[Functional somatic syndromes: A comprehensive cognitive model]

Abstract

Functional somatic syndromes are frequent in general and specialized medicine practices. Several treatments can be useful. However, the treatment program is often hampered by patients' reluctance to acknowledge the diagnosis because of erroneous lay representations. Recent advances in cognitive science offer a new understanding of the pathophysiology of functional somatic disorders, making this diagnosis more acceptable for patients and caregivers. Simply explained with practical examples, the Bayesian model in particular provides some insights into the underlying cognitive mechanisms of functional somatic syndromes and their treatments. Advantages of this approach are twofold: it is consistent with current scientific knowledge and it can facilitate the physician-patient relationship.

Keywords: Bayesian model; Functional somatic syndromes; Medically unexplained symptoms; Modèle bayésien; Perception corporelle; Persistent somatic symptoms; Somatic Symptom Disorders; Symptômes médicalement inexpliqués; Trouble somatique fonctionnel; Trouble à symptomatologie somatique.