Effective Explanation and Assurance for the Patient of Functional Somatic Syndrome

Abstract

Clinical guideline is a conventional summary of clinical researches of good quality in effective therapeutic approaches. However, it is not enough for a clinical practice only to follow the guideline. Doctor has to make his own decision as to whether or not follow the guideline for each patient and treat properly. Generally speaking, 40% of functional dyspepsia (FD) patients have psychosocial problems which affect their clinical conditions. Two-thirds of the FD patients with psychosocial problems have no need to be treated specifically by psychosomatists. Therefore, the training program of psychosocial management for functional disorder is needed for generalist and gastrointestinal specialist. So far such training program hasn’t existed in Japan. We psychosomatists are responsible for making this program.