Mentalising impairments in somatic symptom and functional neurological disorders: A systematic review.

J Psychosom ResApr 29, 2026 (epub)
Clinical ResearchPsychiatry

Maria Stagaki, Julia Griem, Tobias Nolte et al.

✦ AI-curated · Sources linked

In 30 seconds

This systematic review examined mentalizing impairments in individuals with Somatic Symptom Disorder (SSD) and Functional Neurological Disorder (FND) compared to healthy and clinical controls. Analyzing 18 studies with 1801 participants, it found that adults with SSD and FND, especially those with psychogenic non-epileptic seizures, exhibited significant deficits in other-focused cognitive mentalizing.

Key findings

  • Adults with SSD and FND showed impairments in other-focused cognitive mentalizing compared to control groups.
  • The review included 18 studies with a total of 1801 participants.
  • Self-focused mentalizing was rarely assessed, limiting conclusions on this aspect.

Why it matters

Understanding mentalizing impairments in SSD and FND can inform clinical assessments and interventions, potentially improving patient outcomes by addressing underlying cognitive deficits.

What to keep in mind

Substantial diagnostic and measurement heterogeneity was noted, indicating variability in study quality and methodologies.

Source

PubMed · PMID 42070419

Published in J Psychosom Res. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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