Analysis of the effectiveness of a cognitive-behavioral group treatment in subjects with somatization
Abstract
The effectiveness of cognitive-behavioral therapy has been questioned, despite offering positive results. This article presents the results obtained by an intervention with cognitive-behavioral group therapy, conducted at a mental health service in a public health system, with the aim of assessing the effectiveness of the implementation of this intervention strategy. It has followed a quasi-experimental design with 136 users having associated physical and emotional discomfort, composing two groups of subjects: 90 participants and 46 controls. The results showed that lower doses of benzodiazepines in psychiatrical prescriptions at post-treatment and clinical improvement has induced higher discharged rates in participants. The self-reports indicate physical and emotional improvements in over 60% of the participants.The relationship between results and some variables was valued and criticisms of the effectiveness of these treatments are discussed, as compared with data obtained.Downloads
References
Agencia Valenciana de Salud. (2010). Encuesta de salud de la Comunitat Valenciana (año 2010). Valencia: Servicio de Planificación y Programación Sanitaria. Recuperado el 30 de octubre de 2012 de: http://www.san.gva.es/docs/encuesta/5atablasderesultadosdepoblacionadulta.pdf
Allen, L. A., Escobar, J. I., Lehrer, P. M., Gara, M. A. y Woolfolk, R. L. (2002). Psychosocial Treatments for Multiple Unexplained Physical Symptoms: A Review of the Literature. Psychosomatic Medicine, 64, 939-950.
Allen, L.A. y Woolfolk, R.L. (2005). Affective Cognitive Behavioral Therapy: a new treatment for somatization. Psicología Conductual, 14(3), 549-566.
American Psychiatric Association. (1995). Manual diagnóstico estadístico de los trastornos mentales DSM-IV. Barcelona: Masson.
American Psychiatric Association. (2002). Manual diagnóstico estadístico de los trastornos mentales DSM-IV-TR. Texto revisado. Barcelona: Masson.
Bach, M. y Bach, D. (1995). Predictive value of alexithymia: A prospective study in somatizing patients. Psychotherapy and Psychosomatics, 64(1), 43-48.
Barsky, A.J., Goodson, J.D., Lane, R.S. y Cleary, P.D. (1988). The Amplification of Somatic Symptoms. Psychosomatic Medicine, 50, 510-519.
Beck, A.T., Steer, R.A. y Garbin, M.C. (1988). Psychometric properties of the Beck Depression Inventory. Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J. y Erbaugh, J. (1961). Inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
Derogatis, L.R. (1977). Administration, Scoring, and Procedures Manual. Clinical Psychometric Research. Baltimore: Johns Hopkins University School of Medicine.
Derogatis, L.R. (1983). SCL-90-R Administration and procedures. Manual II for the revised version of the SCL-90-R. Baltimore: John Hopkins University Press.
García-Campayo, J., Lobo, A., Pérez-Echeverría, M.J. y Campos, R. (1998a). Three forms of somatization presenting in primary care settings in Spain. The Journal of Nervous and Mental Disease, 186, 554–560.
García-Campayo, J., Pascual, A., Alda, M. y Oliván, B. (2005). Tratamiento psicológico en el trastorno de somatización: eficacia y propuestas de intervención. Revista de Psicopatología y Psicología Clínica, 10(1), 15-23.
García-Campayo, J. y Sanz Carrillo, C. Unidad de trastornos somatomorfos: el modelo Zaragoza. I Congreso Virtual de Psiquiatría 1 de Febrero - 15 de Marzo 2000 [citado: 20/6/06]; Conferencia 49-CI-C: [21 pantallas]. Disponible en: http://www.psiquiatria.com/congreso/mesas/mesa49/conferencias/49_ci_c.htm
García-Campayo, J., Sanz Carrillo, C., Yoldi A. y López Aylon R. (1998b). Management of somatizers in primary care: are family doctors motivated?. Australian and New Zealand Journal of Psychiatry, 32, 528-533.
Gelder, M., Mayou, R. y Geddes, J. (1999). Psychiatry (2ª ed.). Oxford: Oxford University Press, 217–219.
González de Rivera, J.L., De las Cuevas, C., Rodríguez-Abuin, M. y Rodríguez-Pulido, F. (2002). El cuestionario de 90 síntomas. Adaptación española del SCL-90-R. Madrid: Publicaciones de Psicología Aplicada, TEA Ediciones.
Harris, S., Kaplan, J.T., Curiel, A., Bookheimer, S.Y., Iacoboni, M. y Cohen, M.S. (2009). The neural correlates of religious and nonreligious belief. PloS One, 4(10), e0007272
Harris, S., Sheth, S.A. y Cohen, M.S. (2008). Functional neuroimaging of belief, disbelief, and uncertainty. Annals of Neurology, 63(2), 141-147
Kellner, R. (1990) Somatization: Theories and research. Journal of nervous and mental disease, 178, 150-60.
Kirmayer, L.J., Groleau, D., Looper, K.J. y Dao, M.D. (2004). Explaining Medically Unexplained Symptoms. The Canadian journal of psychiatry, 49(10), 663-672.
Kirmayer, L.J. y Robbins, J. M. (1991). Introduction: concepts of somatization. En L.J. Kirmayer & J.M. Robbins (Eds.) Current concepts of somatization: research and clinical perspectives (pp. 1-19). Washington, DC: American Psychiatric Press.
Mayou, R.A. (1993). Somatization. Psychotherapy and Psychosomatics, 59, 69-83.
Robles Sánchez, J.I., Andreu Rodriguez, J.M. y Peña Fernández, M.E. (2002). SCL-90-R: Aplicación y análisis de propiedades psicométricas en una muestra de sujetos clínicos españoles. Psicopatología clínica legal y forense, 2(1), 5-19.
Rosenzweig, S., Reibel, D.K., Greeson, J.M., Edman, J.S., Jasser, S.A., McMearty, K.D. y Goldstein , B.J. (2007). Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study. Alternative Therapies in Health and Medicine, 13(5), 36-38.
Rubin, G.J., Cleare, A. y Hotopf, M. (2004). Psychological factors in postoperative fatigue. Psychosomatic Medicine, 66(6), 959-964.
Salamero, M. (1991). Evaluación psicométrica. En J Vallejo Ruiloba y C. Gastó Ferrer (Comps.). Trastornos afectivos: ansiedad y depresión (p. 369-376). Barcelona: SALVAT.
Sánchez-García, M. (2004).Efectiveness of cognitive-behavioural group therapy in patients with anxiety disorder. Psychology in Spain, 8(1), 89-97.
Sanz, J. y Vázquez, C. (1998). Fiabilidad, validez y datos normativos del inventario para la depresión de Beck. Psicothema, 10(2), 303-318.
Sharpe, M., Peveler, R. y Mayou, R. (1992). The psychological treatment of patients with functional somatic symptoms: a practical guide. Journal of Psychosomatic Research, 36(6), 515-29.
Sensky, T. (1994). Somatization: syndromes or processes? Psychotherapy and Psychosomatics, 61, 1-3.
Speckens, A.E.M., van Hemert, A.M., Spinhoven, P., Hawton, K.E., Bolk, .JH. y Rooijmans, H.G.M. (1995). Cognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial. British Medical Journal, 311, 1328-1332.
Spielberger, C.D., Gorsuch, R.L. y Lushene, R.E. (2002). Cuestionario de ansiedad estado-rasgo. Adaptación española. Madrid: TEA.
Taylor, G.J., Bagby, R.M. y Parker, J.D.A. (1997). Disorders of affect regulation. Alexitimia in medical and psychiatric illness. Cambridge: Cambridge University Press.
The works published in this journal are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) retains the property rights (copyright) of published works, and encourages and enables the reuse of the same under the license specified in paragraph 2.
© Servicio de Publicaciones, Universidad de Murcia, 2022
2. The works are published in the online edition of the journal under a Creative Commons Reconocimiento-CompartirIgual 4.0 (legal text). You can copy, use, distribute, transmit and publicly display, provided that: i) you cite the author and the original source of publication (journal, editorial and URL of the work), ii) are not used for commercial purposes, iii ) mentions the existence and specifications of this license.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
3. Conditions of self-archiving. Is allowed and encouraged the authors to disseminate electronically pre-print versions (version before being evaluated and sent to the journal) and / or post-print (version reviewed and accepted for publication) of their works before publication, as it encourages its earliest circulation and diffusion and thus a possible increase in its citation and scope between the academic community. RoMEO Color: Green.
