… Finally, even though the investigated groups did not differ in their health habits, a tendency to always live and eat healthy had a specific and adverse effect on physical impairment in somatoform patients. This result is rather counterintuitive, but may be explained with an increased selective attention to bodily processes in general and somatosensory amplification [30,52]. Therefore, the respectable attempt to improve one's health may contribute to a vicious cycle of symptom perpetuation. …Hmm, a person eats "healthy" – cereal grains instead of meat, seed oils instead of saturated fat, and lot's of dairy to top it off – and their "somatoform" impairment gets worse?
Truly a paradox.
If you accept that "healthy" food is healthy, that is.
If you have reason to believe that "healthy" food is actually bad for health and can cause disease – because most of the "healthy" food is evolutionary novel – this paradox goes away. And one can suspect that "somatoform disorders" are actually bodily diseases caused or at least perpetuated by unwise nutritional choices…
Of course these psycho*s will ignore any of this and continue to believe in their psychosomatic/somatoform woo.