Somatosensory amplification - An old construct from a new perspective

•Somatosensory amplification plays a role in symptom reporting.•The intensification of perceived symptoms is assumed.•It is also associated with health worries and expectations of symptoms.•It may refer to the sensitivity to any threats to the integrity of the body.

SummaryThe paper reviews and summarizes the history and the development of somatosensory amplification, a construct that plays a substantial role in symptom reports. Although the association with negative affect has been supported by empirical findings, another key elements of the original concept (i.e. body hypervigilance and the tendency of focusing on mild body sensations) have never been appropriately addressed. Recent findings indicate that somatosensory amplification is connected with phenomena that do not necessarily include symptoms (e.g. modern health worries, or expectations of symptoms and medication side effects), and also with the perception of external threats. In conclusion, somatosensory amplification appears to refer to the intensification of perceived external and internal threats to the integrity of the body (“somatic threat amplification”) rather than amplification of perceived or actual bodily events only. Practical implications of this new approach are also discussed.