definition and structure of body-relatedness from the perspective of patients with severe somatoform disorder and their therapistsbody-relatedness的定义和结构的角度严重躯体疾病患者和治疗师.pdfVIP

Definition and Structure of Body-Relatedness from the Perspective of Patients with Severe Somatoform Disorder and Their Therapists 1 1 ¨ 1 2 Hanneke Kalisvaart *, Saskia van Broeckhuysen , Martina Buhring , Marianne B. Kool , Sandra van Dulmen3, Rinie Geenen2 1 Altrecht Psychosomatic Medicine, Zeist, The Netherlands, 2 Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands, 3 NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands Abstract Background: How a patient is connected with one’s body is core to rehabilitation of somatoform disorder but a common model to describe body-relatedness is missing. The aim of our study was to investigate the components and hierarchical structure of body-relatedness as perceived by patients with severe somatoform disorder and their therapists. Methods: Interviews with patients and therapists yielded statements about components of body-relatedness. Patients and therapists individually sorted these statements according to similarity. Hierarchical cluster analysis was applied to these sortings. Analysis of variance was used to compare the perceived importance of the statements between patients and therapists. Results: The hierarchical structure included 71 characteristics of body-relatedness. It consisted of three levels with eight clusters at the lowest level: 1) understanding, 2) acceptance, 3) adjustment, 4) respect for the body, 5) regulation, 6) confidence, 7) self-esteem, and 8) autonomy. The cluster ‘understanding’ was considered most important by patients and therapists. Patients valued ‘regulating the body’ more than therapists. Conclusion: According to patients with somatoform di