The psychological treatment of patients with functional somatic symptoms: a practical guide.

Abstract

Functional somatic symptoms (FSS) are bodily sensations which do not result from physical disease, but which the patient responds to as if they did. Such symptoms are common and usually transient. In some patients they become persistent and associated with distress and disability. In such cases specific treatment is indicated. A cognitive-behavioural model of the aetiology of FSS and a psychological treatment approach based on the model, are outlined. The practical details of treatment are described.

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Epidemiology of trauma: frequency and impact of different potentially traumatic events on different demographic groups.

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Somatic symptoms after a natural disaster: a prospective study.

Abstract

The authors prospectively examined the prevalence of somatization symptoms among community respondents after a natural disaster in Puerto Rico. Exposure to the disaster was related to a higher prevalence of medically unexplained physical symptoms, particularly gastrointestinal ones (abdominal pain, vomiting, nausea, excessive gas) and pseudoneurological ones (amnesia, paralysis, fainting, unusual spells/double vision).

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Health risks to fire fighters.

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Ethnic differences in stress, coping, and depressive symptoms after the Exxon Valdez oil spill.

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The Persian Gulf War: civilian war-related stress and the influence of age, religious faith, and war attitudes.

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Severe burn injury: effects on psychologic and immunologic function in noninjured close relatives.

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Crisis support and psychiatric symptomatology in adult survivors of the Jupiter cruise ship disaster.

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The Hillsborough football disaster and claims for 'nervous shock'.

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Psychological responses of rescue workers: fire fighters and trauma

Abstract

The psychological responses of two groups of fire fighters were examined following the performance of rescue work. Four types of responses were reported: identification with the victims, feelings of helplessness and guilt, fear of the unknown, and physiological reactions. Stress was found to be mediated by availability of social support, type of leadership, level of training, and use of rituals. Implications of these findings for preventive intervention measures are discussed.

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