{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:45:28Z","timestamp":1790937928041,"version":"4.1.0"},"reference-count":46,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"crossref","award":["7-12-1039"],"award-info":[{"award-number":["7-12-1039"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Torkil Steenbeck's Legat; LundbeckFonden","award":["R129-A11720"],"award-info":[{"award-number":["R129-A11720"]}]},{"name":"Foreningen \u00d8stifterne","award":["12-081"],"award-info":[{"award-number":["12-081"]}]}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","jpsychores.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Psychosomatic Research"],"published-print":{"date-parts":[[2015,4]]},"DOI":"10.1016\/j.jpsychores.2014.12.005","type":"journal-article","created":{"date-parts":[[2014,12,13]],"date-time":"2014-12-13T07:05:41Z","timestamp":1418454341000},"page":"363-370","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":54,"title":["Changes in illness perceptions mediated the effect of cognitive behavioural therapy in severe functional somatic syndromes"],"prefix":"10.1016","volume":"78","author":[{"given":"Sara Sletten","family":"Christensen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbeth","family":"Frostholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"\u00d8rnb\u00f8l","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Schr\u00f6der","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpsychores.2014.12.005_bb0005","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/S0140-6736(98)08320-2","article-title":"Functional somatic syndromes: one or many?","volume":"354","author":"Wessely","year":"1999","journal-title":"Lancet"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0010","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1016\/S0140-6736(07)60159-7","article-title":"Management of functional somatic syndromes","volume":"369","author":"Henningsen","year":"2007","journal-title":"Lancet"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0015","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.jpsychores.2010.02.004","article-title":"One single diagnosis, Bodily distress syndrome, succeeded to capture ten diagnostic categories of functional somatic syndromes and somatoform disorders","volume":"68","author":"Fink","year":"2010","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0020","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.pain.2010.06.011","article-title":"Psychological treatments for fibromyalgia: A meta-analysis","volume":"151","author":"Glombiewski","year":"2010","journal-title":"Pain"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0025","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.cpr.2010.09.001","article-title":"Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: a meta-analysis","volume":"31","author":"Kleinstauber","year":"2011","journal-title":"Clin Psychol Rev"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0030","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/S0140-6736(11)60096-2","article-title":"Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial","volume":"377","author":"White","year":"2011","journal-title":"Lancet"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0035","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.psc.2011.05.008","article-title":"Functional somatic syndromes and somatoform disorders in special psychosomatic units: organizational aspects and evidence-based treatment","volume":"34","author":"Schr\u00f6der","year":"2011","journal-title":"Psychiatr Clin North Am"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1146\/annurev-clinpsy-032813-153734","article-title":"Advances in cognitive theory and therapy: the generic cognitive model","volume":"10","author":"Beck","year":"2014","journal-title":"Annu Rev Clin Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0045","first-page":"1","article-title":"Are illness perceptions related to future healthcare expenditure in patients with somatoform disorders?","author":"Frostholm","year":"2014","journal-title":"Psychol Med"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0050","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.jpsychores.2010.01.022","article-title":"The central role of cognitive processes in the perpetuation of chronic fatigue syndrome","volume":"68","author":"Knoop","year":"2010","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0055","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1017\/S0033291709992212","article-title":"How does cognitive behaviour therapy reduce fatigue in patients with chronic fatigue syndrome? The role of physical activity","volume":"40","author":"Wiborg","year":"2010","journal-title":"Psychol Med"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0060","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1177\/1359105305049774","article-title":"A randomized controlled graded exercise trial for chronic fatigue syndrome: outcomes and mechanisms of change","volume":"10","author":"Moss-Morris","year":"2005","journal-title":"J Health Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0065","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.jpsychores.2010.12.011","article-title":"Does a decrease in avoidance behavior and focusing on fatigue mediate the effect of cognitive behavior therapy for chronic fatigue syndrome?","volume":"70","author":"Wiborg","year":"2011","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0070","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.jpsychores.2012.01.018","article-title":"Towards an evidence-based treatment model for cognitive behavioral interventions focusing on chronic fatigue syndrome","volume":"72","author":"Wiborg","year":"2012","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0075","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1037\/a0033439","article-title":"Mechanisms of change in an exposure-based treatment for irritable bowel syndrome","volume":"81","author":"Ljotsson","year":"2013","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0080","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.brat.2012.05.010","article-title":"Visceral sensitivity as a mediator of outcome in the treatment of irritable bowel syndrome","volume":"50","author":"Wolitzky-Taylor","year":"2012","journal-title":"Behav Res Ther"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0085","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1037\/a0033561","article-title":"Mediators of the effects on fatigue of pragmatic rehabilitation for chronic fatigue syndrome","volume":"81","author":"Wearden","year":"2013","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0090","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1053\/j.gastro.2007.05.014","article-title":"How does cognitive behavior therapy for irritable bowel syndrome work? A mediational analysis of a randomized clinical trial","volume":"133","author":"Lackner","year":"2007","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0095","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.brat.2013.07.007","article-title":"Changes in illness-related cognitions rather than distress mediate improvements in irritable bowel syndrome (IBS) symptoms and disability following a brief cognitive behavioural therapy intervention","volume":"51","author":"Chilcot","year":"2013","journal-title":"Behav Res Ther"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0100","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1017\/S0033291713002006","article-title":"Mechanisms of change underlying the efficacy of cognitive behaviour therapy for chronic fatigue syndrome in a specialist clinic: a mediation analysis","volume":"44","author":"Stahl","year":"2014","journal-title":"Psychol Med"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0105","series-title":"The self-regulation of health and illness behavior","first-page":"42","article-title":"The common-sense model of self-regulation of health and illness","author":"Leventhal","year":"2003"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0110","doi-asserted-by":"crossref","first-page":"536","DOI":"10.7861\/clinmedicine.6-6-536","article-title":"Why illness perceptions matter","volume":"6","author":"Petrie","year":"2006","journal-title":"Clin Med"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0115","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1080\/08870449608400270","article-title":"The Illness Perception Questionnaire: A New Method for Assessing the Cognitive Representation of Illness","volume":"11","author":"Weinman","year":"1996","journal-title":"Psychol Health"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0120","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/08870440290001494","article-title":"The revised illness perception questionnaire (IPQ-R)","volume":"17","author":"Moss-Morris","year":"2002","journal-title":"Psychol Health"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0125","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1348\/135910709X466315","article-title":"Illness representations in women with fibromyalgia","volume":"15","author":"Glattacker","year":"2010","journal-title":"Br J Health Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0130","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jpsychores.2006.09.003","article-title":"Do illness perceptions predict health outcomes in primary care patients? A 2-year follow-up study","volume":"62","author":"Frostholm","year":"2007","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0135","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1348\/135910702320645372","article-title":"Illness representation, coping and outcome in irritable bowel syndrome (IBS)","volume":"7","author":"Rutter","year":"2002","journal-title":"Br J Health Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0140","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0022-3999(97)00265-1","article-title":"Coping and adaptive outcome in chronic fatigue syndrome: importance of illness cognitions","volume":"45","author":"Heijmans","year":"1998","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0145","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.pec.2008.07.041","article-title":"Illness perceptions in patients with fibromyalgia","volume":"74","author":"van Ittersum","year":"2009","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0150","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1146\/annurev.psych.58.110405.085542","article-title":"Mediation analysis","volume":"58","author":"Mackinnon","year":"2007","journal-title":"Annu Rev Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0155","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1192\/bjp.bp.111.098681","article-title":"Cognitive-behavioural group treatment for a range of functional somatic syndromes: randomised trial","volume":"200","author":"Schr\u00f6der","year":"2012","journal-title":"Br J Psychiatry"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0160","first-page":"3","article-title":"Cognitive-behavioural group therapy for severe functional somatic syndromes -treatment model and empirical evidence","volume":"35","author":"Schr\u00f6der","year":"2014","journal-title":"Verhaltenstherapie und Verhaltensmedizin"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0165","series-title":"SCAN. Schedules for Clinical Assessment in Neuropsychiatry, version 2.1","author":"WHO","year":"1998"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0170","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/AJP.0b013e318093fcab","article-title":"Patients' perceptions of their pain condition across a multidisciplinary pain management program: do they change and if so does it matter?","volume":"23","author":"Moss-Morris","year":"2007","journal-title":"Clin J Pain"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0175","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jclinepi.2011.03.012","article-title":"Outcome measurement in functional somatic syndromes: SF-36 summary scores and some scales were not valid","volume":"65","author":"Schr\u00f6der","year":"2012","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0180","series-title":"SF-36 Health Survey: Manual & Interpretation Guide","author":"Ware","year":"2005"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0185","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1002\/1097-4679(197710)33:4<981::AID-JCLP2270330412>3.0.CO;2-0","article-title":"Confirmation of the dimensional structure of the SCL-90: A study in construct validation","volume":"33","author":"Derogatis","year":"1977","journal-title":"J Clin Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0190","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0022-3999(98)00092-0","article-title":"Screening for somatization and hypochondriasis in primary care and neurological in-patients: a seven-item scale for hypochondriasis and somatization","volume":"46","author":"Fink","year":"1999","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0195","doi-asserted-by":"crossref","first-page":"879","DOI":"10.3758\/BRM.40.3.879","article-title":"Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models","volume":"40","author":"Preacher","year":"2008","journal-title":"Behav Res Methods"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0200","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1177\/0962280209105014","article-title":"Mediation and moderation of treatment effects in randomised controlled trials of complex interventions","volume":"19","author":"Emsley","year":"2010","journal-title":"Stat Methods Med Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0205","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1177\/014662169301700110","article-title":"A structural equation model for measuring residualized change and discerning patterns of growth or decline","volume":"17","author":"Raykov","year":"1993","journal-title":"Appl Psychol Meas"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0210","series-title":"Mplus User's Guide","year":"1998"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0215","series-title":"Stata: Release 13. Statistical Software","author":"StataCorp.","year":"2013"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0220","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.jpsychores.2013.06.034","article-title":"The process of cognitive behaviour therapy for chronic fatigue syndrome: which changes in perpetuating cognitions and behaviour are related to a reduction in fatigue?","volume":"75","author":"Heins","year":"2013","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0225","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1146\/annurev.clinpsy.3.022806.091432","article-title":"Mediators and mechanisms of change in psychotherapy research","volume":"3","author":"Kazdin","year":"2007","journal-title":"Annu Rev Clin Psychol"},{"key":"10.1016\/j.jpsychores.2014.12.005_bb0230","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1177\/0963721411429456","article-title":"Patients Perceptions of Their Illness: The Dynamo of Volition in Health Care","volume":"21","author":"Petrie","year":"2012","journal-title":"Curr Dir Psychol Sci"}],"container-title":["Journal of Psychosomatic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022399914004413?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022399914004413?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T15:07:33Z","timestamp":1589296053000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022399914004413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4]]},"references-count":46,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["S0022399914004413"],"URL":"https:\/\/doi.org\/10.1016\/j.jpsychores.2014.12.005","relation":{},"ISSN":["0022-3999"],"issn-type":[{"value":"0022-3999","type":"print"}],"subject":[],"published":{"date-parts":[[2015,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Changes in illness perceptions mediated the effect of cognitive behavioural therapy in severe functional somatic syndromes","name":"articletitle","label":"Article Title"},{"value":"Journal of Psychosomatic Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpsychores.2014.12.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}