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Sammanfattning

Culture-bound syndromes emerge in biomedically unexplained conditions - functional somatic syndromes - characterised by subjective health complaints, perceived disability and sometimes attribution to external, physical causes. There is, however, a lack of demonstrable disease pathology, rendering the conditions an ambiguous medical status. The syndromes display considerable symptomatic overlapping. Anxiety and low mood are common but their role in the illness process - primary or secondary - remain a matter of controversy. Central sensitization is a commonly proposed comprehensive psychophysiological mechanism. Management should include a broadening of the patient´s agenda from focus on discrete disease entities to addressing stress management, graded physical activity, sleeping problems, dysfunctional coping and problem solving. The controversy embraces questions like the relation between “objective disease pathology” and “subjective health complaints”.

MeSH