Concepts of psychosomatic disorders
https://doi.org/10.51523/2708-6011.2025-22-4-01
Abstract
Objective. To analyze data on the role of psychosomatic symptoms in development of disorders of organs and organ systems.
Materials and methods. The analysis of publications in PubMed, Web of Science, Elibrary, Elsevier and CyberLeninka systems from 2020 to 2025 describing the role of psychosomatic disorders in various fields of medicine, course features of such conditions, specifics of the therapeutic and diagnostic process was conducted. Search terms “psychosomatic disorder”, “functional diseases”, “psychosomatic medicine” were used. A total of 20 original articles were selected.
Results. The current concepts of development reasons and pathogenetic mechanisms of psychosomatic disorders, modern classifications of psychosomatic disorders, and approaches to the treatment of psychosomatic symptoms have been studied.
Conclusion. Psychosomatic disorders, especially associated with existing pathological processes, not only aggravate the course of existing diseases, but also increase the risk of developing new ones, creating a complex heteromorphic background for a clinician. Diagnosis, treatment, and prevention of these disorders often requires a multidisciplinary approach to a patient management involving specialists of various fields of medicine, including those with knowledge of basic rules of mental functioning and skills to assess the individual social and cultural aspects of each patient as an individual.
About the Authors
A. N. KavalchukБеларусь
Anna N. Kavalchuk - Senior Lecturer at the Department of Internal Medicine №2 with the course of Advanced Training and Retraining, Gomel State Medical University.
Gomel
S. A. Shut
Беларусь
Sviatlana A. Shut - Candidate of Medical Sciences, Associate Professor at the Department of Internal Medicine №2 with the course of Advanced Training and Retraining, Gomel State Medical University.
Gomel
References
1. Perevezentseva EA, Volodin MA, Volodin DI, Bolgov EN, Perchatkin VA. Psychosomatic status of patients with urological pathology. Psychology. Historical-critical Reviews and Current Researches. 2020;9(6А):186-199. [date of access 2025 April 18]. Available from: http://publishing-vak.ru/file/archive-psycology-2020-6/24-perevezentseva.pdf (in Russ.).
2. Koroleva EG, Mazalkova MP. Is the term “psychosomatic illnesses” correct in relation to cardiovascular diseases? Vestnik VGMU. 2022;21(6):92-98. [date of access 2025 April 18]. Available from: https://elib.vsmu.by/items/629da680-5ab4-427e-8f20-cb31926a5a95 (in Russ.).
3. Löwe B, Zipfel S, van den Bergh O, Henningsen P. Reconsidering Persistent Somatic Symptoms: A Transdiagnostic and Transsymptomatic Approach. Psychother Psychosom. 2025;94(1):20-25. DOI: https://doi.org/10.1159/000541741
4. Tolokonin AO. Models of pathogenesis of psychosomatic disorders and the concept of psychosomatic scenario. Medical Herald of the South of Russia. 2023;14(2):61-66. (in Russ.). DOI: https://doi.org/10.21886/2219-8075-2023-14-2-61-66
5. Khayrullina AG, Fedorova YuA, Dubovitskaya TD. The stress influence on the occurrence of psychosomatic disorders. International Journal of Medicine and Psychology. 2022;5(7):121-125. [date of access 2025 April 18]. Available from: https://www.elibrary.ru/item.asp?id=49800697
6. Sevriukova GA. Rheostasis, allostasis, and allostatic load: what is meant by these terms? International Research Journal. 2022;10(124). (in Russ.). DOI: https://doi.org/10.23670/IRJ.2022.124.22
7. Sukiasyan S. А new approach to the psychosomatic problem. Sciences of Europe. 2021;75(1):28-41. (in Russ.). DOI: https://doi.org/10.24412/3162-2364-2021-75-1-28-41
8. Fazekas C, Linder D, Matzer F, Vajda C, Avian A, Theiler-Schwetz V, et al. Development of a visual tool to assess six dimensions of health and its validation in patients with endocrine disorders. Wien Klin Wochenschr. 2022;134:569-580. DOI: https://doi.org/10.1007/s00508-021-01809-y
9. Fava GA, Cosci F, Sonino N, Guidi J. Understanding Health Attitudes and Behavior. The American Journal of Medicine. 2023 Mar;136(3):252-259. DOI: https://doi.org/10.1016/j.amjmed.2022.10.019
10. Shishkova VN, Dranitsyna YuG, Drapkina OM. Algorithms for the management of patients with anxiety in the internist’s practice. Cardiovascular Therapy and Prevention. 2023;22(2):3526. (In Russ.). DOI: https://doi.org/10.15829/1728-8800-2023-3526
11. Bernd L, Levenson J, Depping M, Hüsing P, Kohlmann S, Lehmann M, et al. Somatic Symptom Disorder: A Scoping Review on the Empirical Evidence of a New Diagnosis. Psychological Medicine. 2022;52(4): 632-648. DOI: https://doi.org/10.1017/S0033291721004177
12. Toussaint A, Weigel A, Löwe B. The overlooked burden of persistent physical symptoms: a call for action in European healthcare. The Lancet Regional Health – Europe. 2025;48:101140. DOI: https://doi.org/10.1016/j.lanepe.2024.101140
13. Doering S, Herpertz S, Pape M, Hofmann T, Rose M, Imbierowicz K, et al. The multicenter effectiveness study of inpatient and day hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany. Front. Psychiatry. 2023;14:1155582. DOI: https://doi.org/10.3389/fpsyt.2023.1155582
14. Burton C, Fink P, Henningsen P, Löwe B, Roef W. Functional somatic disorders: discussion paper for a new common classification for research and clinical use. BMC Medicine. 2020;18(34). DOI: https://doi.org/10.1186/s12916-020-1505-4
15. Srinivasan R, Pearson RM, Johnson S, Lewis G, Lewis G. Maternal perinatal depressive symptoms and offspring psychotic experiences at 18 years of age: a longitudinal study. Lancet Psychiatry. 2020 May; 7(5): 431-440. DOI: https://doi.org/10.1016/S2215-0366(20)30132-2
16. Mazo GE, Neznanov NG, Rukavishnikov GV. Psychosomatic medicine: old resources and new technologies. S.S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2023;123(4/2):14-19. (In Russ.). DOI: https://doi.org/10.17116/jnevro202312304214
17. Qela B, Damiani S, De Santis S, Groppi F, Pichiecchio A, Asteggiano C, Brondino N, Monteleone AM, Grassi L; MNESYS - Mood and Psychosis Sub-Project (Spoke 5); Politi P, Fusar-Poli P, Fusar-Poli L. Predictive coding in neuropsychiatric disorders: A systematic transdiagnostic review. Neurosci Biobehav Rev. 2025;169:106020. DOI: https://doi.org/10.1016/j.neubiorev.2025.106020
18. Löwe B, Zipfel S, van den Bergh O, Henningsen P. Reconsidering Persistent Somatic Symptoms: A Transdiagnostic and Transsymptomatic Approach. Psychotherapy and Psychosomatics. 2025;94(1):20-25. DOI: https://doi.org/10.1159/000541741
19. Vinokur VA, Karavaeva TA. Integration of theoretical principals of psychosomatic medicine and practice of Balint supervision in psycisians in the promotion of effective professional communication. Bekhterev Review of Psychiatry and Medical Psychology. 2022;56(1):8-15. (In Russ.). DOI: https://doi.org/10.31363/2313-7053-2022-56-1-8-15
20. Medvedev VE. Diagnosis and Therapy of Psychosomatic Disorders in Reproductive Cycle of Women in General Medical Practice (Review). The Russian Archives of Internal Medicine. 2022;12(4):276-284. (In Russ.). DOI: https://doi.org/10.20514/2226-6704-2022-12-4-276-284
Review
For citations:
Kavalchuk A.N., Shut S.A. Concepts of psychosomatic disorders. Health and Ecology Issues. 2025;22(4):7-13. (In Russ.) https://doi.org/10.51523/2708-6011.2025-22-4-01
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