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Psychother Psychosom Med Psychol
DOI: 10.1055/a-2564-6206
Übersicht

Erwartung als ein Schlüsselprinzip funktioneller Körperbeschwerden: Bestandsaufnahme und klinische Ansatzpunkte

Expectations and expectancies as a core principle in functional somatic symptoms: Evidence and clinical implications
Constanze Hausteiner-Wiehle
1   Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar der Technischen Universität München
2   Klinik für Neurologie und Klinische Neurophysiologie, BG Unfallklinik Murnau
,
Peter Henningsen
1   Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar der Technischen Universität München
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Zusammenfassung

Erwartungen spielen eine zentrale Rolle in den aktuellen ätiologischen Modellen funktioneller Körperbeschwerden und ihrer klinischen Manifestationen als funktionelle oder somatische Belastungsstörungen. Erwartungseffekte lassen sich im Hinblick auf die Beschwerdeentstehung und – aufrechterhaltung sowie auf die Wirksamkeit von Behandlungen nachweisen. Daher ist Erwartungsmanagement ein zentrales Element ihrer Prävention und Versorgung, und zwar vom Erstkontakt an, der ja meist in der somatischen Medizin stattfindet, bis hin zur Psychotherapie. Diese Übersicht fasst zum einen die Evidenz zur Rolle von Erwartungseffekten bei der Entstehung und Aufrechterhaltung funktioneller Körperbeschwerden zusammen. Zum anderen erläutert sie verschiedene transdisziplinäre Techniken des Erwartungsmanagements.

Abstract

Expectation and expectancies play a central role in current etiological models of functional somatic symptoms and their clinical manifestations as functional disorders, bodily distress disorder and somatic symptom disorder. Their effects have been shown with respect to symptom development, symptom persistence and treatment outcomes. Handling expectations and expectancies is therefore an important task in their prevention and management, from primary care to psychotherapy. This review presents current evidence concerning the role of expectation and expectancies in the etiology and maintenance of functional somatic symptoms, and how to address them in transdisciplinary treatment.

Schlüsselwörter

Erwartung/Vorhersage - funktionelle Körperbeschwerden - somatische Belastungsstörung - Primärversorgung - Psychotherapie

Keywords

expectation/expectancy - functional somatic symptoms - bodily distress - primary care - psychotherapy


Publication History

Received: 15 December 2024

Accepted: 17 March 2025

Article published online:
22 April 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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