Functional Somatic Symptoms (FSS) are somatic symptoms for which no somatic cause can be identified despite adequate diagnostic testing. FSS are common, costly, and disabling, and treatment options are limited. Psychotherapy is one of few evidence-based treatments for FSS. Yet, this form of therapy is not widely used, since it is usually reserved for severe symptoms, requires a highly trained therapist, and is not well accepted by patients. The current paper describes the development of the online intervention ‘Grip self-help’ and provides a description of the intervention itself. Grip self-help is an early intervention for mild to moderate FSS in primary care, which aims to reduce somatic symptoms and improve quality of life. In the Grip self-help intervention, patients fill out a set of online questionnaires exploring unhelpful cognitions, emotions, behaviors, and social factors associated with the symptoms. Using this information, a personal profile is generated, identifying factors that might maintain FSS in that individual. As a next step, patients are offered online self-help exercises that are tailored to these factors. Guidance is offered by a primary care professional. The intervention will ultimately result in a personalized self-help guide, composed of texts that are extracted from the exercises patients found useful during the intervention. Grip self-help is the first intervention for FSS combining the concepts of e-health, self-help, and personalized medicine. Guided by a primary care professional, patients are offered an easily accessible, yet highly personalized treatment. Grip self-help thus has the potential to meet the needs of the large group of patients with mild to moderate FSS.

中文翻译：

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Grip自助的发展：针对初级保健中功能性躯体症状的在线患者定制自助干预


功能性躯体症状（FSS）是指尽管进行了充分的诊断测试但仍无法确定躯体原因的躯体症状。 FSS 很常见、成本高昂、致残且治疗选择有限。心理治疗是 FSS 为数不多的循证治疗方法之一。然而，这种治疗形式并未得到广泛使用，因为它通常只用于治疗严重症状，需要训练有素的治疗师，并且不能被患者很好地接受。本文介绍了在线干预“握力自助”的发展，并提供了干预本身的描述。握力自助是初级保健中轻至中度 FSS 的早期干预措施，旨在减少躯体症状并提高生活质量。在 Grip 自助干预中，患者填写一组在线调查问卷，探索与症状相关的无益认知、情绪、行为和社会因素。使用此信息，生成个人档案，识别可能维持该个人 FSS 的因素。下一步，将为患者提供针对这些因素量身定制的在线自助练习。由初级保健专业人员提供指导。干预最终将产生个性化的自助指南，其中包含从患者在干预期间发现有用的练习中提取的文本。 Grip self-help是首个结合电子健康、自助和个性化医疗概念的FSS干预措施。在初级保健专业人员的指导下，患者可以获得易于获得且高度个性化的治疗。因此，握力自助有可能满足大量轻至中度 FSS 患者的需求。