. (2013). Somatic symptom disorder: An important change in DSM. Journal of Psychosomatic Research, 75, 223–228.PubMedCrossRefGoogle Scholar
  31. Ellenberger, H. F. (1970). The discovery of the unconscious; the history and evolution of dynamic psychiatry. London: Fontana Press.Google Scholar
  32. Escobar, J. I., Burnam, M. A., Forsythe, K. M., & Golding, J. (1987). Somatization in the community. Archives of General Psychiatry, 44, 713–719.PubMedCrossRefGoogle Scholar
  33. Escobar, J. I., Hoyos-Nervi, C., & Gara, M. (2002). Medically unexplained physical symptoms in medical practice: A psychiatric perspective. Environmental Health Perspectives, 110, 631–636.PubMedPubMedCentralCrossRefGoogle Scholar
  34. Fallon, B. A. (2004). Pharmacotherapy of somatoform disorders. Journal of Psychosomatic Research, 56, 455–460.PubMedCrossRefGoogle Scholar
  35. Feltz-Cornelis, C. M., van der & Houdenhove, B. van (2014). DSM-5: van somatoforme stoornissen naar ‘somatic symptom and related disorders’. Tijdschrift voor Psychiatrie, 56, 182–186.Google Scholar
  36. Frances, A. (2013). Saving normal: An insider's revolt against out-of-control psychiatric diagnosis, DSM-5, big pharma and the medicalization of ordinary life. Psychotherapy in Australia, 19(3), 14.Google Scholar
  37. Freud, S. (1894). The neuro-psychoses of defence. Standard Edition, 3, 45–61.Google Scholar
  38. Hamilton, J. C., & Janata, J. W. (2009). The A, B, C’s of factitious disorder: A response to Turner. Medscape Journal of Medicine, 11(1), 27–37.PubMedPubMedCentralGoogle Scholar
  39. Hart, O. van (1995). Pierre Janet en Sigmund Freud over hysterie, trauma en dissociatie. Nederlands Tijdschrift voor Geneeskunde, 139, 2183–2186.PubMedGoogle Scholar
  40. Hemert, A. M., van, Hengeveld, M. W., Bolk, J. H., Rooijmans, H. G. M., & Vandenbroucke, J. P. (1993). Psychiatric disorders in relation to medical illness among patients of a general medical outpatient clinic. Psychological Medicine, 23, 167–173.Google Scholar
  41. Hollifield, M. A. (2005). Somatoform disorders. In B. J. Sadock & V. A. Sadock (Eds.), Kaplan & Sadock’s comprehensive textbook of psychiatry (8th ed., 15(1)). New York: Lippincott, Williams & Wilkins.Google Scholar
  42. Hollifield, M., Tuttle, L., Paine, S., & Kellner, R. (1999). Hypochondriasis and somatization related to personality and attitudes towards self. Psychosomatics, 40, 387–395.PubMedCrossRefGoogle Scholar
  43. Hotopf, M., Mayou, R., Wadsworth, M., & Wessely, S. (1999). Childhood risk factors for adults with medically unexplained symptoms: Results from a national birth cohort study. American Journal of Psychiatry, 156, 1796–1800.PubMedGoogle Scholar
  44. Hudziak, J. J., Boffeli, T. J., Kreisman, J. J., Battaglia, M. M., Stanger, C., & Guze, S. B. (1996). Clinical study of the relation of borderline personality disorder to Briquet’s syndrome (hysteria), somatization disorder, antisocial personality disorder, and substance abuse disorder. American Journal of Psychiatry, 153, 1598–1606.PubMedCrossRefGoogle Scholar
  45. Kanaan, R. A., Carson, A., Wessely, S. C., Nicholson, T. R., Aybek, S., & David, A. S. (2010). What’s so special about conversion disorder? A problem and a proposal for diagnostic classification. British Journal of Psychiatry, 196, 427–428.PubMedCrossRefGoogle Scholar
  46. Katon, W., Sullivan, M., & Walker, E. (2001). Medical symptoms without identified pathology: Relationship to psychiatric disorders, childhood and adult trauma, and personality traits. Annals of Internal Medicine, 134, 917–925.PubMedCrossRefGoogle Scholar
  47. Kellner, R. (1990). Somatization; theories and research. The Journal of Nervous and Mental Disease, 78, 150–160.CrossRefGoogle Scholar
  48. Kirmayer, L. J., & Robbins, J. M. (1991). Three forms of somatization in primary care: Prevalence, co-occurence, and sociodemographic characteristics. The Journal of Nervous and Mental Disease, 179, 647–655.PubMedCrossRefGoogle Scholar
  49. Kirmayer, L. J., Robbins, J. M., & Paris, J. (1994). Somatoform disorders: Personality and the social matrix of somatic distress. Journal of Abnormal Psychology, 103, 125–136.PubMedCrossRefGoogle Scholar
  50. Kirmayer, L. J., & Young, A. (1998). Culture and somatization: Clinical, epidemiological, and ethnographic perspectives. Psychosomatic Medicine., 60, 420–430.PubMedCrossRefGoogle Scholar
  51. Kleinstäuber, M., Witthöft, M., Steffanowski, A., Marwijk, H. van, Hiller, W., Lambert, M. J. (2014). Pharmacological interventions for somatoform disorders in adults. Cochrane Database of Systematic Reviews, 11. Art. No.: CD010628. DOI:  10.1002/14651858.CD010628.pub2.
  52. Klijn, I. (2005). Nagebootste stoornissen. In M. W. Hengeveld, & A. J. L. M. van Balkom (Red.), Leerboek psychiatrie. Utrecht: de Tijdstroom.Google Scholar
  53. Koelen, J. A., Houtveen, J. H., Abbass, A., Luyten, P., Eurelings-Bontekoe, E. H. M., Broeckhuysen-Kloth, S. A. M., van et al. (2014). Effectiveness of psychotherapy for severe somatoform disorder: Meta-analysis. British Journal of Psychiatry, 204, 12–19.PubMedCrossRefGoogle Scholar
  54. Kooiman, C. G. (1987). Neglected phenomena in factitious illness: A case study and review of literature. Comprehensive Psychiatry, 28, 499–507.PubMedCrossRefGoogle Scholar
  55. Kooiman, C. G., Bolk, J. H., Brand, R., Trijsburg, R. W., & Rooijmans, H. G. M. (2000). Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients? Psychosomatic Medicine, 62, 768–778.PubMedCrossRefGoogle Scholar
  56. Kooiman, C. G., Bolk, J. H., Rooijman, H. G. M., & Trijsburg, R. W. (2004). Alexithymia does not predict the persistence of medically unexplained physical symptoms. Psychosomatic Medicine, 66, 224–232.PubMedCrossRefGoogle Scholar
  57. Kooiman, C. G., & Koelen, J. (2012). Gehechtheid en somatisatie. Tijdschrift voor Psychotherapie, 38, 291–309.CrossRefGoogle Scholar
  58. Kroenke, K., & Spitzer, R. L. (1998). Gender differences in the reporting of physical and somatoform symptoms. Psychosomatic Medicine, 60, 150–155.PubMedCrossRefGoogle Scholar
  59. Kroenke, K., & Swindle, R. (2000). Cognitive-behavioral therapy for somatization and symptom syndromes: A critical review of controled trials. Psychotherapy and Psychosomatics, 69, 205–215.PubMedCrossRefGoogle Scholar
  60. Lemma, A., Target, M., & Fonagy, P. (2011). Brief dynamic interpersonal therapy; a clinician’s guide. Oxford/New York: Oxford University Press.CrossRefGoogle Scholar
  61. Leserman, J., Li, Z., Drossman, D. A., & Hu, Y. J. (1998). Selected symptoms associated with sexual and physical abuse history among female patients with gastrointestinal disorders: The impact on subsequent health care visits. Psychological Medicine, 28, 417–425.PubMedCrossRefGoogle Scholar
  62. Lipowski, Z. J. (1988). Somatization: The concept and its clinical application. American Journal of Psychiatry, 145, 1358–1368.PubMedCrossRefGoogle Scholar
  63. Luyten, P., Houdenhove, B. l. van, Lemma, A., Target, M., & Fonagy, P. (2012). A mentalization-based approach to the understanding and treatment of functional somatic disorders. Psychoanalytic Psychotherapy, 26, 121–140.Google Scholar
  64. Luyten, P., Houdenhove, B., van, Lemma, A., Target, M., & Fonagy, P. (2013a). Vulnerability for functional somatic disorders: A contemporary psychodynamic approach. Journal of Psychotherapy Integration, 23, 250–262.Google Scholar
  65. Luyten, P., & Houdenhove, B. van. (2013b). Common and specific factors in the psychotherapeutic treatment of patients suffering from chronic fatigue and pain. Journal of Psychotherapy Integration, 23, 14–27.Google Scholar
  66. Mayou, R., & Farmer, A. (2002). ABC of psychological medicine: Functional somatic symptoms and syndromes. British Medical Journal, 325, 265–268.Google Scholar
  67. Mayou, R., Kirmayer, L. J., Simon, G., Kroenke, K., & Sharpe, M. (2005). Somatoform disorders: Time for a new approach in DSM-V. American Journal of Psychiatry, 162, 847–855.PubMedCrossRefGoogle Scholar
  68. Mills, M. J., & Lipian, M. S. (2005). Additional conditions that may be a focus of clinical attention; malingering. In B. J. Sadock, & Sadock, V. A. (eds.), Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, (8th ed.). New York: Lippincott, Williams & Wilkins.Google Scholar
  69. Morone, N. E., Greco, C. M., & Weiner, D. K. (2008). Mindfulness meditation for the treatment of chronic low back pain in older adults: A randomized controlled pilot study. Pain, 134, 310–319.PubMedCrossRefGoogle Scholar
  70. NIH Consensus Conference. (1994). Helicobacter pylori in peptic ulcer disease. JAMA, 272, 65–69.CrossRefGoogle Scholar
  71. North, C. S. (2002). Somatization in survivors of catastrophic trauma: A methodological review. Environmental Health Perspectives, 110(Suppl 4), 637–664.PubMedPubMedCentralCrossRefGoogle Scholar
  72. Noyes, R., Langbehn, D. R., Happel, R. L., Stout, L. R., Muller, B. A., & Longley, S. L. (2001). Personality dysfunction among somatizing patients. Psychosomatics, 42, 320–329.PubMedCrossRefGoogle Scholar
  73. O’Malley, P. G., Jackson, J. L., Santoro, J., Tomkins, G., Balden, E., & Kroenke, K. (1999). Antidepressant therapy for unexplained symptoms and symptom syndromes. Journal of Family Practice, 48, 980–990.PubMedGoogle Scholar
  74. Philips, K. A., & McElroy, S. L. (2000). Personality disorders and traits in patients with body dysmorphic disorder. Comprehensive Psychiatry, 41, 229–236.CrossRefGoogle Scholar
  75. Reynolds, E. H. (2012). Hysteria, conversion and functional disorders: A neurological contribution to classification issues. British Journal of Psychiatry, 201, 253–254.PubMedCrossRefGoogle Scholar
  76. Ravesteijn, H. van, Lucassen, P., Bor, H., Weel, Ch. van, Speckens, A. (2013). Mindfulness-based cognitive therapy for patients with medically unexplained symptoms: A randomized controlled trial. Psychotherapy and Psychosomatics, 82, 299–310.Google Scholar
  77. Rood, Y. R. van, & Visser, S. (2003). Principes van cognitieve gedragstherapie bij patiënten met een somatoforme stoornis in de GGZ. In Ch. Feltz-Cornelis, & H. van der Horst (Red.), Handboek somatisatie; lichamelijk onverklaarde klachten in de eerste en tweede lijn, (hoofdstuk 15). Utrecht: de Tijdstroom.Google Scholar
  78. Sar, V., Akyuz, G., Kundakci, T., Kiziltan, E., & Dogan, O. (2004). Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder. American Journal of Psychiatry, 161, 2271–2276.PubMedCrossRefGoogle Scholar
  79. Schmidt, S., Strauss, B., & Braehler, E. (2002). Subjective physical complaints and hypochondrial features from an attachment theoretical perspective. Psychology and Psychotherapy: Theory, Research and Practice, 75, 313–332.CrossRefGoogle Scholar
  80. Spinhoven, Ph, Bouman, T. K., & Hoogduin, C. A. L. (2001). Behandelingsstrategieën bij somatoforme stoornissen. Houten: Bohn Stafleu Van Loghum.CrossRefGoogle Scholar
  81. Starcevic, V. (2006). Somatoform disorders and DSM-V: Conceptual and political issues in the debate. Psychosomatics, 47, 277–281.PubMedCrossRefGoogle Scholar
  82. Stone, J., Lafrance, W. C., Levenson, J. L., & Sharpe, M. (2010). Issues for DSM−5: Conversion disorder. American Journal of Psychiatry, 167, 626–627.PubMedCrossRefGoogle Scholar
  83. Stone, J., LaFrance, W. C., Brown, R., Spiegel, D., Levenson, J. L., & Sharpe, M. (2011). Conversion disorder: Current problems and potential solutions for DSM−5. Journal of Psychosomatic Research, 71, 369–376.PubMedCrossRefGoogle Scholar
  84. Surawy, C., Roberts, J., & Silver, A. (2005). The effect of mindfulness training on mood and measures of fatigue, activity, and quality of life in patients with chronic fatigue syndrome on a hospital waiting list: A series of exploratory studies. Behavioral and Cognitive Psychotherapy, 33, 103–109.CrossRefGoogle Scholar
  85. Turner, M. A. (2006). Factitious disorders; reformulating the DSM-IV criteria. Psychosomatics, 47, 23–32.PubMedCrossRefGoogle Scholar
  86. Twisk, F. N., & Maes, M. (2009). A review on cognitive behavioural therapy (CBT) and graded exercise therapy (GET) and myalgic encephalomyelitis (ME)/chronic fatigue syndrome (CFS): CBT/GET is not only ineffective and not evidence-based, but also potentially harmful for many patients with ME/CFS. Neuro Endocrinol Lett, 30, 284–299.PubMedGoogle Scholar
  87. Vaduganathan, M., McCullough, S. A., Fraser, T. N., Stern, Th. A. (2014). Death due to munchausen syndrome: A case of idiopathic recurrent right ventricular failure and a review of the literature. Psychosomatics, 55, 668–672.Google Scholar
  88. Verhaak, P. F. M., Kerssens, J. J., Dekker, J., Sorbi, M. J., & Bensing, J. M. (1998). Prevalence of chronic benign pain disorder among adults: A review of the literature. Pain, 77, 231–239.PubMedCrossRefGoogle Scholar
  89. Verschuur, M. J. (2009). Effects of the medical investigation Bijlmermeer aviation disaster on health perception of residents and rescue workers. Academisch Proefschrift. Leiden: Universiteit Leiden.Google Scholar
  90. Weinberger, J. (2014). Common factors are not so common and specified factors are not so specified: Toward an inclusive integration of psychotherapy research. Psychotherapy, 51, 514–518.PubMedCrossRefGoogle Scholar
  91. Wessely, S., Nimnuan, C., & Sharpe, M. (1999). Functional somatic syndromes: One or many? The Lancet, 354, 936–939.CrossRefGoogle Scholar
  92. Wessely, S. (2004). There is only one functional somatic syndrome. British Journal of Psychiatry, 185, 95–96.PubMedCrossRefGoogle Scholar
  93. Westen, D., & Arkowitz-Westen, L. (1998). Limitations of axis II in diagnosing personality pathology in clinical practice. American Journal of Psychiatry, 155, 1767–1771.PubMedPubMedCentralCrossRefGoogle Scholar
  94. Witthöft, M., & Hiller, W. (2010). Psychological approaches to origins and treatments of somatoform disorders. Annual Review Clincal Psychology, 6, 257–283.CrossRefGoogle Scholar
  95. Yunus, M. B. (2008). Central sensitivity syndromes: A new paradigm and group nosology for fibromyalgia and overlapping conditions, and the related issue of disease versus illness. Seminars in Arthritis and Rheumatism, 37, 339–352.PubMedCrossRefGoogle Scholar
  96. Zimmerman, M., & Mattia, J. I. (1999). Axis I diagnostic comorbidity and borderline personality disorder. Comprehensive Psychiatry, 40, 245–252.PubMedCrossRefGoogle Scholar
  97. Zonneveld, L. N. L., Rood, Y. R. van, Timman, R., Kooiman, C. G., Spijker, A. van ‘t, Busschbach, J. J. van (2012). Effective group training for patients with unexplained physical symptoms: A randomized controlled trial with a non-randomized one-year follow-up. PLoS ONE, 7(8), ee42629. Doi:  10.1371/journal.pone.0042629.

Copyright information

© Bohn Stafleu van Loghum 2017

Authors and Affiliations

  • Kees Kooiman
    • 1
    • 2
  1. 1.GGZ-RivierduinenZoetermeer/LeidschendamNederland
  2. 2.Afdeling PsychiatrieErasmus Medisch CentrumRotterdamNederland

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