Reappraisal Of Medical Assurance (ROMA): An Experimental Study in Patients With Functional Somatic Symptoms (ROMA)
Somatic Symptom Disorder
About this trial
This is an interventional basic science trial for Somatic Symptom Disorder
Eligibility Criteria
Inclusion Criteria:
- Primary diagnosis of a somatoform disorder (F45.x) (as assessed with the SKID interview)
- Age between 18 and 69
- Sufficient German language skills
Exclusion Criteria:
- acute life-threatening disease
- diagnosed mental disorder other than the somatoform disorder that is considered the primary diagnosis (people with other comorbid mental disorders are not excluded if the somatoform disorder is the primary diagnosis)
Sites / Locations
- University of Koblenz-Landau
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Immunization-enhancement
Immunization-inhibition
Control group
This group receives an immunization-promoting manipulation aimed at triggering negative appraisals of the medical information received and questioning the validity of the medical reassurance. For this purpose, a standardized information text is presented to the participants after receipt of the doctor's report, in which it is stated that the standard medical diagnosis in gastroenterology is often not particularly accurate and that serious diseases are from times to times overlooked. As a further factor contributing to the non-detection of diseases, it is mentioned that doctors are often under time pressure and thus do not have sufficient time to ask patients for all important information. It is believed that communicating this information will result in participants continuing to report high probabilities of serious illness despite the previously received findings report.
The aim of the immunization-inhibiting manipulation is to increase the probability that the normal test results obtained will be used to reduce worries about a serious illness. The participants of this group receive - analogous to the immunization-promoting group - a standardized information text which states that the standard medical diagnosis in gastroenterology is very accurate and that the physicians are very often correct in their initial diagnostic assessment, especially with regard to the assessment of a serious organic disease. This is supported by two scientific publications. The aim of this information is to increase the value of the results obtained, so that the participants are more reassured as a result of the inconspicuous test results and use them to correct their health-related concerns.
This group does not receive additional information after the doctor's report.