Outcomes by Somatoform Disorder Category
SD and Its Lower Threshold Variants
CBT was effective in five of seven trials, and antidepressants
in three of four trials. A psychiatric consultation letter to
the PCP was effective in three of four trials, whereas providing
specialized training to the PCP was effective in only one
of three trials. A multicomponent nurse-administered intervention,
using a type of CBT and antidepressants as indicated,
was beneficial in one trial, whereas one of two trials using
non-CBT psychotherapy was positive. Finally, one trial found
aerobic exercise ineffective (although an active comparator of
muscle stretching was used in the control group), and emotional
disclosure through writing was ineffective in a single trial.