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A Psychological Approach to Functional Illness

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Functional Illness of the Head and Neck

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Abstract

Years of mind–body dualism (i.e., organic or psychogenic cause) have stigmatized patients with functional illness and perpetuated ineffective treatment models for individuals with the functional illness. The current chapter discusses the transition to the biopsychosocial model of functional illness and a working model of functional illness. Suggestions are provided on elements of a comprehensive psychological assessment that considers the biopsychosocial perspective with suggestions on appropriate psychological diagnoses. Options for treatment of functional symptoms such as cognitive-behavioral therapy, acceptance and commitment-therapy, mindfulness-based therapy, eye movement desensitization and reprocessing (EMDR), hypnosis and biofeedback are offered. Finally, suggestions are provided on communicating functional diagnoses and treatment recommendations to patients with the functional illness.

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References

  1. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150:971–9. https://doi.org/10.1126/science.150.3699.971.

    Article  CAS  PubMed  Google Scholar 

  2. Melzack R, Casey KL. Sensory, motivational and central control determinants of pain: a new conceptual model. In: Kenshalo D, editor. The skin senses. Springfield, IL: Charles C Thomas; 1968. p. 423–43.

    Google Scholar 

  3. Melzack R. Pain and the neuromatrix in the brain. J Dent Educ. 2001;65:1378–82.

    Article  CAS  PubMed  Google Scholar 

  4. Engel GL. The need for a new medical model: a challenge for biomedical science. Science. 1977;196:129–36.

    Article  CAS  PubMed  Google Scholar 

  5. Kellner R. Functional somatic symptoms and hypochondriasis. Arch Gen Psychiatry. 1985;42:821–33.

    Article  CAS  PubMed  Google Scholar 

  6. Kellner R. Hypochondriasis and somatization. JAMA. 1987;258:2718–22.

    Article  CAS  PubMed  Google Scholar 

  7. Kellner R. Psychosomatic syndromes, somatization and somatoform disorders. Psychother Psychosom. 1994;61:4–24.

    Article  CAS  PubMed  Google Scholar 

  8. Barsky AJ, Borus JF. Functional somatic syndromes. Ann Intern Med. 1999;130:910–21.

    Article  CAS  PubMed  Google Scholar 

  9. Henningsen P, Zipfel S, Sattel H, Creed F. Management of functional somatic syndromes and bodily distress. Psychother Psychosom. 2018;87:12–31. https://doi.org/10.1159/0004844413.

    Article  PubMed  Google Scholar 

  10. Kleykamp BA, Ferguson MC, McNicol E, Bixho I, Arnold LM, Edwards RR, et al. The prevalence of psychiatric and chronic pain comorbidities in fibromyalgia: an ACTTION systematic review. Semin Arthritis Rheu. 2021;51:166–74. https://doi.org/10.1016/j.semarthrit.2020.10.006.

    Article  Google Scholar 

  11. Carta MG, Moro MF, Pinna FL, Testa G, Cacace E, Ruggiero V, et al. The impact of fibromyalgia syndrome and the role of comorbidity with mood and post-traumatic stress disorder in worsening the quality of life. Int J Soc Psychiatry. 2018;64:647–55.

    Article  PubMed  Google Scholar 

  12. Janssens KAM, Zijlema WL, Joustra ML, Rosmalen JGM. Mood and anxiety disorders in chronic fatigue syndrome, fibromyalgia and irritable bowel syndrome: results from the LifeLines cohort study. Psychosom Med. 2015;77:449–57.

    Article  PubMed  Google Scholar 

  13. Deary V, Chalder T, Sharpe M. The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical review. Clin Psychol Rev. 2007;27:781–97. https://doi.org/10.1016/j.cpr.2007.07.002.

    Article  CAS  PubMed  Google Scholar 

  14. Sharpe M, Peveler R, Mayou R. The psychological treatment of patients with functional somatic symptoms: a practical guide. J Psychosom Res. 1992;36:515–29.

    Article  CAS  PubMed  Google Scholar 

  15. Van den Bergh O, Witthoft M, Petersen S, Brown R. Symptoms and the body: taking the inferential leap. Neurosci Biobehav Rev. 2017;74:185–203.

    Article  PubMed  Google Scholar 

  16. Kube T, Rozenkrantz L, Rief W, Barsky A. Understanding persistent physical symptoms: conceptual integration or psychological expectation models and predictive processing accounts. Clin Psychol Rev. 2020;76:101829.

    Article  PubMed  Google Scholar 

  17. Khazan IZ. The clinical handbook of biofeedback: a step-by-step guide for training and practice with mindfulness. Singapore: Wiley-Blackwell; 2013.

    Book  Google Scholar 

  18. Woolfolk RL, Allen LA. Treating somatization: a cognitive-behavioral approach. New York: Guilford Press; 2007.

    Google Scholar 

  19. Pilowsky I. Dimensions of hypochondriasis. Br J Psychiatry. 1967;113:89–93.

    Article  CAS  PubMed  Google Scholar 

  20. Kellner R, Abbott P, Winslow WW, Pathak D. Fears, beliefs, and attitudes in dsm-iii hypochondriasis. J Nerv Ment Dis. 1987;175:20–5.

    Article  CAS  PubMed  Google Scholar 

  21. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. The health anxiety inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32:843–53.

    Article  CAS  PubMed  Google Scholar 

  22. Hedman E, Lekander M, Ljótsson B, Lindefors N, Rück C, Andersson G, Andersson E. Optimal cut-off points on the health anxiety inventory, illness attitude scales and whiteley index to identify severe health anxiety. PLoS One. 2015;10(4):e0123412.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Reiss S, Peterson RA, Gursky DM, McNally RJ. Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther. 1986;24(1):1–8. https://doi.org/10.1016/0005-7967(86)90143-9.

    Article  CAS  PubMed  Google Scholar 

  24. Sullivan MJL, Bishop S, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:524–32.

    Article  Google Scholar 

  25. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013.

    Book  Google Scholar 

  26. Gureje O, Reed GM. Bodily distress disorder in ICD-11: problems and prospects. World Psychiatry. 2016;15:291–2.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Goldberg DP, Reed GM, Robles R, Bobes J, Iglesias C, Fortes S, et al. Multiple somatic symptoms in primary care: a field study for ICD-11 PHC, WHO’s revised classification of mental disorders in primary care setting. J Psychosom Res. 2016;91:48–54.

    Article  PubMed  Google Scholar 

  28. Koelen JA, Houtveen JH, Abbass A, Luyten P, Eurelings-Bontekoe EH, Van Broeckhuysen-Kloth SA, Bühring ME, Geenen R. Effectiveness of psychotherapy for severe somatoform disorder: meta-analysis. Br J Psychiatry. 2014;204:12–9.

    Article  PubMed  Google Scholar 

  29. Menon V, Rajan TM, Kuppili PP, Sarkar S. Cognitive behavior therapy for medically unexplained symptoms: a systematic review and meta-analysis of published controlled trials. Indian J Psychol Med. 2017;39:399–406.

    Article  PubMed  PubMed Central  Google Scholar 

  30. van Dessel N, den Boeft M, van der Wouden JC, Kleinstäuber M, Leone SS, Terluin B, Numans ME, van der Horst HE, van Marwijk H. Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database Syst Rev. 2014;11:CD011142.

    Google Scholar 

  31. Bernardy K, Füber N, Köllner V, Häuser W. Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome—a systematic review and metaanalysis of randomized controlled trials. J Rheumatol. 2010;37:1991–2005.

    Article  PubMed  Google Scholar 

  32. Bernardy K, Klose P, Busch AJ, Choy EH, Häuser W. Cognitive behavioural therapies for fibromyalgia. Cochrane Database Syst Rev. 2013;9:CD009796.

    Google Scholar 

  33. Glombiewski JA, Sawyer AT, Gutermann J, Koenig K, Rief W, Hofmann SG. Psychological treatments for fibromyalgia: a metaanalysis. Pain. 2010;151:280–95.

    Article  PubMed  Google Scholar 

  34. Malouff JM, Thorsteinsson EB, Rooke SE, Bhullar N, Schutte NS. Efficacy of cognitive behavioral therapy for chronic fatigue syndrome: a meta-analysis. Clin Psychol Rev. 2008;28:736–45.

    Article  PubMed  Google Scholar 

  35. Marques MM, De Gucht V, Gouveia MJ, Leal I, Maes S. Differential effects of behavioral interventions with a graded physical activity component in patients suffering from chronic fatigue (syndrome): an updated systematic review and meta-analysis. Clin Psychol Rev. 2015;40:123–37.

    Article  CAS  PubMed  Google Scholar 

  36. Price JR, Mitchell E, Tidy E, Hunot V. Cognitive behaviour therapy for chronic fatigue syndrome in adults. Cochrane Database Syst Rev. 2008;3:CD001027.

    Google Scholar 

  37. Altayar O, Sharma V, Prokop LJ, Sood A, Murad MH. Psychological therapies in patients with irritable bowel syndrome: a systematic review and meta-analysis of randomized controlled trials. Gastroenterol Res Pract. 2015;2015:549308.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Laird KT, Tanner-Smith EE, Russell AC, Hollon SD, Walker LS. Comparative efficacy of psychological therapies for improving mental health and daily functioning in irritable. bowel syndrome: a systematic review and meta-analysis. Clin Psychol Rev. 2017;51:142–52.

    Article  PubMed  Google Scholar 

  39. Li L, Xiong L, Zhang S, Yu Q, Chen M. Cognitive-behavioral therapy for irritable bowel syndrome: a meta-analysis. J Psychosom Res. 2014;77:1–12.

    Article  PubMed  Google Scholar 

  40. Zijdenbos IL, de Wit NJ, van der Heijden GJ, Rubin G, Quartero AO. Psychological treatments for the management of irritable bowel syndrome. Cochrane Database Syst Rev. 2009;1:CD006442.

    Google Scholar 

  41. Kisely S, Forbes M, Sawyer E, Black E, Lalloo R. A systematic review of randomized trials for the treatment of burning mouth syndrome. J Psychosom Res. 2016;86:39–46.

    Article  PubMed  Google Scholar 

  42. Kisely SR, Campbell LA, Yelland MJ. Paydar A: psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy. Cochrane Database Syst Rev. 2015;6:CD004101.

    Google Scholar 

  43. Schmid G, Henningsen P, Dieterich M, Sattel H, Lahmann C. Psychotherapy in dizziness: a systematic review. J Neurol Neurosurg Psychiatry. 2011;82:601–6.

    Article  CAS  PubMed  Google Scholar 

  44. Cima RFF, Andersson G, Schmidt CJ, Henry JA. Cognitive-behavioral treatments for tinnitus: a review of the literature. J Am Acad Audiol. 2014;25:29–61.

    Article  PubMed  Google Scholar 

  45. Hesser H, Weise C, Westin VZ, Andersson G. A systematic review and meta-analysis of randomized controlled trials of cognitive behavioral therapy for tinnitus distress. Clin Psychol Rev. 2011;31:545–53.

    Article  PubMed  Google Scholar 

  46. Martinez-Devesa P, Perera R, Theodoulou M, Waddell A. Cognitive behavioural therapy for tinnitus. Cochrane Database Syst Rev. 2010;9:CD005233.

    Google Scholar 

  47. Hayes SC, Barnes-Holmes D, Roche B, editors. Relational frame theory: a post-Skinnerian account of human language and cognition. New York: Kluwer Academic/Plenum; 2001.

    Google Scholar 

  48. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: an experiential approach to behavior change. 2nd ed. New York: Guilford Press; 2012.

    Google Scholar 

  49. Hughes LS, Clark J, Colclough JA, Dale E, McMillan D. Acceptance and commitment therapy (ACT) for chronic pain: a systematic review and meta-analyses. Clin J Pain. 2017;33:552–68.

    Article  PubMed  Google Scholar 

  50. Veehof MM, Trompetter HR, Bohlmeijer ET, Schreurs KMG. Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review. Cogn Behav Ther. 2016;45:5–31. https://doi.org/10.1080/16506073.2015.1098724.

    Article  CAS  PubMed  Google Scholar 

  51. Eilenberg T, Fink P, Jensen J, Rief W, Frostholm L. Acceptance and commitment group therapy (ACT-G) for health anxiety: a randomized controlled trial. Psychol Med. 2016;46:103–15.

    Article  CAS  PubMed  Google Scholar 

  52. Hoffmann D, Rask CU, Hedman-Lagerlöf E, Jensen JS, Frostholm L. Efficacy of internet-delivered acceptance and commitment therapy for severe health anxiety: results from a randomized, controlled trial. Psychol Med. 2020;51:1–11. https://doi.org/10.1017/S0033291720001312.

    Article  Google Scholar 

  53. Maria Kleinstäuber M, Allwang C, Bailer J, Berking M, Brünahl C, Erkic M, et al. Cognitive behaviour therapy complemented with emotion regulation training for patients with persistent physical symptoms: a randomised clinical trial. Psychother Psychosom. 2019;88:287–99.

    Article  PubMed  Google Scholar 

  54. Pedersen HF, Agger JL, Frostholm L, Jensen JS, Ørnbøl E, Fink P, Schröder A. Acceptance and Commitment group Therapy for patients with multiple functional somatic syndromes: a three-armed trial comparing ACT in a brief and extended version with enhanced care. Psychol Med. 2019;2019(49):1005–14.

    Article  Google Scholar 

  55. Ljótsson B, Falk L, Vesterlund AW, Hedman E, Lindfors P, Ruck C, et al. Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome—a randomized controlled trial. Behav Res Ther. 2010;48:531–9. https://doi.org/10.1016/j.brat.2010.03.003.

    Article  PubMed  Google Scholar 

  56. Ljótsson B, Hedman E, Andersson E, Hesser H, Lindfors P, Hursti T, et al. Internet-delivered exposure-based treatment vs. stress management for irritable bowel syndrome: a randomized trial. The Amer. J Gastroenterol. 2011;106:1481–91. https://doi.org/10.1038/ajg.2011.139.

    Article  Google Scholar 

  57. Ljótsson B, Hesser H, Andersson E, Lackner JM, El Alaoui S, Falk L, et al. Provoking symptoms to relieve symptoms: a randomized controlled dismantling study of exposure therapy in irritable bowel syndrome. Behav Res Ther. 2014;55:27–39. https://doi.org/10.1016/j.brat.2014.01.007.

    Article  PubMed  Google Scholar 

  58. Westin V, Schulin M, Hesser H, Karlsson M, Noe R, Olofsson U, et al. Acceptance and Commitment Therapy versus Tinnitus Retraining Therapy in the treatment of tinnitus: a randomised controlled trial. Behav Res Ther. 2011;49:737–47.

    Article  PubMed  Google Scholar 

  59. Hesser H, Gustafsson T, Lunden C, Henrikson O, Fattahi K, Johnsson E, et al. A randomized controlled trial of internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. J Consult Clin Psychol. 2012;80:649–61.

    Article  PubMed  Google Scholar 

  60. Dindo L, Van Liew JR, Arch JJ. Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics. 2017;14:546–53.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Gregg JA, Callaghan GM, Hayes SC, Glenn-Lawson JL. Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. J Consult Clin Psychol. 2007;75:336–43.

    Article  PubMed  Google Scholar 

  62. Sheppard SC, Forsyth JP, Hickling EJ, Bianchi J. A novel application of Acceptance and Commitment Therapy for psychosocial problems associated with multiple sclerosis. Int J MS Care. 2010;12:200–6.

    Article  Google Scholar 

  63. Dindo L, Recober A, Marchman JN, Turvey C, O’Hara M. One-day behavioral treatment for patients with comorbid depression and migraine: a pilot study. Behav Res Ther. 2012;50:537–43.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Dindo L, Recober A, Marchman JN, O’Hara M, Turvey C. One-day behavioral intervention for depressed migraine patients: effects on headache. Headache. 2014;54:528–38.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Huddleston C, Martin L, Woods K, Dindo L. One-day behavioral intervention for distressed veterans with migraine: results of a multimethod pilot study. Mil Med. 2018;183:e184–92.

    Article  CAS  PubMed  Google Scholar 

  66. Dindo L, Marchman J, Grindes H, Fiedorowicz JG. A brief behavioral intervention targeting mental health risk factors for vascular disease: a pilot study. Psychother Psychosom. 2015;84:183–5.

    Article  PubMed  Google Scholar 

  67. Dindo L, Zimmerman MB, Hadlandsmyth K, St. Marie B, Embree J, Marchman JN, Tripp-Reimer T, Rakel B. Acceptance and Commitment Therapy for the prevention of chronic post-surgical pain and opioid use in at-risk veterans: a pilot randomized controlled study. J Pain. 2018;19:1211–21.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Hadlandsmyth K, Dindo LN, Wajid R, Sugg SL, Zimmerman MB, Rakel BA. A single-session acceptance and commitment therapy intervention among women undergoing surgery for breast cancer: a randomized pilot trial to reduce persistent postsurgical pain. Psycho-Oncology. 2019;28:2210–7.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Hou JK, Vanga RR, Thakur E, Gonzalez I, Willis D, Dindo L. One-day behavioral intervention for patients with inflammatory bowel disease and co-occurring psychological distress. Clin Gastroenter Hepatol. 2017;15:1633–4.

    Article  Google Scholar 

  70. Kabat-Zinn J. Mindfulness for beginners. Boulder: Sounds True; 2012.

    Google Scholar 

  71. Segal Z, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression. 2nd ed. New York: Guilford Press; 2013.

    Google Scholar 

  72. Van Ravesteijn H, Fjorback L. Mindfulness-based cognitive therapy: medically unexplained symptoms. In: Eisendrath SJ, editor. Mindfulness-based cognitive therapy: innovative applications. Cham: Springer; 2016. https://doi.org/10.1007/978-3-319-29866-5.

    Chapter  Google Scholar 

  73. Conversano C, Orrù G, Pozza A, Miccoli M, Ciacchini R, Marchi L, Gemignani A. Is mindfulness-based stress reduction effective for people with hypertension? A systematic review and meta-analysis of 30 years of evidence. Int J Environ Res Public Health. 2021;18:2882. https://doi.org/10.3390/ijerph18062882.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Intarakamhang U, Macaskill A, Prasittichok P. Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: a systematic review and meta-analysis. Heliyon. 2020;6:e03834. https://doi.org/10.1016/j.heliyon.2020.e03834.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Andrés-Rodríguez L, Borràs X, Feliu-Soler A, Pérez-Aranda A, Rozadilla-Sacanell A, Montero-Marin J, et al. Immune-inflammatory pathways and clinical changes in fibromyalgia patients treated with Mindfulness-Based Stress Reduction (MBSR): a randomized, controlled clinical trial. Brain Behav Immun. 2019;80:109–19. https://doi.org/10.1016/j.bbi.2019.02.030.

    Article  PubMed  Google Scholar 

  76. Pérez-Aranda A, Feliu-Soler A, Montero-Marín J, García-Campayo J, Andrés-Rodríguez L, Borràs X, et al. A randomized controlled efficacy trial of mindfulness-based stress reduction compared with an active control group and usual care for fibromyalgia: the EUDAIMON study. Pain. 2019;160:2508–23. https://doi.org/10.1097/j.pain.0000000000001655.

    Article  PubMed  Google Scholar 

  77. Frostholm L, Rask C. Third wave treatments for functional somatic syndromes and health anxiety across the age span: a narrative review. Clin Psychol Eur. 2019;1:e32217.

    Article  Google Scholar 

  78. Billones R, Saligan L. What works in mindfulness interventions for medically unexplained symptoms? A systematic review. Asian Pac Isl Nurs J. 2020;5:1–11. https://doi.org/10.31372/20200501.1082.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U. Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom. 2007;76:226–33. https://doi.org/10.1159/000101501.

    Article  PubMed  Google Scholar 

  80. Rimes KA, Wingrove J. Mindfulness-based cognitive therapy for people with chronic fatigue syndrome still experiencing excessive fatigue after cognitive behaviour therapy: a pilot randomized study. Clin Psychol Psychother. 2013;20:107–17. https://doi.org/10.1002/cpp.793.

    Article  PubMed  Google Scholar 

  81. McKenna L, Marks EM, Hallsworth CA, Schaette R. Mindfulness-based cognitive therapy as a treatment for chronic tinnitus: a randomized controlled trial. Psychother Psychosom. 2017;86:351–61.

    Article  PubMed  Google Scholar 

  82. McKenna L, Marks EM, Vogt F. Mindfulness-based cognitive therapy for chronic tinnitus: evaluation of benefits in a large sample of patients attending a tinnitus clinic. Ear Hear. 2018;39:359–66.

    Article  PubMed  Google Scholar 

  83. Philippot P, Nef F, Clauw L, de Romrée M, Segal Z. A randomized controlled trial of mindfulness-based cognitive therapy for treating tinnitus. Clin Psychol Psychother. 2012;19:411–9.

    Article  PubMed  Google Scholar 

  84. McManus F, Surawy C, Muse K, Vazquez-Montes M, Williams JM. A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). J Consult Clin Psychol. 2012;80:817–28.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Gooding H, Stedmon J, Crix D. ‘All these things don’t take the pain away but they do help you to accept it’: making the case for compassion-focused therapy in the management of persistent pain. Br J Pain. 2020;14:31–41. https://doi.org/10.1177/2049463719857099.

    Article  PubMed  Google Scholar 

  86. American Psychological Association. Hypnosis [Internet]. American Psychological Association; [cited 2021 Jun 24]. Available from https://www.apa.org/topics/hypnosis

  87. Jensen MP. Hypnosis for chronic pain management: therapist guide. New York: Oxford University Press; 2011.

    Book  Google Scholar 

  88. Flynn N. Systematic review of the effectiveness of hypnosis for the for the management of headache. Int J Clin Exp Hyp. 2018;66:343–52. https://doi.org/10.1080/00207144.2018.1494432.

    Article  Google Scholar 

  89. Maudoux A, Bonnet S, Lhonneux-Ledoux F, Lefebvre P. Ericksonian hypnosis in tinnitus therapy. B-ENT. 2007;3(Suppl 7):75–7.

    PubMed  Google Scholar 

  90. Lee HH, Choi YY, Choi MG. The efficacy of hypnotherapy in the treatment of irritable bowel syndrome: a systematic review and meta-analysis. J Neurogastroenterol Motil. 2014;20:152–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Schaefert R, Klose P, Moser G, Häuser W. Efficacy, tolerability, and safety of hypnosis in adult irritable bowel syndrome: systematic review and meta-analysis. Psychosom Med. 2014;76:389–98.

    Article  PubMed  Google Scholar 

  92. Webb AN, Kukuruzovic RH, Catto-Smith AG, Sawyer SM. Hypnotherapy for treatment of irritable bowel syndrome. Cochrane Database Syst Rev. 2007;4:CD005110.

    Google Scholar 

  93. Bernardy K, Füber N, Klose P, Häuser W. Efficacy of hypnosis/guided imagery in fibromyalgia syndrome—a systematic review and meta-analysis of controlled trials. BMC Musculoskelet Disord. 2011;12:133.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Zech N, Hansen E, Bernardy K, Häuser W. Efficacy, acceptability and safety of guided imagery/hypnosis in fibromyalgia—a systematic review and meta-analysis of randomized controlled trials. Eur J Pain. 2017;21:217–27.

    Article  CAS  PubMed  Google Scholar 

  95. Masters KS. Recurrent abdominal pain, medical intervention, and biofeedback: what happened to the biopsychosocial model? Appl Psychophysiol Biofeedback. 2006;31(2):155–65. https://doi.org/10.1007/s10484-006-9016-4.

    Article  PubMed  Google Scholar 

  96. Schwartz MS, Andrasik F, editors. Biofeedback. 4th ed. New York: Guilford Press; 2016.

    Google Scholar 

  97. Flor H, Schwartz MS. Tinnitus: nothing is as loud as a sound you are trying not to hear. In: Schwartz MS, Andrasik F, editors. Biofeedback. 3rd ed. New York: Guilford Press; 2003. p. 750–75.

    Google Scholar 

  98. Kutyana AM. Heart rate variability biofeedback for tinnitus: preliminary findings from multiple case studies. Biofeedback. 2015;43:142–8.

    Article  Google Scholar 

  99. Rief W, Weise C, Kley N, Martin A. Psychophysiologic treatment of chronic tinnitus: a randomized clinical trial. Psychosom Med. 2005;67:833–8. https://doi.org/10.1097/01.psy.0000174174.38908.c6.

    Article  PubMed  Google Scholar 

  100. Weise C, Heinecke K, Rief W. Biofeedback-based behavioral treatment for chronic tinnitus: results of a randomized controlled trial. J Consult Clin Psych. 2008;76:1046–57. https://doi.org/10.1037/a0013811.

    Article  Google Scholar 

  101. Glaros AG, Lausten L. Tempromandibular disorders. In: Schwartz MS, Andrasik F, editors. Biofeedback. 3rd ed. New York: Guilford Press; 2003. p. 349–68.

    Google Scholar 

  102. Schwartz MS, Andrasik F. Headache. In: Schwartz MS, Andrasik F, editors. Biofeedback. 3rd ed. New York, NY: Guilford Press; 2003. p. 275–348.

    Google Scholar 

  103. Schwartz MS, Thompson JM. Fibromyalgia syndrome. In: Schwartz MS, Andrasik F, editors. Biofeedback. 3rd ed. New York: Guilford Press; 2003. p. 776–94.

    Google Scholar 

  104. Aggarwal VR, Fu Y, Main CJ, Wu J. The effectiveness of self-management interventions in adults with chronic orofacial pain: a systematic review, meta-analysis and meta regression. Eur J Pain. 2019;23:849–65. https://doi.org/10.1002/ejp.1358.

    Article  PubMed  Google Scholar 

  105. Shapiro F. Eye movement desensitization and preprocessing: basic principles, protocols, and procedures. 2nd ed. New York: Guilford Press; 2001.

    Google Scholar 

  106. Luber M, editor. Eye movement desensitization and reprocessing (EMDR) therapy scripted protocols and summary sheets: treating trauma in somatic and medical-related conditions. New York: Springer; 2019.

    Google Scholar 

  107. Grant M, Threlfo C. EMDR in the treatment of chronic pain. J Clin Psychol. 2002 Dec;58(12):1505–20. https://doi.org/10.1002/jclp.10101.

    Article  PubMed  Google Scholar 

  108. Tefft AJ, Jordan IO. Eye movement desensitization reprocessing as treatment for chronic pain syndromes: a literature review. J Am Psychiatr Nurses Assoc. 2016;22:192–214. https://doi.org/10.1177/1078390316642519.

    Article  PubMed  Google Scholar 

  109. Tesarz J, Leisner S, Gerhardt A, Janke S, Seidler GH, Eich W, Hartmann M. Effects of eye movement desensitization and reprocessing (EMDR) treatment in chronic pain patients: a systematic review. Pain Med. 2014;15:247–63. https://doi.org/10.1111/pme.12303.

    Article  PubMed  Google Scholar 

  110. Marcus SV. Phase 1 of integrated EMDR: an abortive treatment for migraine headaches. J EMDR Pract Res. 2008;2:15–25.

    Article  Google Scholar 

  111. Konuk E, Epozdemir H, Atceken SH, Aydin Y. EMDR treatment of migraine. J EMDR Pract Res. 2011;5:166–76.

    Article  Google Scholar 

  112. Demirci OO, Sagaltici E, Yildirim A, Boysan M. Sleep Hypn. 2017;19:70–7. https://doi.org/10.5350/Sleep.Hypn.2017.19.0146.

    Article  Google Scholar 

  113. Luyten T, van Rompaey V, van de Heyning P, van Looveran N, Jacquemin L, Cardon E, Declau F, et al. EMDR in the treatment of chronic subjective tinnitus: a systematic review. J EMDR Pract Res. 2020;14:135–49.

    Google Scholar 

  114. Luyten TR, Jacquemin L, Van Looveren N, Declau F, Fransen E, Cardon E, et al. Bimodal therapy for chronic subjective tinnitus: a randomized controlled trial of EMDR and TRT versus CBT and TRT. Front Psychol. 2020;10(11):2048. https://doi.org/10.3389/fpsyg.2020.02048.

    Article  Google Scholar 

  115. Cope S. EMDR as an adjunctive psychological therapy for patients with functional neurological disorder: illustrative case examples. J EMDR Pract Res. 2020;14:76–89.

    Article  Google Scholar 

  116. Page LA, Wessely S. Medically unexplained symptoms: exacerbating factors in the doctor-patient encounter. J R Soc Med. 2003;96:223–7. https://doi.org/10.1258/jrsm.96.5.223.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  117. Stone J, Carson A, Duncan R, Coleman R, Roberts R, Warlow C, et al. Symptoms ‘unexplained by organic disease’ in 1144 new neurology outpatients: how often does the diagnosis change at follow-up? Brain. 2009;132:2878–88.

    Article  PubMed  Google Scholar 

  118. Sharpe M. Medically unexplained symptoms. In: Firth J, Conlon C, Cox T, editors. Oxford textbook of medicine. 6th ed. Oxford: Oxford University Press; 2020. p. 1–8. https://doi.org/10.1093/med/9780198746690.003.0623.

    Chapter  Google Scholar 

  119. Sharpe M, Wessely S. Psychological treatments. In: Firth J, Conlon C, Cox T, editors. Oxford textbook of medicine. 6th ed. Oxford: Oxford University Press; 2020. p. 1–10. https://doi.org/10.1093/med/9780198746690.003.0626.

    Chapter  Google Scholar 

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Authors and Affiliations

  1. Department of Clinical Health Psychology, University of Manitoba, Brandon, MB, Canada

    Anna Marie A. Carlson

  2. Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada

    Gregg A. Tkachuk

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  1. Anna Marie A. Carlson
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  2. Gregg A. Tkachuk
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Correspondence to Anna Marie A. Carlson .

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  1. Otolaryngology, University of Manitoba, Winnipeg, MB, Canada

    Brian W. Blakley

  2. Winnipeg, MB, Canada

    Joan E. Blakley

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Carlson, A.M.A., Tkachuk, G.A. (2023). A Psychological Approach to Functional Illness. In: Blakley, B.W., Blakley, J.E. (eds) Functional Illness of the Head and Neck. Springer, Cham. https://doi.org/10.1007/978-3-031-12998-8_19

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